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6 Written Questions

6 Multiple Choice Questions

  1. Positive:

    1) Inability to raise tight
    Indicates: Iliopsoas spasm

    2) Pain in the anterior thigh
    Indicates: Inflammation if lumbar nerve roots

    3) Pain in the lumbar region
    Indicates: Lumber nerve root adhesions

    *ASK: Where is the pain? What does it feel like?
  2. Positive:
    Inability to bend at the waist more than 45 degrees, because of either/or:

    1) Radiating pain along Sciatic nerve, either unilateral or bilateral
    Indicates: Sciatic neuralgia or radiculopathy, etc. possibly due to a lumbar disc pathology

    2) Low back pain (lumbar or pelvic regions)
    Indicates: Anterior (rotational) displacement of the Ilium relative to Sacrum
  3. Positive: Localized pain, low back or radiating pain down the leg.

    1) Pain before spinouses close = Possible SI problem

    2) Pain after spinouses close = Possible lumbo-sacral problem

    *W on spinouses and do a Straight Leg Raiser
  4. Positive: Radiating pain in posterior thigh.

    Indicates: Sciatic Radiculopathy
  5. Positive: Pain in the posterior thigh with sudden knee flexion (buckle)

    Indicates: Sciatic Radiculopathy
  6. Positive: Radiating pain and/or posterior thigh pain

    Indicates: Sciatic radiculopathy or tight hamstrings. Positive between 35-70 degrees = possible discogenic sciatic radiculopathy (Cipriano).

6 True/False Questions

  1. Bechterew's TestPositive: Inability to perform test and/or low back pain

    Indicates: Weak abdominal muscles or space occupying lesion

    *YOU RAISE LEGS 2-3 inches)
    Instruct the to hold for 30 SECONDS


  2. Heel WalkPositive: Inability to perform test

    Indicates: L5-S1 disc problem (S1 nerve root)


  3. Lumbar Spine Bony PalpationLumbar Spinous Processes

    Sacral Tubercles

    Iliac Crest



  4. Lewin Standing TestPositive: Radiating pain down the leg causing flexion of the patient's knee or knees

    Indicates: Gluteal, lumbosacral or sacroiliac pathologies.


  5. Toe WalkPositive: Inability to perform test

    Indicates: L5-S1 disc problem (S1 nerve root)


  6. Lumbar Spine ROMPositive: Reproduction of Sciatic pain BEFORE 60 DEGREES

    Indicates: Sciatica



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