NAME: ________________________

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6 Written Questions

6 Multiple Choice Questions

  1. Positive: Inability to perform test

    Indicates: L4-L5 disc problem (L5 nerve root)
  2. Positive: Inability to perform test

    Indicates: L5-S1 disc problem (S1 nerve root)
  3. Positive: Reproduction of radicular pain or inability to perform correctly due to Tripod Sign.

    Indicates: Sciatic Radiculopathy

    *KEEP HANDS IN LAP
  4. Positive: Reproduction of Sciatic pain BEFORE 60 DEGREES

    Indicates: Sciatica

    *PANTY HOSE DISPLAY
  5. 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?
  6. Positive: Pain in the lumbar region or radiculopathy

    Indicates: Sciatic erve root compression. Helps to rule out tight hamstrings.

6 True/False Questions

  1. Lumbar Spine ROMFlexion: 25
    Extension: 30
    Left Lateral Bending: 25
    Right Lateral Bending: 25
    Left Rotation: 30
    Right Rotation: 30

          

  2. Goldthwait'a SignPositive: Localized pain, low back or radiating pain down the leg.

    Indicates:
    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

          

  3. Anterior Innominate Test (Mazion Pelvic Maneuver/Advancement Sign)Positive: Pain accompanied by flexion of the knee on the affected side and body rotation away from the affected side.

    Indicates: Positive with a variety of low back pathologies. Hamstring tension on pelvis may trigger the response.

          

  4. Lumbar Spine Soft Tissue PalpationLumbar Spinous Processes

    Sacral Tubercles

    Iliac Crest

    PSIS

          

  5. Bragard's SignPositive: Lack of counter-pressure on healthy side

    Indicates: Lack of organic basis for paralysis (Malingering/hysteria). With organic hemiplegia, the patient will still exert downward pressure when attempting to raise paralyzed leg.

          

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

    Indicates: Gluteal, lumbosacral or sacroiliac pathologies.

          

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