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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: Radiating pain down the leg causing flexion of the patient's knee or knees

    Indicates: Gluteal, lumbosacral or sacroiliac pathologies.
  3. Positive: Reproduction of radicular pain or inability to perform correctly due to Tripod Sign.

    Indicates: Sciatic Radiculopathy

    *KEEP HANDS IN LAP
  4. Positive: Pain in the posterior thigh with sudden knee flexion (buckle)

    Indicates: Sciatic Radiculopathy
  5. Positive: 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
  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. Lumbar Spine ROMPositive: Reproduction of Sciatic pain BEFORE 60 DEGREES

    Indicates: Sciatica

    *PANTY HOSE DISPLAY

          

  2. Toe WalkPositive: Inability to perform test

    Indicates: L4-L5 disc problem (L5 nerve root)

          

  3. Bowstring 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.

          

  4. Hoover's SignPositive: Radiating pain in posterior thigh.

    Indicates: Sciatic Radiculopathy

          

  5. Lasegue TestPositive: Reproduction of Sciatic pain BEFORE 60 DEGREES

    Indicates: Sciatica

    *PANTY HOSE DISPLAY

          

  6. Ely's Heel to Buttock Test (Ely's Sign)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?