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6 Written questions

6 Multiple choice questions

  1. Positive: Radiating pain and/or posterior thigh pain

    Indicates: Sciatic radiculopathy or tight hamstrings. Positive between 35-70 degrees = possible discogenic sciatic radiculopathy (Cipriano).
  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: 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. Positive: Radiating pain down the leg causing flexion of the patient's knee or knees

    Indicates: Gluteal, lumbosacral or sacroiliac pathologies.
  5. Lumbar Spinous Processes

    Sacral Tubercles

    Iliac Crest

    PSIS
  6. Positive: 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 True/False questions

  1. Lasegue TestPositive: Inability to perform test

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

          

  2. Buckling Sign (Cipriano)Positive: Pain in the posterior thigh with sudden knee flexion (buckle)

    Indicates: Sciatic Radiculopathy

          

  3. Toe WalkPositive: Inability to perform test

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

          

  4. 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.

          

  5. Goldthwait'a SignPositive: Radiating pain in posterior thigh.

    Indicates: Sciatic Radiculopathy

          

  6. 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
    SPOT THEM