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6 Written questions

6 Multiple choice questions

  1. Positive: Inability to perform test

    Indicates: L5-S1 disc problem (S1 nerve root)
  2. 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?
  3. Positive: Radiating pain and/or posterior thigh pain

    Indicates: Sciatic radiculopathy or tight hamstrings. Positive between 35-70 degrees = possible discogenic sciatic radiculopathy (Cipriano).
  4. 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
  5. Paraspinal Muscles (Superficial Layer)
    Sciatic Nerve
    Gluteus Maximus
    Gluteus Medius
    Biceps Femoris
    Anterior Abdominal Muscles
  6. Flexion: 25
    Extension: 30
    Left Lateral Bending: 25
    Right Lateral Bending: 25
    Left Rotation: 30
    Right Rotation: 30

6 True/False questions

  1. Lasegue TestPositive: Inability to perform test

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


  2. Lumbar Spine Bony PalpationLumbar Spinous Processes

    Sacral Tubercles

    Iliac Crest



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

    Indicates: Sciatic Radiculopathy


  4. Bowstring SignPositive: Pain in the lumbar region or radiculopathy

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


  5. Goldthwait'a SignPositive: 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


  6. Bechterew's TestPositive: Reproduction of radicular pain or inability to perform correctly due to Tripod Sign.

    Indicates: Sciatic Radiculopathy