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6 Written questions

6 Multiple choice questions

  1. 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.
  2. Positive: Radiating pain down the leg causing flexion of the patient's knee or knees

    Indicates: Gluteal, lumbosacral or sacroiliac pathologies.
  3. Positive: Radiating pain in posterior thigh.

    Indicates: Sciatic Radiculopathy
  4. Lumbar Spinous Processes

    Sacral Tubercles

    Iliac Crest

    PSIS
  5. Positive: Reproduction of Sciatic pain BEFORE 60 DEGREES

    Indicates: Sciatica

    *PANTY HOSE DISPLAY
  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. Heel WalkPositive: 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. Bowstring SignPositive: Pain in the lumbar region or radiculopathy

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

          

  4. Toe WalkPositive: Inability to perform test

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

          

  5. Lumbar Spine Soft Tissue PalpationParaspinal Muscles (Superficial Layer)
    Spinalis
    Longissimus
    Iliocostalis
    Sciatic Nerve
    Gluteus Maximus
    Gluteus Medius
    Hamstrings
    Biceps Femoris
    Semitendinosus
    Semimembranosus
    Anterior Abdominal Muscles

          

  6. 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