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6 Written questions

6 Multiple choice questions

  1. Positive: Pain in the posterior thigh with sudden knee flexion (buckle)

    Indicates: Sciatic Radiculopathy
  2. 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.
  3. Positive: Inability to perform test

    Indicates: L4-L5 disc problem (L5 nerve root)
  4. Positive: 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
  5. Positive: Reproduction of radicular pain or inability to perform correctly due to Tripod Sign.

    Indicates: Sciatic Radiculopathy

    *KEEP HANDS IN LAP
  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. Lasegue TestPositive: Inability to perform test

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

          

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

          

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

    Indicates: Sciatic Radiculopathy

          

  5. 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?

          

  6. 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

          

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