Lab midterm 1 Flashcards
_______ : Inclinometer: tibial Tub
Raise leg to pt of pain or 90 degrees
(+) indications
SLR
0-35 degrees:
Local pain: SI jt disorder
Piriformis M
Radiating pn below 35 degrees :
Piriformis syndrome
Severe N root irritation
35-70 degrees: (+) sign Sciatic N root irritation by IVD Osteophyte Tumor N Root Stretched: L5,S1,S2
70-90 degrees:
Local Lumbar pain: Lumbar jt disorder
Dull post. Thigh pain at any degree: tight hamstrings
_____: Inclinometer: tibial tub.
At pt of pain doc lowers leg 5 degrees & DF foot
(+ ) indications
Bragards test
0-35 degrees:
Local pain: SI jt disorder
Piriformis M
Radiating pn below 35 degrees :
Piriformis syndrome
Severe N root irritation
35-70 degrees: (+) sign Sciatic N root irritation by IVD Osteophyte Tumor N Root Stretched: L5,S1,S2
70-90 degrees:
Local Lumbar pain: Lumbar jt disorder
Dull post. Thigh pain at any degree: tight hamstrings
______: Inclinometer: tibial tub.
At pt of pain doc lowers leg 5 degrees & DF great toe
(+) indications
Sicards test
0-35 degrees:
Local pain: SI jt disorder
M dysfunction
Piriformis M
Radiating pn below 35 degrees :
Piriformis syndrome
Severe N root irritation
35-70 degrees: (+) sign Sciatic N root irritation by IVD Osteophyte Tumor N Root Stretched: L5,S1,S2
70-90 degrees:
Local Lumbar pain: Lumbar jt disorder
Dull post. Thigh pain at any degree: tight hamstrings
_____: Preform a SLR until pain and then bend the knee – place on doc shoulder
Exert pressure on hamstring- if no pain put pressure on popliteal fossa
(+) indications
Bowstring
Lumbar nerve root irritation/ compression
___: Pt is seated
Doc passively extends to pt of pain- lower away from pain
Place leg btw docs knees –
P-A pressure in popliteal space
(+) indications
Sciatic tension Test
Irritation of sciatic N – either intradurally or extradurally
Lumbar N root irritation/ compression
______: Doc passively extends leg and pt leans back
tripods sign
(+) Tight hamstring
Lumbar N root irritation
Stretching of Sciatic N
Meningeal irritation
Indications of slump test
Meningeal tract irritation due to disc defect
L/S N root
Sciatic N irritation/ compression
___: Doc instructs seated pt to stand. Stand up on healthy side and keep affected leg flexed
(+) indications
Minors sign
lumbar rediculopathy
_____: observe pt standing
(+) indications
antalgic lean sign
Lateral disc herniation:
Pt leans away from pain
Medial Disc herniation:
Pt leans toward the side
of of pain
Central disc herniation:
Pt in flexed posture
___: Doc instructs pt to stand and bend forward. Pt flexes knee on affected side
(+) indication ?
Neri’s sign
Lower lumbar N root irritation
Disc prob
L/S or SI subluxation
___: Doc raises pt well leg (do not perform bilaterally) . Pain is reproduced on affected side
(+) indication ?
Well leg raised
Medial disc herniation :
Incr pain on affected side
Lateral disc herniation:
Decr pain on affected side
_____: Supine pt Raise unaffected leg to 75% / pt of pain . DF foot (not bilateral)
(+) indication
Fajersztan’s Test
Medial disc herniation:
Incr on affected side
Lateral disc protrusion: decr pain on affected side
_____ test: Stabilize PSIS and Passively bend spine obliquely backwards
(+) indication
Radicular pain: irritation of N root
Lateral disc herniation:
Incr pain on same side bending (usually pull always from it for relief)
Medial Disc protrusion:
Radicular pain with contra bending
Local achy pain: Facet sx Capsulitis SI jt prob M spasm
N roots of femoral N
L2,3, and 4
_____: PT lies side line. Doc grasps affected leg and extends the hip 15 degrees with knee extended → flex knee
Femoral N traction (L2,3,4)
Pain into anterior medial thigh - L3 N root
Pain extending to tibia- L4
Contralateral pain: N root on opp. Side
___: Pt prone . Doc flexes heel to butt on ipsi side
(+) indications
Nachalas test
Piriformis hypertrophy
Irritation of femoral N root
Compression/ irritation of L2-L4 (disc, spur)
Pain in butt: SI jt lesion
L/S jt = jt lesion
these three signs would be seeing in :___
Cough
Sneeze
Bear down
Dejerine’s triad
_____ : pt Supine . Pt raises legs 3 inches off the table & Hold30 secs
(+) indications
Milgrams test
Disc, mass or osteophyte in lumbar canal/ foramen
___ : Doctor compresses jugular veins. Doc holds compression for 1 min –> causes radicular pn
(+) indications
Naffziger’s test:
disc herniation or prolapse
radicular pn= N root
_____: pt is supine. Doc passively flexes pt neck→ stretching the dural sac
Linder’s sign
Reproduction of pt pn:
Disc lesion
Sharp, diffused pain
Involuntary hip flexion = meningeal irritation
_____: Pt is supine
Doc passively flexes pt neck→ stretching the dural sac. Knees bend to decrease tension
(+) indication
Brudzinski’s sign
Indication
Meningeal irritation
Meningitis
Nerve root involvement
Radicular pain= radiculopathy
Bact meningitis= head pn, neck stiffness, nuchal rigidity& elevated temp
_____: Pt is supine
Doc instructs pt to flex one hip and knee 90 degrees → instruct pt to extend knee
(+) indication
Kerning’s test
Meningeal irritation Meningitis Nerve root Disc Tumor Radiculopathy
________malingering: PT kneels on table
PT bends at the waist to touch the floor
Doc: stabilizes pts legs
Burns bench
PT with lumbar pn says they cannot do it
_____ malingering: PT is supine
Doc places hand under pt heels
Instructs pt to raise affected leg (leg w/o paralysis)
Hoover sign
Organic: doc will feel pressure from contra, unaffected heel
Hysterical: pt will say they cant raise it = no pressure
