Lumbar Flashcards Preview

Ortho for me > Lumbar > Flashcards

Flashcards in Lumbar Deck (13)
Loading flashcards...
1

Sicard's
- (+) test?

dorsiflex big toe if passive SLR (+) when leg is below point of pain
(+) duplication or increase of radicular leg pain

2

Bragard's

dorsiflex foot if passive SLR (+) when leg is below point of pain
(+) duplication or increase of radicular leg pain

3

Kemp's

trunk extension, ips. lateral flexion, isp. rotation
(+) low back pain w or wo radiation down leg

4

if pain radiates, think...

nerve root compression

5

Bechterew's

seated straight leg raise (one leg at a time)
- pt straightens leg and doc lifts leg further
(+) radicular sxs down post thigh past knee -> L4/5, S1 radiculopathy

6

motor testing of L1, L2

iliopsoas
- hip flexion

7

motor testing of L3

quads
- knee extension

8

motor testing of L4

tibialis anterior
- ankle dorsiflexion/heel-walking

9

motor testing of L5

fibularis longus, brevis
- ankle eversion
extensor hallucis longus
- big toe extension

10

motor testing of S1

gastrocnemius/soleus
- tippy-toe
flexor hallicus longus
- big toe flexion

11

reflex testing of L4

at patella

12

reflex testing of L5

at hamstrings

13

reflex testing of S1

achilles