Lumbar Spine Part 2 Flashcards
A special test that will affect the dural sheath of the spine with a combination of movements that will put a tension through the entire spine.
Slump Test
Fill in the blanks for the slump test procedure:
Patient is high seated with the upper limbs clasped behind the back; the therapist instructs the patient to “_____” forward through the trunk. The therapist then applies an ____________ through the shoulders to the slumped trunk. Next, the therapist instructs the patient to again bend forward this time through the ____ and again applies an overpressure. With this overpressure maintained, the patient then extends the ____ actively and the therapist passively ___________ the ankle. Finally, the subject’s head and neck are released and returned to a neutral position.
“Slump”
Overpressure
Neck
Knee
Dorsiflexes
The _____ test has become the most common neural tension test for the lower limb. It is used to test for sciatic nerve radiculopathy and/or disc herniation.
Slump Test
A positive for the _____ test is a reproduction of signs and symptoms (e.g. radicular pain, paresthesia) that are then relieved when the head is returned to a neutral posture.
Slump Test
If the straight leg raise is positive or if irritation and inflammation of the sciatic nerve is suspected, the sciatic nerve may be directly palpated in the popliteal fossa of the knee. This is known as _________ sign.
Bowstring Sign
With bowstring sign, pressure or a strumming motion on the _______ nerve will cause symptoms to be felt locally and down the leg from the part of the nerve being palpated.
Sciatic Nerve
Fill in the blanks for the bowstring sign procedure:
Client is supine; passively raise the client’s leg with the knee extended until pain or ___________ is felt down the leg. Now flex the knee and place it on your ________ to support it. With your _____, palpate just medial to the ______ _______ tendon in the popliteal fossa.
Paresthesia
Shoulder
Thumb
Biceps Femoris
A positive for the _________ sign is reoccurrence of the symptoms the client originally presented with (e.g. pain, numbness and tingling down into the lower limb). If the inflammation is severe and chronic, you may be able to feel the nerve like a braided cord.
Bowstring Sign
A special test that puts the femoral nerve on stretch and unilateral pain may be positive for L2, L3 or L4 dermatomes if there is no lesion or contracture to the quadriceps muscle.
Femoral Stretch/Nachlas Test
Fill in the blanks for the femoral stretch/Nachlas test procedure:
Client is _____; therapist passively extends the ___ (15 degrees) with the knee extended. If no reproduction of signs and symptoms are reported, the therapist then slowly passively flexes the clients ____ to the buttocks.
Prone
Hip
Heel
A positive for _______ stretch/_______ test is reproduction of pain or paresthesia over the L2 and/or L3 and/or L4 dermatome area. This may indicate a lesion or irritation to the femoral nerve.
Femoral Stretch/Nachlas Test
The feeling of paresthesia experienced over the anterior thigh with the femoral stretch/Nachlas test.
Formication
T/F - Valsalva test is a special test that decreases the intrathecal pressure in the spinal column.
False - Valsalva test is a special test that INCREASES the intrathecal pressure in the spinal column.
Fill in the blanks for the valsalva test procedure:
Ask a high-seated patient to take a ______, hold it for at least 6 seconds and then ____ down as if evacuating the bowels. Alternatively, have them blow into their _____.
Breath
Bear Down
Thumb
A positive for ________ test is pain or paresthesia felt locally in the spine and/or may travel down the leg(s) if there is a space-occupying lesion, such as a herniated disc, osteophyte or tumor.
Valsalva Test
Fill in the blanks for Milgram’s test procedure:
Patient is ______; have the patient raise both extended ____ about 2 inches off the table and hold for ___ seconds.
Supine
Legs
30 Seconds
A positive for _________ test is pain and/or inability to raise or hold the legs off the table.
Milgram’s Test
T/F - A positive for Milgram’s test may indicate an intrathecal or extrathecal pathology.
True
T/F - Milgram’s test may be a little over optimistic as may people have trouble holding their ankles off the table.
True
A special test that is designed to see if the client is malingering or exaggerating their complaint of low back pain.
Hoover’s Test
Fill in the blanks for Hoover’s test procedure:
Client is supine; the therapist takes each of the client’s _____ in the palm of a hand. Ask the client to _____ each of their legs, one at a time. When the client tries to raise one leg, you should feel a downward ________ in the palm of your hand holding the opposite leg.
Heels
Raise
Pressure
