lumbar tests Flashcards by Courtney Paulson

perform Adam’s position

pt bends forward; doc analyzes spine

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Adam’s position positive

rib humping

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Adam’s position meaning

scoliosis

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perform amoss

pt arises from a lying position

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amoss positive

pain

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amoss meaning

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antalgia positive

pt leans in a direction depending on pain relief

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antalgia meaning

leaning away: posterolateral disc
leaning towards: medial disc
forward: central disc

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perform straight leg raiser

doc lifts one leg at a time

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straight leg raiser positive

pain

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straight leg raiser meaning

0-30: SOL
30-45: sciatica
>60: lumbosacral

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perform bechterew’s

pt sits and extends one leg at a time and resists downward pressure; repeat on other, then both legs

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bechterew’s positive

pain from lumbars down leg

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bechterew’s meaning

disc

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perform slump

slump shoulders; flex head; raise each leg and dorsiflex, then both legs raised

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slump positive

pain

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slump meaning

base on pain pattern

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perform braggard’s

SLR, then slightly lowered; quickly dorsiflex foot

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braggard’s positive

pain

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braggard’s meaning

sciatica

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perform well leg raiser

SLR on well side first

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well leg raiser positive

pain

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well leg raiser meaning

posteromedial disc

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perform frajersztajn’s

braggard’s on well side first

frajersztajn's positive

pain

frajersztajn's meaning

medial disc

perform cox

raise straight leg to 90

cox positive

opposite side pelvis lifts

cox meaning

perform ely's

push leg to opposite buttocks

ely's positive

pain

ely's meaning

lumbar NR irritation

perform femoral nerve traction

stabilize hip; abduct leg, extend, flex knee

femoral nerve traction positive

pain

femoral nerve traction meaning

femoral nerve irritation

perform heel/toe walk

walk on heels; walk on toes

heel/toe walk positive

toes drop; heels drop

heel/toe walk meaning

toes drop: L5 | heels drop: S1

perform kemp's

flex forward, rotate around and extend low back

kemp's positive

pain

kemp's meaning

flexion: disc extension: facet

perform kernig's

flex leg, straighten leg

kernig's positive

opposite knee buckles

kernig's meaning

meningitis

perform nachla's

push leg to same side buttocks

nachla's positive

pain

nachla's meaning

perform milgram's

pt lifts both legs 6" off table and hold

milgram's positive

can't raise legs or can't hold them up

milgram's meaning

SOL

perform minor's

pt stands from a seated position

minor's positive

trouble/pain while getting up

minor's meaning

perform quick

pt squats and bounces a couple of times at bottom

quick positive

pain

quick meaning

pain pattern depending on where it is

perform bilateral leg lowering

raise both legs; slowly lower, hold at 45, hold at 6" above

bilateral leg lowering positive

pain or legs drop

bilateral leg lowering meaning

lumbopelvic problem