NMS II Flashcards by Rachael Beverage

Adam’s position revealed that the patient’s scoliosis did get better when bent over. What does this indicate?

could be because of subluxation, ligament sprain, muscle spasm

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Adam’s position revealed that the patient’s scoliosis didn’t get better when bent over. What does this indicate?

hemivertebra

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Amoss sign revealed that the patient has pain when trying to get up from a lying to sitting position. What does this indicate?

AS, sprain, IVD

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Beevor’s sign revealed that the patient’s belly button deviated straight left. What does this indicate?

T7-12 deficit

abdominal muscles on the right are weak

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Beevor’s sign revealed that the patient’s umbilicus deviated up and to the right. What does this indicate?

T11-12 deficit on the left

lower left abdominal muscles are weak

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Beevor’s sign revealed that the patient’s umbilicus deviated down and to the left. What does this indicate?

T7-9 deficit on the right

upper right abdominal muscles are weak

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Chest expansion test revealed that when inhaling, the chest expanded 1 inch. What does this indicate?

spinal ankylosis, rib fracture, sprain/strain

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Chest expansion test revealed that when inhaling, the chest expended 3 inches. What does this indicate?

nothing! this is normal

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Forestier bowstring sign revealed that ROM was less on left than the right. What does this indicate?

muscle spasm, AS, pain that inhibits motion, stacking

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Rib motion test revealed that the T5 rib doesn’t move during expiration. What does this indicate?

rib subluxation
muscle strain
pleuritis
fracture
arthridities

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Shepelmann’s sign revealed that the patient has mid thoracic pain at the level of T2 on the left while they were bending to the right. What does this indicate?

Myalgia or myofasciitis

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Shepelmann’s sign revealed that the patient has mid thoracic pain at the level of T2 on the left while they were bending to the left. What does this indicate?

Neuralgia (compression of the intercostal nerve

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Patient shows an antalgic posture to the right because they have pain on the left when they stand straight. What does this indicate?

Posterolateral herniated disc

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Patient shows an antalgic posture to the left because they have pain on the left when they stand straight. What does this indicate?

Posteromedial herniated disc

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Patient shows an antalgic posture leaning forward because they have pain when they stand straight. What does this indicate?

Posterocentral herniated disc

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When perforning straight leg raiser, the patient experienced pain. What does this indicate?

SOL, IVD lesion, sacroiliac or lumbosacral pain

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hyndman’s sign

straight leg and raising neck increases pain due to subluxation, SOL or irritation

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Patient shows a positive bragards sign. what does this indicate?

SOL, IVD lesion, sacroiliac or lumbosacral problem

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Patient shows a positive sicard’s sign. What does this indicate?

irritation of L5 nerve root most commonly, L4 or S1 can also be the culprit

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Patient shows pain when sitting up straight and extending their leg out. What does this indicate?

SOL, IVD irritation, sacroiliac or lumbosacral pain

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Patient is slumped all the way over and dorsiflexes foot, when extends knee. What test is this?

slump’s

will have same findings as SLR

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patient shows pain when you perform CSLR. What does this indicate?

posteromedial IVD bulge or herniation more likely

could also be posterolateral IVD bulge or herniation

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If a patient experiences pain during Fajersztajn’s test, what does this indicate?

posteromedial IVD bulge or herniation

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when performing SLR, your patient brings up their hip to alleviate the pain. What sign is this? What does it indicate?

Cox sign

SOL, IVF encroachment, radiculopathy, nerve root, tension, sciatica

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patient has pain in the anterior thigh and groin area, but it doesn't radiate. What does this indicate? what test would you be doing?

indicates quadriceps muscle contracture | ely's test

patient has pain in the anterior thigh and groin area, and radiates. What does this indicate? what test would you be doing?

indicates femoral nerve or upper lumbar spinal root comrpession ely's test

patient has pain in the anterior mid-thigh when you perform the femoral nerve traction test. What does this indicate?

L3 nerve root radiculopathy

patient has pain in the groin when you perform the femoral nerve traction test. What does this indicate?

L1 nerve root radiculopathy

patient can't walk on their heels when you ask them to. What does this indicate?

L5 problem (L4 IVD)

patient can't walk on their toes when you ask them to. What does this indicate?

S1 problem (L5 IVD)

Patient has pain in the left low back when you perform kemps. what does this indicate?

NR irritation or IVD herniation | radiculopathy

if patient has local pain with slight rotation on convex side during kemps test, what does this indicate?

capsulitis

if patient has local pain on extension or concave side during kemps test, what does this indicate?

facet problem

if patient has pain at waist during kemps test, what does this indicate?

lumbar spine sprain/strain

if patient has pain that radiates leg pain with flexion during kemps test, what does this indicate?

IVD lesion

patient has hip pain during lasegue test. what does this indicate?

hip pathology

patient has thigh and leg pain during lasegue test. what does this indicate?

radiculopathy

patient has bilateral pain during lasegue test. what does this indicate?

tight hamstrings

patient has pain in the low back during lindner's sign. what does this indicate?

nerve root irritation or inflammation

supine lindner's is the same as what other test? what does it indicate?

brudzinski | meningitis

seated lindner's is the same as what other test? what does it indicate?

lhermitte's | cervical myelopathy/ meningitits

patient has no pain when you perform milgram's sign. what does this indicate?

possible weak core muscles

patient has low back pain when you perform milgram's sign. what does this indicate?

herniation or lumbar strain/sprain

patient has to use thier upper body to get up. what sign is this? what does this indicate?

``` minor's sign SI joint lesion L5 strain/sprain lumbo-pelvic fracture IVD syndrome muscular dystrophy sciatica ```

you perform nachlas's test and they have radiating pain. What does this indicate?

could be from femoral nerve or lumbar spinal root compression

you perform nachlas's test and they have localized pain. what does this indicate?

quads contracture

you have patient perform the quick test and they have pain. what does this indicate?

they could have pain/crepitus or locking in the back, hips knees or ankles

who should you not do this test on?

elderly or pregnant patients

you have patient perform bilateral leg lowering test and they have pain. what does this indicate?

lumbo-sacral sprain/strain, facet syndrome or IVD lesion

you have patient do the anterior innominate test and they had pain over the left SI joint. what does this indicate?

unilateral forward displacement of ilium, sacrum or SI joint sprain

you perform the belt test on a patient and they have pain when they do it by themselves, but not when you hold their sacrum in place. what does this indicate?

SI joint problem

you perform the belt test and they have pain during both parts. What does this indicate?

they have lumbar involvement

you perform the erichsen's test and they have pain in their SI joint. What does this indicate?

anterior SI ligament problem

when you perform gaenslen's test on the patient, they have radiating pain to the thigh or groin. what does this indicate?

they have SI joint sprain/instability

you perform goldthwait's test, the patient has pain before L5 and S1 separate. What does this indicate?

SI joint problem

you perform smith peterson test, the patient has pain after L5 and S1 separate. What does this indicate?

lumbar problem

you perform hibb's test on the patient, and they have pain on the right. What does this indicate?

sacroiliac lesion on the right

you perform iliac compression test and they have pain. What does this indicate?

posterior SI ligament sprain SI joint inflammation subluxation

when performing lewen gaenselen's test, there is pain. What does this indicate?

SI joint sprain/arthritis

you perform yeoman's test on the patient and they experience pain in the anterior thigh. what does this indicate?

iliopsoas or rectus femoris muscle contracture | femoral nerve irritation

you perform yeoman's test on the patient and they experience pain in the low back. what does this indicate?

anterior SI joint lesion

you perform actual leg length on your patient and there is a left leg deficiency of 6mm. what does this indicate?

hip joint or long bone deficiency

you perform apparent leg length on your patient and there is a right leg deficiency of 6mm. what does this indicate?

spinal or pelvic subluxation

when you perform galaezzi's sign, from the front they have a right short leg and when you look from the side, the left kmee appears behind the right knee. what does this indicate?

right leg has a short tibia | left leg has a short femur

when you perform the anvil test, the patient feels pain in the heel. what does this indicate?

calcaneous, tibia or fibula fracture

when you perform the anvil test, the patient feels pain in the hip. what does this indicate?

arthritis, femoral neck fracture, infection

when performing gauvain's sign, the patient's abdominal muscles contract on the left. what does this indicate?

AVN infection fracture gout

when performing hip telescoping test, you hear and feel a click on the right hip. what does this indicate?

hip dislocation | hip dysplasia

when performing patrick's test, there is pain in the hip. what does this indicate?

``` DJD OA RA SCFE AVN fracture strain/sprain ```

when performing ober's test, you notice the thigh remained abducted and there was some pain. what does this indicate?

iliotibial band contraction

when performing thomas test, patient can't keep their left leg on the table. what does this indicate?

iliopsoas contracture

when performing trendelenburg's test, their hip dropped on the right when they lifted the right leg up. what does this indicate?

weakness of hip abductors on the affected side | hip dysplasia

when performing abduction stress test on the knee, there is pain and increased gapping of the knee joint. what does this indicate?

MCL rupture

when performing adduction stress test on the knee. there is pain of the knee joint. what does this indicate?

LCL strain

when performing apley's compression, there is pain and crepitus when doing internal rotation. what does this indicate?

lateral meniscus problem

when performing apley's compression, there is pain and creptius when doing external rotation. what does this indicate?

medial meniscus problem

when performing patella ballottment test, there is a spongy feeling of the patella. what does this indicate?

retropatellar effusion | intraarticular knee swelling

when performing bounce home test, the patient cannot fully extend the knee and there is pain. what does this indicate?

meniscal tear

when peforming clarke's sign, the patient experiences pain. what does this indicate?

chondromalacia patella | degeneration of patellofemoral joint

when performing mcmurray sign, the patient has pain and there is a clicking sound when internally rotating and valgus stress. what does this indicate?

lateral mensicus tear

when perfomring mcmurray sign, the aptietn has pain and there is a clicking sound when externally rotating and varus stress. what does this indicate?

medial meniscus tear

when doing the test of mcintosh, the patient stops you and they said "it feels like it's going to pop out of place". what does this indicate?

ACL tear

when doing the lateral pivot shift maneuver, the patient says it feels like the knee is going to give out. what does this indicate?

ACL tear

when performing lachman's test, there is pain and increased translation. what does this indicate?

ACL rupture (grade 2 or 3)

when performing the drawer test, there is increased translation when pushing on the knee and pain. what does this indicate?

PCL rupture

what is the normal Q angle?

13- 18 degrees

if the Q angle is less than 13, then what does this indicate?

patellofemoral dysfunction or patalla alta

if the Q angle is more than 18, what does this indicate?

patellofemoral dysfunction | patella valgum