ORTHOS - LE Flashcards
(48 cards)
Lasague’s Test
PT: supine
doc: raises the leg, bends it, and then extends it again
= Lumbar N root compression / irritation, lumbar radic
Bechterew’s Test
pt: sit with legs off the table.
doc: instructs the pt to extend one leg at a time and then both
(+) can’t preform because of radic pn, or pt leans back
= compression of the sciatic N roots
Sicard’s test
SLR–> back off 5 degrees–> flex big toe
0=35: SI join disorder, M dysfunction, piriformis sx
35-70: Sciatic N root tension (L5,S1,S2)
70-90: Lumbar disorder
Minors sign
pt: sit to stand
(+) : lumbar radic will stand on healthy side and keep affected leg flexed
= lumbar radic
Antalgic Lean Sign
lateral disc: lean away from side of pn
medial disc: lean toward the side of pn
central disc: flexed position
Neri sign:
instruct pt to stand and bend over
(+): flexes knee on affected side
= lower lumbar N root irritation, disc, SI sublux
Fajersztan’s test
doc raises pt’s unaffected leg –> lowers –> DF foot
(+) incr radic leg pn
= medial disc: incr pn on affected side
= lateral disc: decr pn on affected side
Kemps
radicular pn= irritation of spinal N root
lateral disc herniation= radicular pn with ipsi bending
medial disc herniation= radicular pn with contra bending
local achy: facet problem, capsulitis, SI jt prob, M spasm
what levels are the femoral N root
L2,L3,L4
Femoral N traction
pt: lays with affected side up
doc: extend affected leg 15 degrees –> then flex the knee to stretch femoral N further
(+): pn radiating into anterior medial thigh (L3), Pain extending to mid tub (L4),
pn on contra side: N root compression
Brudzinski’s sign
pt supine–> flex head to chest –> knees bend
= meningeal irritation/ meningitis or N root
= radic pn
= bac. meningitis= head pn, neck stiffness, nuchal rigidity, temp
Kerning’s test
pt’s lower legs are // with table. instruct pt to extend leg upwards
(+) inability to straighten the leg or pn
= meningeal irritation, meningitis, N root, disc, tumor, lumbar radic
Goldwaiths test
fingers in interspinous space –> SLR
(+) radicular pn
before sp fan: SI jt disorder, piriformis M dysfunction
during SP fan: intrathecal SOL- disc, osteophyte, mass
After SP fan: lumbar M, lig disorder
Sign of the Buttock test
SLR–> restriction found–> flex pt’s knee to see if hip flexion occurs
(+) hip flexion doesnt increase when knee is flexed = SI jt dysfunction
= SI jt patho, inflam process, bursitis, mass or abscess
Hibb’s test
pt is prone –> flex leg to opposite butt
(+) pn in SI or hip jt
= abcess/ sp of SI; hip jt lesion
Pelvic Rock
(+) pn on either side of SI
= SI jt lesion such as inflammaotyr process in the jts
Gaenslen’s test
pt supine and slides over to one side of the table–> hang leg off table
unaffected leg is flexed to chest
doc: applies pressure to ea leg to shear SI jt -
(+) pn in the SI on the extended leg side
= SI jt inflam, infection, anterior SI lig sp
Lewin Gaenslen’s test
= general SI lesion of the iliofemoral, ischiofemoral ligaments
or inflammatory process
Piriformis test
pt is side-lying with knee up
doc: puts downward pressure on leg
(+) butt pn or sciatic radiating pn
= buttock pn for piriformis, radiating pn= impingement of sciatic N by piriformis
Patricks test (FABRE)
1st: press flexed leg into acetabulum
2nd: flex leg, externally rotate and abduct leg (figure 4)
(+) pn in groin/ hip or glut fold
= capsulitis, arthritis, fx, AVN inflam
Laguerre’s = FABRE in the air
indications of trendelenburg
g. med weakness on stance side or hip path on stance side- superior glut N lesion
also (+) with: dislocation of hip, fx, sublux, legg calve perthes dz
indications of Ely’s test
tight rectus femoris M or hip flexion contracture: tight psoas
Thomas test
pt: hold knee to chest
doc: palpate opp. leg
(+): tightness, or involuntary leg flex
= hip flexion contracture–> if tightness isnt palpated it can be restriction at the hip joint
Ober’s test indication
tight iliotibial band or TFL contracture
