Flashcards in Special Tests Deck (9)
Lasegue's (SLR) Test
The patient is supine. Examiner places hand on anterior thigh and holds foot to lift into hip flexion. Examiner passively raises the leg until symptoms are reproduced. Leg is then lowered to no pain, and examiner dorsiflexes the foot. If the pt. experiences sciatic pain when the SLR is at 30-70*, then it is likely HNP.
Pt. is seated upright with hands held together behind his/her back. The examiner instructs the pt to flex spine(slump), followed by neck flexion. The examiner then places his/her hand on top of head and has the pt perform knee extension, then dorsiflexion of foot. apply overpressure to head.
Brudzinski - pt lies supine and elevates head from the table. When the head is lifted, the pt. complains of neck and low back discomfort and attempts to relieve the meningeal irritation by involuntarily flexion of knees and hips
In the Kernig portion of the test, the patient lies supine with the hip and knee flexed to 90*. The pt. then extends the knee, If the pt. complains of pain in the lower back, neck, or head on knee extension, it is suggestive of meningeal irritation.
The pt. lies supine and actively lifts both legs simultaneously off the examining table 5 to 10 cm, holding this position for 30 second. if limb can not be held, or symptoms are reproduces, then it is positive.
Standing/seated extension/ Flexion Test
Place thumbs on the undersurface of the posterior superior iliac spine (PSIS) of the standing pt. Ask pt. to bend forward into flexion with their legs straight and allow your thumbs to follow PSIS movement. Positive sign = first and foremost = hypomobile side.
Sacral Rotation Test
patient is sidelying. thumbs are palpating on each side of the sacrum at the level of s1. As pt. side flexes, the innominant bones ben to the same side and the sacrum rotates slightly in the opposite direction.
Prone. Bend Knee. If hip on same side flexes, or rises, positive for rectus tightness
Sidelying, knee at 90*, or straight. hand on hip joint, other hand on ankle of effected side. abduct the hip slowly and lower leg toward the table. if IT band is notmal, the leg will adduct and the pt. won't experience pain. If the It band is tight, pt will remain abducted and would experience pain.