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23 Cards in this Set
- Front
- Back
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(standing, bending over)
Evaluates for functional (reduces on forward bend) vs. structural (does not reduce on bend) scoliosis, kyphosis, or kyphoscoliosis of thoracic spine |
Adam’s sign/position
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Decrease/absence of pulse indicates compression of neurovascular bundle by ant scalene, 1st rib, of mass (tumor)
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Adson’s (reverse Adson’s) tests
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(SLR with foot dorsiflexion)
If dorsiflexion produces pain in 0-35 degree (of SLR), suspect extradural sciatic nerve irritation If dorsiflexion produces pain in 35-70 degree (of SLR), suspect intradural sciatic nerve irritation (disc pathology) |
Braggard’s test
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Sciatic pain on extension of knee while sitting indicates sciatic compression (disc protrusion)
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Bechterew’s test
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(malingering test)
Patient with LBP should be able to perform this maneuver |
Burn’s bench test
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Compression of intervertebral foramina
-Radicular pain Compression of apophyseal joints -Apophyseal cupsulitis Compression of intervertebral discs -Radicular pain |
C-spine compression test
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If pain increases
Suspect muscle strain, spasm, lig sprain If pain decreases Suspect foraminal encroachment or disc defect |
C-spine distraction test
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(malingering test)
No posterior pressure downward under “unaffected” leg/heel |
Hoover’s sign
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Pain on side of bending indicates possible lateral disc lesion
Pain on opposite side of bending indicates possible medial disc lesion |
Kemp’s test
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(hip and knee flexed 90 degrees)
Inability to straighten leg or pain indicates meningeal irritation or nerve root issue |
Kernig’s test
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>70 degrees hip flex suspect lumbar joint pain
35-70 degrees hip flex suspect sciatic nerve irritation <35 degrees hip flex suspect extradural involvement (piriformis or SI joint) |
Straight leg raise
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(straight leg raise—leg flexion)
Positive for sciatic radiculopathy when hip flexed and leg extended Positive for sciatic radiculopathy when no pain with both flexed |
Lasegue’s test
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(supine w/ passive neck flexion)
Passive flex of neck stretches dural sac Pain reproduction may indicate disc lesion at level of pain -Sharp, diffuse pain or involuntary hip move may indicate meningeal irritation |
Lindner’s test
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during neck flex pt flexes knees (reduces strain on dural sac—indicates meningeal irritation)
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Brudzinski’s sign
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same as Brudzinski's except with sternum held “down”—isolates c-spine
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Soto-Hall test
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-Supine with both heels off table x ~30 sec, positive = pain
-Increases subarachnoid pressure, pain indicative of within or just outside spinal cord (i.e. disc herniation) |
Milgram’s test
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(sit to stand)
Patient with avoid standing on side where sciatic pain exists |
Minor’s sign
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Pain on side being tested:
Compression of the neurovascular bundle (TOS), muscle strain, muscle spasm, adhesions, lig injury (sprain) Pain of opposite side being: tested Foraminal encroachment, facet pathology, or disc defect |
Shoulder depression test
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Space occupying lesion (mass, disc defect, etc.)
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Valsalva test
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Vertebral artery tests
—seated with head extended and rotated—looking for signs of vertebral aa compression |
Maigne’s Test
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—head off table—examiner performs passive extension/rotation
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Vertebral artery test
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Vert aa test
head off table with rotation/extension looking for signs of compression |
Dekleyn’s test (pt “performs”)
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Decrease or absence of radial pulse indicates compression by pec minor muscle (hypertrophied or spastic) or by deformed coracoid process
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Wright’s (hyperabduction test)
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