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VALSALVA maneuver
CNS Lesions
SEATED
+ ↑ Pain
Ask client to take a deep breath in and hold it while bearing down (as if trying to go to the bathroom).
Intrathecal SC Pressure due to Space Occupying Lesion(Such as herniated disc, tumor or osteophytes)
NAFFZINGER’s
Position: Supine or Seated
LHERMITTE’s Sign
Position: Seated,legs outstretched
Sharp PAIN down the spine andinto upper and lowerextremities
Passively flex client’s head and the ipsilateral hipsimultaneously (while keeping the ipsilateral legstraight).
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