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48 Cards in this Set
- Front
- Back
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Dejerene's triad
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Pt. complains of referring symptoms in lower extremity.
Doctor asks pt. if they have these symptoms when they (1) cough, (2) sneeze, or (3) strain to go to the bathroom. A positive Dejerene's triad exists if pt says yes to the question and referral is in a dermatomal pattern. |
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Valsalva Maneuver
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Pt sits
Dr. observes Dr. tells pt. to breath in, hold breath, and bear down as if to move their bowels. TRUE + = recreate/exacerbate dermatome FALSE + = recreate/exacerbate local or non-dermatome in area tested INCIDENTAL= anything else anywhere else |
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Naffzigger's Test
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AKA Jugular Compression
Pt sits Dr stands behind & compresses jugular veins up to 30-40 seconds, pt coughs. Not done on geriatric or atherosclerotic pts TRUE + = recreate/exacerbate dermatome FALSE + = recreate/exacerbate local or non-dermatome in area tested INCIDENTAL = anything else anywhere else Blocking jugular veins will back up venous drainage. Backup in dural venous sinuses leads to decreased absorption of CSF, which results in increased intrathecal pressure. |
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Milgram's Test
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Pt supine
Dr observes Dr asks pt to lift BOTH legs about 10 inches off the table and hold for up to 30 seconds. TRUE + = recreate/exacerbate dermatome FALSE + = recreate/exacerbate local or non-dermatome in area tested INCIDENTAL = anything else anywhere else |
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Amoss's Sign
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Pt side-lying or supine
Dr observes and notes position of comport and any spinal complaints. When getting up from supine position, pt rolls onto side & struggles to get up. Pt has great difficulty getting up & experiences pain in T/L region. Sign indication for: severe sprain/strain, Lumbar IVD syndrome, or Ankylosing Spondylitis |
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Minor's Sign
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Pt seated
Dr observes As pt gets up from sitting position they use hands to crawl up legs; or gets up and bears wt only on one leg due to radicular symptoms in hurt leg. Generalized sign of LBP with or without leg symptoms. NOT Gower's sign of Muscular Dystrophy |
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Gower's Sign
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Pt seated or on hand & knees
Dr observes Pt has great difficulty rising & staying in a standing position due to proximal muscle weakness. Muscle degeneration makes it more and more impossible to use leg muscles. Sign of muscular dystrophy. |
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Straight Leg Raise
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Pt supine
Dr stands at hip level, 1 hand under ankle 1 hand on quadriceps tendon. Dr lifts leg asking when pt feels symptoms & notes the degree of leg raising at which the symptoms appear. Dermatomal symptoms below the knee as leg is raised from 0 to 70 degrees indicated sciatic stretch/nerve root tension, usually from a space occupying lesion. Pain b/t 0-35= -SI jt disorder -Sciatic neuropathy (piriformis syndrome) Pain b/t 35-70= -paresthesia in dermatomal pattern esp. below knee due to radiculopathy associated with IVD protrusion, IVF stenosis, tumor Local symptoms when leg is raised: -from 0 to 35 = SI involvement -from 35-70=L/S involvement -above 70=Lumber involvement False + = tight hamstrings or calves |
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Braggard's test
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Pt supine
Dr stands at hip level on AFFECTED side 1 hand under ankle 1 hand on quadriceps tendon Dr lifts leg, noting degree when pt feels symptoms, then drops leg 5 degrees below pain & Dorsiflexes ankle. TRUE + = dermatomal symptoms below the knee FALSE + = non-dermatomal symptoms in leg INCIDENTAL = anything else anywhere else |
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Sicard's Test
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Pt supine
Dr stands at hip level on AFFECTED side, 1 hand under ankle, 1 hand on quadriceps tendon Dr lifts leg, noticing degree when pt feels symptoms then drops leg 5 degrees below pain & Dorsiflexes BIG TOE TRUE + = dermatomal symptoms below knee FALSE + = non-dermatomal symptoms in leg INCIDENTAL = anthing else anywhere else |
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Turyn's Test
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Pt supine
Dr stands at hip level on AFFECTED side and Dorsiflexes BIG TOE without lifting the leg off the table. TRUE + = dermatomal symptoms below the knee FALSE + = non-dermatomal symptoms in leg INCIDENTAL = anything else anywhere else |
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Well Leg Raise
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Pt supine
Dr stands at hip level on UNaffected side, 1 hand under ankle and 1 hand on quadriceps tendon, lifts unaffected leg. TRUE + = dermatomal symptoms below knee of affected side indicates likely nerve root tethered across disc herniation. More likely + Well leg raise if disc herniation is MEDIAL. FALSE + = non-dermatomal symptoms in leg INCIDENTAL = anything else anywhere else |
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Fajerstajns Test
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Pt supine
Dr at hip on UNaffected side, 1 hand under ankle, 1 hand on quadriceps tendon. Dr lifts leg to point of pain then drops leg 5 degrees and dorsiflexes the ankle. TRUE + = dermatomal symptom below knee on affected side indicates nerve root tethered across disc FALSE + = non-dermatomal symptoms in leg INCIDENTAL = anything else anywhere else |
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Lasegue Test
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Pt supine, legs extended
Dr stands at hip level on AFFECTED side, 1 hand under heel and the other on quadricep tendon. Dr flexes knee and hip to 90 degrees. Dr slowly extends knee with hip flexed. Limited movement due to pain = positive Indicates sciatic radiculopathy, SI lesion, VSC, disc, spondy, adhesions, IVF occlusion |
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Bowstring Test
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Pt supine
Dr sits on bench with AFFECTED knee relaxed on shoulder and presses thumbs into popliteal fossa b/t hamstring tendons and sciatic nerve. TRUE + = dermatomal/sciatic symptoms below knee on affected side FALSE + = non-dermatomal symptoms in leg INCIDENTAL = anything else anywhere else |
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Bonnet's Test
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Pt supine
Dr lifts AFFECTED leg off table while internally rotating and adducting hip TRUE + = sensory symptoms below knee indicative of piriformis syndrome FALSE + = any other symptom on tested leg INCIDENTAL = anything else anywhere else |
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Claudication testiing-lower
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-differentiate bt neurogenic and vascular claudication
-vascular=symptoms when walking that disappears when they stop -neurogenic-come on with walking but only disappear when pt leans forward |
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Deyerles test
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-pt sits
-dr. squats next to affected leg, knee on shoulder, and presses thumbs in popliteal fossa bt hamstring tendons and sciatic n. -true + dermatomal/sciatic symptoms below knee on affected side indicating sciatic neuropathy or radiculopathy -false + non derm. symp. in leg -incidental: anything anywhere else |
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Seated Lasegue test
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Pt. sits
-Dr. stands beside, 1 hand on affected knee, use other hand to lift pt affected leg - same on unaffected knee -hands on both knees, dr lifts legs -dr observes to see if pt tries to back off from pain -true +: derm/sciatic symptoms below knee on affected side indicating sciatic neuropathy or radiculopathy false + non drem symp in leg like tight ms. -incidental: anything else |
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Bechterews test
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-pt. sits
-dr hand on knee, pt lifts affected leg -same on unaffected knee, and then both knees -true+ sciatica, local or diffuse pain in leg tested. -false + tight hamstrings/calfs -incidental: anything anywhere else |
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Slump test
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pt seated while extending both legs. pt then holds and performs lhermittes and valsalva simultaneously.
-stress on sc and added interthecal ps may reveal diff to elicit findings. -postitive for sol, diffuse and local findings |
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Lindners test
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pt supine, dr passively flexes pt head.
-recreaton or exacerbation of dermatomal symptoms indicates likely sol. similar to brudinskis |
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Neris bowing sign
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pt stands, dr observes from side as pt bends forward.
true + affected knee buckles and pt reports dermatomal/sciatic symptoms below knee, indicating sciatic neuropathy or sciatic radiculopathy. false+ non derm pain.. tight hams/back incidental. |
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Kemps test 1
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pt sits, dr stands behind, arm across shoulders w hand on side being tested. dr rolls torso away from testing side then back and approximates shoulder to ipsi hip. motion of compression is combined lateral flex, rotation, and extension to side being tested.
true+ recreation or exacerbation of dermatomal symptoms elicited on hx sugg lumbar radiculopathy false + local or diffuse symptoms on testing side sugg facet syndrome, vsc, djd, sprain/strain incidental geat test for facet syn |
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slr si vs lumbar
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o-35 deg=si
70+deg=lumbar |
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Belt test
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ptstand, dr stands behind. tell pt to bend forward w knees straight, then stand up. stab sacrum with hip and support illia with both hands and have pt bend again
recreation or exacerbation symptoms both forward bends suggests lumbar lesion. only on unsupported=si lesion false + other lower body symptoms such as tight hams or calfs. |
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Goldthwaites test
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pt supine. dr at hip with palm up under lumbars. dr. lifts 1 leg off table and asks pt to say when symptoms occur.
b4 back touches hand=si after = lumbar false + any other symptom |
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Si joint testing
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true + pain in affected si joint
false+ lower back pain, hip pain, refered pain leg and groin incidental: anything else |
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faber patrick
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pt supine, dr stand by hip on side being tested, dr flex, abduct, externally rotates, and extends hip by bending hip and knee and placing ankle on opposite quadriceps tendon while stabilizing opposite asis and apply downward ps to knee.
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Laguerre test
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pt supine, dr stands by hip on side being tested. flex, abduct, ext roy and extend hip by bending hip and knee and placing stabilizing hand under leg and onto asis. apply downward ps to knee
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Gaenslens test
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pt supine, dr stands at side of hip being tested. si joint needs to be at edge of table. pt flexes opposite hip and holds knee with both hands. dr extends straightened hip off table and pushes down on quad tendon.
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Lewin- gaenslens test
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pt lies on sid with hip tested up. dr behind stabilizing sacral base. pt flexes opposite hip and holds knee. dr extends traight hip making sure pelvis stays perpendicular to table
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Iliac compression test
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pt on side with affected hip up. dr behind stabilizing sacral base. dr contacts hand over hand bt illiac crest and gt and push down
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si resisted abduction
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pt on side with affected hip up. dr behind stabilizing sacral base. contact one hand bt iliac crest and gt and one hand proximall to lateral knee. pt abducts leg and resists dr downward ps
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Gapping test
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pt supine, drstands at hip. dr crosses hands and applies downward-lateral ps to the asises bilateraly. looking for ant components of si lig
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Nachlas test
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pt prone. dr at side being tested. dr stabilizes sacral base with one hand while holding ankle of side being tested. bring heal to ipsi buttock
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Elys
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pt prone, dr at hip level on testing side. dr stabilizes sacral base with one hand while holding ankle of side being tested. Dr brings heel to cont buttock.
if you ext and add thigh=femoral n stretch test. ant num=femoral n inv |
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Yeomans test
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pt prone, dr at hip level on testing side. dr grabs ankle of side tested with sup hand and turns toward pt head while flexing knee. dr reaches under quad tend with inf hand and then switches sup contact to sacral base. dr lifts thigh o fleg being tested off the table while stabilizing sacrum
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Hibbs test
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pt prone. dr stands opposite the side being tested. dr holds opposite ankle and flexes knee to 90 deg pulling thigh on table toward the midline to insure proper testing. internaly rot hip by pushing the opposite leg away from midline toward floor
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Trendelenburg test
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pt stands unassisted. dr observes iliac crests from behind. pt flexes hip to 90 deg by lifting one leg off floor. tests glut med on standing leg side. + if unsupported hip drops down. - if it stayes level or goes up
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Thomas test
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pt sits at edge of table. dr observes and supports pt. pt flex one hip and hold knee and lie on table. observe extended hip to see if it stayes on table or rises up. + leg goes up= tight iliopsoas.
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Allis test
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pt supine with knees bent, feet on table shoulder width, heels even. dr obs from foot of table. one knee closer to celing=long tib.
look from side.for one knee closer to feet indicating longer femur=GALLEZIS sign |
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Hoovers test
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pt supine. dr puts hands under heels and asks pt to lift affected leg.
+ if no ps in cont leg and the pt claims they cant perform. |
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Burns bench test
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pt kneel or sit on bench. pt bends over and touches floor.
+ if pt sys they cant |
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Mannkopfs test
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pt prone. pt has told dr where pain is. take pulse and press on spot. pulse should inc up to 10 beats/min
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skin pinch test
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pinch and mark painful areas then wait and try to trick pt to see if they are faking
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Libmans
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pain threshold. pt sits. dr puts thumb on mastoid and increases preassure.
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Sacral compression test
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pt prone. dr presses palm on sacral apex and ask about si pain.
press on sacrum @psis and piis bilat rotating clock and counterclock feeling for fix. dr places hand across sacral base and asks pt to lift on e leg at a time noting height of each leg. indicates si sub: lack of joint play and dec extension indicate location |
