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8 Cards in this Set
- Front
- Back
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what can be done to chk mechanical low back pain?
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Rem: "D.K.N.S. N.D.S.L.S"
Double leg raise Kemp test Nachlas test Sign of buttock Neri sign Demianoff sign Schober test Lasegue test Spinal percussion test |
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double leg raise? procedure
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SLR on each leg noting degree where pain starts
then lift both legs if pain starts at lower angle than when each leg singly + for lumbosacral jt prob |
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kemps test
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SITTING: pt leans forward & away fm affected side support shoulder w/hand; circumduct trunk towards affected side
STANDING: pt & dr standing side by side, dr anchors medial arm on affected side pelvis while lateral arm grabs opp shoulder & moves it obliquely backward(rotation + extension) + if pn/irritation increases in thigh & leg; for Intervertebral nerve root encroachment, muscular strain, ligamentous sprain, or pericapsular inflammation |
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nachlas test
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pt supine w/legs hanging off edge of table. Dr. anchors pelvis of same side and uses other hand to flex affected leg to ipsilateral buttock
+for SI or lumbrosacral disorder |
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sign of buttock
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pt supine and dr does SLR on affected leg. w/restriction of leg movement due to pain or muscle spasm(myospasm) the knee is passively flexed(bent 90). If disorder is in lumbar spine then hip flexion will increase.
ONLY + if hip does not flex with knee flexion and indicates hip or buttock bursitis, tumor or abscess |
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neri sign
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: pt stands and is directed to flex trunk/bow forward. Lateral antalgic position maybe noted but not indicate above conds.
+ for above if pt flexes knee on the affected side and if trunk flexion causes pain in the leg & indicates lower IVD syndrome, lumbosacral and SI strain or lumbopelvic subluxation |
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demianoff sign
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patient supine. Dr. places one hand on knee and wraps other around ankle and does SLR.
+ when pain is produced in lumbar region due to stretching of iliocostalis lumborum m. and when pt prevents leg from raising leg it up to 15 degrees |
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schobers test
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mark point 5cm above & 10cm below S2; have pt bend forward; subtract initial from final-bent
+ if does not increase between 5-8cm for lumbar spine motion loss |
