Clinical Integration III: Lumbar Testing

Question 1

Lumbar Flexion ROM

Answer 1

75 to 85

Question 2

Lumbar Extension ROM

Answer 2

25 to 35

Question 3

Lumbar Lateral Flexion and Rotation ROM

Answer 3

35 to 45

Question 4

Lumbar Flexion End Feel

Answer 4

Tissue Stretch

Question 5

Lumbar Extension End Feel

Answer 5

Firm Tissue Stretch

Question 6

Lumbar Lateral Flexion End Feel

Answer 6

Tissue Stretch

Question 7

Lumbar Lateral Rotation End Feel

Answer 7

Tissue Stretch

Question 8

Lumbar Flexion Muscles

Answer 8

Iliopsoas
Obliques (int, ext)
Rectus Abdominis

Question 9

Lumbar Extension Muscles

Answer 9

Erector Spinae Group
Quadratus Lumborum

Question 10

Lumbar Lateral Flexion Muscles

Answer 10

Quadratus Lumborum
Obliques (int, ext)
Iliopsoas

Question 11

Lumbar Rotation Muscles

Answer 11

Obliques (int, ext)

Question 12

Special test when there’s sharp local low back pain that increases when the fact joints are loaded up and/or nerve pain extending into any of the leg, muscle weakness, loss of sensation

Answer 12

Kemps Test

Question 13

Special test when there’s nerve pain, muscle weakness, loss of sensation, loss or diminished bladder/bowel control, pelvic floor pain

(Abnormal Intrathecal Pressure

Answer 13

Valsalva’s Test

Question 14

Special test there’s sharp low back pain and nerve pain down the leg and often to the plantar surface of the floor

Answer 14

Straight Leg Raise with Braggard’s Sign

Question 15

If numbness increases with Braggard’s…

Answer 15

Disc Involvement

Question 16

If numbness doesn’t increase with Braggard’s…

Answer 16

Hamstring Contracture

Question 17

Special Test when there’s anterior/medial thigh nerve pain and/or weakness

(Femoral Nerve Impingement)

Answer 17

Side-Lying Prone Knee Bend Test (Femoral Stretch Test)