identify injury

Question 1

how to rule out facet joint lumbar dysfunction

Answer 1

seated extension and rotation test

Question 2

how to rule out SIJ dysfunction

Answer 2

combo of thigh trust, gas lean, distraction, compression, sacral thrust

Question 3

how to rule out lumbar spine radiculopathy that contribue to hip pain

Answer 3

repeated motion (repeated flexion/extensin or side bend) + SLR

Question 4

how to rule out hip intra articular pain

Answer 4

combination of Faber, hip scour and stinchfield (the 3 most be negative)

Question 5

test to rule in hip intra articular pathology

Answer 5

thomas test, clicking/snapping/popping history + ligamenten teres tears

Question 6

test to rule in fracture of hip

Answer 6

patellar pubic percussion test + stress fracture/fulcrum test

Question 7

how to rule in gluteal tendinopathy

Answer 7

trendelenburg signe, resisted hip abduction, resisted hip internal rotation, hip external de-rotation tests

Question 8

how to rule in hip OA

Answer 8

4 out of 5 need to be positive
- limited AROM HF with lateral hip pain
- AROM hip extension cause P!
- PROM limited hip medial rotation
- Limited squatting + pain
- Scour test with adduction cause lateral hip or groin pain

Question 9

if a patient have diminish sensation in lower anterior thigh/ knee, quadricep weakness and decreases patellar testing which nerve root is affected

Answer 9

L3

Question 10

if a patient have anterior thigh sensory loss, hip flexor weakness which nerve root is affected

Answer 10

L2

Question 11

if a patient have medial foot sensory loss, dorsiflexion and inversion weakness (tib ant) and decrease patellar reflex, which nerve root is affected

Answer 11

L4

Question 12

if a patient have decrease sensation in dorsal aspect of foot and decrease big toe extension strength which nerve root is affected

Answer 12

L5

Question 13

if a patient have loss of sensation in lateral foot, start to have difficulty doing calf raise and have decrease in Achille reflex which nerve root is affected

Answer 13

S1

Question 14

if a patient have medial posterior thigh and calf sensation loss + decrease strength in knee flexion (hamstring) + decrease Achille reflex which nerve root is affected

Answer 14

S2

Question 15

which condition of the spine is associated with aged related wear and tear of bone,cartillage or ligament of the spine. That is characterized by narrowing of disc space (lumbar stenosis). that is aggravated with lumbar extension so walking and relieved by lumbar flexion

Answer 15

spondylosis

Question 16

which lumbar condition is more frequent in adolescent and is associated with unilateral stress fx or complete fx of pars interarticularis with no replacement of the vertebra

Answer 16

spondylolisis

Question 17

which lumbar condition is associated with bilateral interarcticularis fracture that lead to an anterior translation of vertebral body that is most common at L5/S. gradual onset of pain that is increase with hyperextension of the spine or rotation of L/S. Radiculopathy can occurs du to lumbar stenosis

Answer 17

Spondylolisthesis

Question 18

which lumbar condition is an inflammatory condition that over time can cause some of the bone in the spine to fuse which affect ROM within the spine

Answer 18

ankylosing spondylitis

Question 19

if a patient have pain with flexion, neurological symptom at specific nerve root and pain increase with intrathecal pressure what could she have

Answer 19

disc herniation, most common posterior herniation

Question 20

if someone had a recent spine injury or a disc herniation that feel pain with standing and lumbar extension and pain Is less with trunk flexion, sitting or lying, radiculopathy what could she have

Answer 20

lumbar spinal stenosis if spinal canal is less than 10mm diameter

Question 21

what are the red flag that would require imaging for lumbar spine pain

Answer 21

• Recent substantial trauma or milder trauma in those over 50
• Weight loss or fever with no known cause, immunosuppression
• A previous cancer diagnosis, IV drug use, or osteoporosis
• Being over 70 years old
• Focal neurological deficit with progressive or disabling symptoms

Question 22

if someone have pain off the the side, have radiating pain in thigh or groin, pain that increase with hyperextension, rotation and side bending. The pain is worst when waking up, when climbing the stair or when he sit for too long.

Answer 22

facet joint syndrome

Question 23

SLR basic test

Answer 23

sciatic and tibial nerve

Question 24

SLR2 test

Answer 24

tibial nerve

Question 25

SLR 3 test

Answer 25

sural nerve

Question 26

SLR 4 test

Answer 26

common perennial

Question 27

SLR 5 (cross well leg)

Answer 27

nerve root

Question 28

if you want to rule out disc herniation which test between slump or SLR would you use

Answer 28

slump because it’s more sensitive

Question 29

if you want to rule in disc herniation which test between slump or SLR would you use

Answer 29

SLR because it’s more specific

Question 30

test to rule in SIJ pain

Answer 30

Patrick’s (FABERs)
Posterior shear
Sacral compression
Active SLR
Sacral thrust tests
-> diagnosed with SIJ pain if 3/5 test are positive

Question 31

combination of which test to rule in SIJ movement dysfunction in clinical assessment

Answer 31

Sacral sulcus
Sitting flexion
Long sitting
Gillet
Standing flexion