Low Back Flashcards
ORTHOS
Minor’s sign
pt pushes off uninvolved side leg or chair arm when getting up (sciatica)
SLR
aka Lasegue’s
supine
flex hip on involved side (+ radiculopathy)
Seated Lasegue’s
seated
extend knee on involved side (+ radiculopathy)
Lasegue differential sign
supine
SLR until radiculopathy pain elicited, Dr. then flexes knee
(relieves pain – rules out hip)
Braggard’s
supine
SLR, decrease 5 degree then dorsiflex foot involved side
(+ radiculopathy)
Sicard’s
supine
SLR, decrease 5 degree then extend big toe involved side
(+ radiculopathy)
Turyn’s
supine
extend big toe (+ radiculopathy)
WLR
supine
lift uninvolved side (+ radiculopathy)
Fajersztajn’s
supine
WLR, decrease 5 degree then dorsiflex foot (+ radiculopathy)
Lindner’s
supine
flex upper trunk into a “C” (+ radiculopathy)
Bowstring’s
aka cram test
aka popliteal pressure sign
supine
SLR, relax knee, apply popliteal pressure (+ radiculopathy)
Kemp’s
seated or standing
rotate, laterally flex, and extend trunk
(localized pain = facet, radiculopathy = nerve root, ipsi pain = lateral disc, contra pain = medial disc)
Bonnet’s
supine
SLR with hip adduction and internal rotation
(+ sciatica)
SOTO
aka reversed bonnet’s
supine
SLR with hip abduction and external rotation
(relieves piriformis)
Bechterew’s
seated (hands on lap)
extend one knee, extend the other knee, extend both
Prone Lumbar Hyperextension Test
prone
dr. stabilizes ankles and pt attempts to extend torso off the table
(+ lumbar strain)
Reversal Sign
standing
bend forward (+ pain when getting up)
chronic facet syndrome
Femoral Nerve Traction Test
side-lying
dr. grasps affected leg and extends hip while knee is bent
Stork Test
standing on one leg
pt leans back
(+ pain = pars instability)
