Lumbar Ortho Exams Flashcards
The pt is supine with legs extended. Doc places one hand under heel and the other over the knee and slowly raises the leg. (+) = pain down affected side.
Straight-Leg Raising Test
* Sciatica, Disc or Lumbar Lesion
After pain is elicited with SLR, the leg is lowered below the point of discomfort and the foot is sharply dorsiflexed. (+) = pain in affected leg
Bragard’s Sign
* Sciatica
Perform SLR, drop 5 degrees and dorsiflex big toe (+) = pain in affected leg
Sicard’s Sign
* Sciatica
While the pt is in the supine position, the doc dorsiflexes the big toe. (+) = pain in affected leg
Turyn’s Sign
* Sciatica
SLR with dorsiflexion of the foot is performed on the asymptomatic side of a sciatic patient. (+) = pain down symptomatic side.
Well-Leg Raise aka Fajerstazn’s
* Medial Disc Lesion
The pt is supine with limbs extended. Pt is asked to elevate legs until 6 inches off table and hold for as long as possible (60 sec). (+) = Pain
Millgram’s Test
* SOL
Pt is supine with affected leg raised slowly while hand is under lumbosacral portion of the spine. Repeat on other side. (+) = Pain
Goldthwait’s Sign
* 0-30 SI Joint, 30-60 L/S Joint, 60-90 Lsp or Contralateral SI Joint
Head is passively flexed to the chest. (+) = pain in the Lsp radiating to sciatic nerve.
Lindner’s Sign
* Root Sciatica
The doctor performs a SLR to the point of pain. The knee is flexed slightly and placed on the Drs shoulder. Digital pressure is placed above the popliteal fossa and then in the popliteal fossa. (+) = Pain in the Lsp or Radiculopathy
Bowstring Sign
* Sciatica
With the pt supine the doctor stands on side being tested. Doctor internally rotates leg, adducts leg, and then performs SLR. (+) = Radicular pain into the limb.
Bonnet’s Sign
* Piriformis Syndrome
The pt bends forward and the examiner notes when the pain occurs. Then while Dr is behind the pt, the Dr grasps the ASIS and braces their hip into the sacrum. The pt then flexes again and ROM is noted. (+) Pain
Belt Test aka Supported Adam’s Test
* Pelvic lesion = no pain with stabilization
Spinal lesion = pain in both situations
Pt seated/standing & supported by the doctor. Dr. rotates the pts trunk from the original position and circumducts the trunk toward the affected side and then away from the affected side. (+) = Sciatic pain down the involved side
Kemp’s Test
* Posteromedial Disc lesion = + away from pain
Posterolateral Disc lesion = + into pain
When bending forward from the waist the knee flexes on the side of involvement. (+) = knee buckling
Neri’s Bowing
* Tight Hamstrings
Pt seated. The pt attempts to extend each leg one at a time. Doctor places one hand on the side being tested to resist hip flexion by the patient. The pt then attempts to extend both legs together with both thighs stabilized by the doctor. (+) = Pain or Leaning back
Becterew’s Sitting Test
* Disc - posteromedial disc if pain when good leg is raised
Ask the pt to rise from a seated position. (+) = The pt supports body with uninvolved side balancing on good side.
Minor’s Sign
* Sciatica
