Lumbar/Pelvis Orthopedic Tests Flashcards
Bechterew Test
Positive if backache or sciatic pain is increased or if maneuver is impossible
Disc involvement, extending both legs will usually increase spinal and sciatic discomfort
Bragard Sign
Sign is present if pain is increased
Presence of the sign indicates sciatic neuritis, spinal cord tumors, disc lesion and spinal nerve irritation
Ely’s Test
With any significant hip lesion, performing this test will normally be impossible
Kemp’s Test
If this compression causes or aggravates a pattern of radicular pain in the thigh and leg, the sign is positive and indicates nerve root compression
Lindner’s Test
If pain occurs in the lumbar spine and along the sciatic nerve distribution, test is positive, and an indication of root sciatica
Mennell Sign
Sign is positive if tenderness is increased
Indicates deposits in structure or adjacent to structure of SI joint
Milgram’s Test
Positive if pt experiences lower back pain
Nachlas Test
Positive if pain is noted in SI area or lumbosacral area or radiates down thigh or leg
Straight Leg Raise Test
If maneuver is markedly limited because of pain, the test is positive
Belt Test
If lesion is of pelvic nature, flexing spine w/ pelvis immobilized will not reproduce discomfort
If lesion is of spinal nature, pain will be aggravated in both instances
Gaenslen’s Test
Positive if pain is felt in SI area or referred down the thigh
If test is negative, a lumbosacral lesion is suspected
Hibbs Test
Positive if there is production of pelvic pain
Iliac Compression Test
Positive if painful and is significant for SI lesion
Yeoman Test
If pain is increased in SI area, this increase in pain indicates SI lesion
Fajersztajn Test
“Well-leg raise test”
Positive if test causes pain on symptomatic side