Lumbar Special Test

Question 1

Prone Knee Bend test

Answer 1

Assess for Nerve compression in lumbar roots

Question 2

Bow string test

Answer 2

Assess for Sciatic Nerve tension or space occupying lesion in lumbar region

Question 3

Straight Leg Test

Answer 3

Assess for sciatica, hamstring tightness, causes of lowback pain

Question 4

Slump Test

Answer 4

Nerve root involvement, dural or menengial irritation

Question 5

What is the positive sign for slump test and how to test

Answer 5

Seated. Slump thoracic forward, chin to chest, extend knee up, dorsiflex and look up. Localized pain in the lesion site: facet irritation
Radiating pain along the spine refferal patter upper or lower extremities: nerve compression

Question 6

Positive sign for prone knee bend test and how to test

Answer 6

Neurological symptoms (sharp shooting tingling and numbness in the upper quads.

Question 7

Positive sign for bow string. How?

Answer 7

Reproduction of symptoms.

Supine bring the hip into flexion and knee extended resting in therapist shoulder. Both hand grasp around the knee thumb slightly presses in popliteal region.

Question 8

How to assess Straight leg Raise test

Answer 8

Supine. Test unaffected leg first. Flex hip with knee extended into 70degrees or until pain is felt, back off a little bit until pain is no longer felt, dorsiflex and flex neck

Question 9

How to assess Straigt leg Raise test

Answer 9

Supine. Flex hip with knee extended into 70degrees or until pain or tightness is felt, back off until pain is no longer felt. Passively dorsiflex and flex neck.

Question 10

Positive sign for straight leg Test

Answer 10

Pain felt at the opposite side- stace occupying lesion or disc herniation. (Leg Well Test)
Pain at 70degrees hip flexion- lumbar or SI joint dysfunction
Pain when lowered 20degrees that does not increase with neck flexion- hamstrings tightness
Pain with forced dorsiflexion- sciatic nerve involvement

Question 11

How to test Bowstring Test

Answer 11

Supine bring the hip into flexion and leg raised until reproduction of symptoms, back off slightly glex knee about 20degree to reduce symptoms. Fingers or thumb slightly presses in popliteal region to reproduce symptoms.

Question 12

Functional or structural scoliosis

Answer 12

Assess for: determine whether spinal curves are funcional or structural in nature

Question 13

Positive sign for Structural or Functional Scoliosis

Answer 13

Structural- curves does not correct and the lateral bending is asymmetrical

Functional- curve corrects or reverses as the client bends towards the convex side

Question 14

One Leg Lumbar

Answer 14

Assess for Stress Fracture in pars articularis, spondylosis or spondylolisthesis

Question 15

One Leg Lumbar

Answer 15

Assess for Stress Fracture in pars articularis, spondylosis or spondylolisthesis

Question 16

Positive sign for One Leg Lumbar extension

Answer 16

Pain is felt. Possible fractures of pars articularis. Stress fracture is on one side standing ipsilateral side is more pain. Spondylosis or spondylolisthesis may also be present.

Question 17

How to assess scoliosis Test

Answer 17

Therapist behind client. Instruct client to perform AROM of the spine in flexion and lateral bending on both side. Observe the spinous processes for any visible curves

Question 18

Rib motion Test

Answer 18

Assess for motion of the ribs.
Place hands symmetrically over various aspect of the thorax from superior to inferior. Client inhale and exhales rib notefor imbalances

Question 19

Rib Palpation

Answer 19

Assess for position of individual ribs
Palpate angles bilaterally with flat hands