Malingering Orthos

Question 1

Pt instructed to kneel on a table 18 inches from floor, bend forward at the trunk, and touch the floor. Doctor hold ankles.

Answer 1

Burn’s Bench Test

(+) = pt refuses to perform

Question 2

Pt supine. Doctor places one hand under each heel and asks pt to lift affected limb.

Answer 2

Hoover’s Sign

(+) = doc doesn’t feel unaffected side pressing downward

Question 3

Pt is sitting upright on the edge of a table or chair which has no backrest. Examiner faces pt and usually under the guise of “checking circulation” extends the pts legs below the knee, one at a time, so that the limb is parallel with the floor.

Answer 3

Lasegue’s Sitting

(+) = No pain where there had been a +SLR

Question 4

At beginning of case hx, pt is asked to point to the site of pain on the back; the examiner marks it with a skin pencil. Later on, pt is again asked to point to the site of pain.

Answer 4

Magnusson’s

(+) = pt does not point to same point

Question 5

Doctor takes resting pulse rate. Doctor then applies pressure over painful area and takes pulse rate again.

Answer 5

Mannkopf’s Sign

(+) = Increase of 10 bpm is no malingerer

Question 6

What Orthos check for Malingering?

Answer 6

Burns Bench Test
Hoovers Sign
Lasegue Sitting
Magnusson's
Mannkopf's