NMS II Flashcards
Adam’s position revealed that the patient’s scoliosis did get better when bent over. What does this indicate?
could be because of subluxation, ligament sprain, muscle spasm
Adam’s position revealed that the patient’s scoliosis didn’t get better when bent over. What does this indicate?
hemivertebra
Amoss sign revealed that the patient has pain when trying to get up from a lying to sitting position. What does this indicate?
AS, sprain, IVD
Beevor’s sign revealed that the patient’s belly button deviated straight left. What does this indicate?
T7-12 deficit
abdominal muscles on the right are weak
Beevor’s sign revealed that the patient’s umbilicus deviated up and to the right. What does this indicate?
T11-12 deficit on the left
lower left abdominal muscles are weak
Beevor’s sign revealed that the patient’s umbilicus deviated down and to the left. What does this indicate?
T7-9 deficit on the right
upper right abdominal muscles are weak
Chest expansion test revealed that when inhaling, the chest expanded 1 inch. What does this indicate?
spinal ankylosis, rib fracture, sprain/strain
Chest expansion test revealed that when inhaling, the chest expended 3 inches. What does this indicate?
nothing! this is normal
Forestier bowstring sign revealed that ROM was less on left than the right. What does this indicate?
muscle spasm, AS, pain that inhibits motion, stacking
Rib motion test revealed that the T5 rib doesn’t move during expiration. What does this indicate?
rib subluxation muscle strain pleuritis fracture arthridities
Shepelmann’s sign revealed that the patient has mid thoracic pain at the level of T2 on the left while they were bending to the right. What does this indicate?
Myalgia or myofasciitis
Shepelmann’s sign revealed that the patient has mid thoracic pain at the level of T2 on the left while they were bending to the left. What does this indicate?
Neuralgia (compression of the intercostal nerve
Patient shows an antalgic posture to the right because they have pain on the left when they stand straight. What does this indicate?
Posterolateral herniated disc
Patient shows an antalgic posture to the left because they have pain on the left when they stand straight. What does this indicate?
Posteromedial herniated disc
Patient shows an antalgic posture leaning forward because they have pain when they stand straight. What does this indicate?
Posterocentral herniated disc
When perforning straight leg raiser, the patient experienced pain. What does this indicate?
SOL, IVD lesion, sacroiliac or lumbosacral pain
hyndman’s sign
straight leg and raising neck increases pain due to subluxation, SOL or irritation
Patient shows a positive bragards sign. what does this indicate?
SOL, IVD lesion, sacroiliac or lumbosacral problem
Patient shows a positive sicard’s sign. What does this indicate?
irritation of L5 nerve root most commonly, L4 or S1 can also be the culprit
Patient shows pain when sitting up straight and extending their leg out. What does this indicate?
SOL, IVD irritation, sacroiliac or lumbosacral pain
Patient is slumped all the way over and dorsiflexes foot, when extends knee. What test is this?
slump’s
will have same findings as SLR
patient shows pain when you perform CSLR. What does this indicate?
posteromedial IVD bulge or herniation more likely
could also be posterolateral IVD bulge or herniation
If a patient experiences pain during Fajersztajn’s test, what does this indicate?
posteromedial IVD bulge or herniation
when performing SLR, your patient brings up their hip to alleviate the pain. What sign is this? What does it indicate?
Cox sign
SOL, IVF encroachment, radiculopathy, nerve root, tension, sciatica
patient has pain in the anterior thigh and groin area, but it doesn’t radiate. What does this indicate? what test would you be doing?
indicates quadriceps muscle contracture
ely’s test
patient has pain in the anterior thigh and groin area, and radiates. What does this indicate? what test would you be doing?
indicates femoral nerve or upper lumbar spinal root comrpession
ely’s test
patient has pain in the anterior mid-thigh when you perform the femoral nerve traction test. What does this indicate?
L3 nerve root radiculopathy
patient has pain in the groin when you perform the femoral nerve traction test. What does this indicate?
L1 nerve root radiculopathy
patient can’t walk on their heels when you ask them to. What does this indicate?
L5 problem (L4 IVD)
patient can’t walk on their toes when you ask them to. What does this indicate?
S1 problem (L5 IVD)
Patient has pain in the left low back when you perform kemps. what does this indicate?
NR irritation or IVD herniation
radiculopathy
if patient has local pain with slight rotation on convex side during kemps test, what does this indicate?
capsulitis
if patient has local pain on extension or concave side during kemps test, what does this indicate?
facet problem
if patient has pain at waist during kemps test, what does this indicate?
lumbar spine sprain/strain
if patient has pain that radiates leg pain with flexion during kemps test, what does this indicate?
IVD lesion
patient has hip pain during lasegue test. what does this indicate?
hip pathology
patient has thigh and leg pain during lasegue test. what does this indicate?
radiculopathy
patient has bilateral pain during lasegue test. what does this indicate?
tight hamstrings
patient has pain in the low back during lindner’s sign. what does this indicate?
nerve root irritation or inflammation
supine lindner’s is the same as what other test? what does it indicate?
brudzinski
meningitis
seated lindner’s is the same as what other test? what does it indicate?
lhermitte’s
cervical myelopathy/ meningitits
patient has no pain when you perform milgram’s sign. what does this indicate?
possible weak core muscles
patient has low back pain when you perform milgram’s sign. what does this indicate?
herniation or lumbar strain/sprain
patient has to use thier upper body to get up. what sign is this? what does this indicate?
minor's sign SI joint lesion L5 strain/sprain lumbo-pelvic fracture IVD syndrome muscular dystrophy sciatica
you perform nachlas’s test and they have radiating pain. What does this indicate?
could be from femoral nerve or lumbar spinal root compression
you perform nachlas’s test and they have localized pain. what does this indicate?
quads contracture
you have patient perform the quick test and they have pain. what does this indicate?
they could have pain/crepitus or locking in the back, hips knees or ankles
who should you not do this test on?
elderly or pregnant patients
you have patient perform bilateral leg lowering test and they have pain. what does this indicate?
lumbo-sacral sprain/strain, facet syndrome or IVD lesion
you have patient do the anterior innominate test and they had pain over the left SI joint. what does this indicate?
unilateral forward displacement of ilium, sacrum or SI joint sprain
you perform the belt test on a patient and they have pain when they do it by themselves, but not when you hold their sacrum in place. what does this indicate?
SI joint problem
you perform the belt test and they have pain during both parts. What does this indicate?
they have lumbar involvement
you perform the erichsen’s test and they have pain in their SI joint. What does this indicate?
anterior SI ligament problem
when you perform gaenslen’s test on the patient, they have radiating pain to the thigh or groin. what does this indicate?
they have SI joint sprain/instability
you perform goldthwait’s test, the patient has pain before L5 and S1 separate. What does this indicate?
SI joint problem
you perform smith peterson test, the patient has pain after L5 and S1 separate. What does this indicate?
lumbar problem
you perform hibb’s test on the patient, and they have pain on the right. What does this indicate?
sacroiliac lesion on the right
you perform iliac compression test and they have pain. What does this indicate?
posterior SI ligament sprain
SI joint inflammation
subluxation
when performing lewen gaenselen’s test, there is pain. What does this indicate?
SI joint sprain/arthritis
you perform yeoman’s test on the patient and they experience pain in the anterior thigh. what does this indicate?
iliopsoas or rectus femoris muscle contracture
femoral nerve irritation
you perform yeoman’s test on the patient and they experience pain in the low back. what does this indicate?
anterior SI joint lesion
you perform actual leg length on your patient and there is a left leg deficiency of 6mm. what does this indicate?
hip joint or long bone deficiency
you perform apparent leg length on your patient and there is a right leg deficiency of 6mm. what does this indicate?
spinal or pelvic subluxation
when you perform galaezzi’s sign, from the front they have a right short leg and when you look from the side, the left kmee appears behind the right knee. what does this indicate?
right leg has a short tibia
left leg has a short femur
when you perform the anvil test, the patient feels pain in the heel. what does this indicate?
calcaneous, tibia or fibula fracture
when you perform the anvil test, the patient feels pain in the hip. what does this indicate?
arthritis, femoral neck fracture, infection
when performing gauvain’s sign, the patient’s abdominal muscles contract on the left. what does this indicate?
AVN
infection
fracture
gout
when performing hip telescoping test, you hear and feel a click on the right hip. what does this indicate?
hip dislocation
hip dysplasia
when performing patrick’s test, there is pain in the hip. what does this indicate?
DJD OA RA SCFE AVN fracture strain/sprain
when performing ober’s test, you notice the thigh remained abducted and there was some pain. what does this indicate?
iliotibial band contraction
when performing thomas test, patient can’t keep their left leg on the table. what does this indicate?
iliopsoas contracture
when performing trendelenburg’s test, their hip dropped on the right when they lifted the right leg up. what does this indicate?
weakness of hip abductors on the affected side
hip dysplasia
when performing abduction stress test on the knee, there is pain and increased gapping of the knee joint. what does this indicate?
MCL rupture
when performing adduction stress test on the knee. there is pain of the knee joint. what does this indicate?
LCL strain
when performing apley’s compression, there is pain and crepitus when doing internal rotation. what does this indicate?
lateral meniscus problem
when performing apley’s compression, there is pain and creptius when doing external rotation. what does this indicate?
medial meniscus problem
when performing patella ballottment test, there is a spongy feeling of the patella. what does this indicate?
retropatellar effusion
intraarticular knee swelling
when performing bounce home test, the patient cannot fully extend the knee and there is pain. what does this indicate?
meniscal tear
when peforming clarke’s sign, the patient experiences pain. what does this indicate?
chondromalacia patella
degeneration of patellofemoral joint
when performing mcmurray sign, the patient has pain and there is a clicking sound when internally rotating and valgus stress. what does this indicate?
lateral mensicus tear
when perfomring mcmurray sign, the aptietn has pain and there is a clicking sound when externally rotating and varus stress. what does this indicate?
medial meniscus tear
when doing the test of mcintosh, the patient stops you and they said “it feels like it’s going to pop out of place”. what does this indicate?
ACL tear
when doing the lateral pivot shift maneuver, the patient says it feels like the knee is going to give out. what does this indicate?
ACL tear
when performing lachman’s test, there is pain and increased translation. what does this indicate?
ACL rupture (grade 2 or 3)
when performing the drawer test, there is increased translation when pushing on the knee and pain. what does this indicate?
PCL rupture
what is the normal Q angle?
13- 18 degrees
if the Q angle is less than 13, then what does this indicate?
patellofemoral dysfunction or patalla alta
if the Q angle is more than 18, what does this indicate?
patellofemoral dysfunction
patella valgum
