NMS II OSCE I- problems if positive Flashcards
adam’s test
structural scoliosis- scoliosis will go away
functional scoliosis- scoliosis will remain
amoss sign
have to use upper body to get up, pain is elicited
beevor’s sign
opposite abdominal weakness
chest expansion test
spinal ankylosis, rib fracture, sprain/strain, etc
forestier bowstring sign
muscle spasm, AS, pain inhibiting motion, stacking
rib motion test
rib subluxation, muscle strain, pleuritis, fracture, arthridities
schepelmann’s sign
concave side- neuralgia
convex side- myalgia/myofascitis
antalgia
lean away- posterolateral herniated disc
lean toward- posteromedial herniated disc
lean forward- posterocentral (rhizal) herniated disc
straight leg raiser
sciatica from lumbosacral lesion
potential SOL
bragards sign
reproduction or increase in leg pain
sicard’s sign
irritation of L5 NR MC, L4 or S1 can also be irritated
bechterew’s test
if SLR is positive, then this should be positive as well
if not, maybe suspect exageration of symptoms
slump test
disc bulge or herniation
crossed straight leg raiser
symptoms at same level of SLR- posteromedial IVD bulge or herniation
symptoms at increased angle- posteromedial IVD bulge or herniation first, maybe posterolateral bulge or herniation
fajersztajn’s test
pain at same angle as braggard’s, potential posteromedial IVD bulge or herniation
pain at greater angle than braggard’s- potential posterolateral bulge or herniation
cox sign
SOL, IVF encroachment, radiculopathy, nerve root, tension, sciatica
ely’s test
radiating pain- femoral nerve or upper lumbar spinal NR compession
localized pain- quadriceps muscle contracture
femoral nerve traction test
radiating pain to groin may indicate L1 NR radiculopathy
radiating pain to anterior mid-thigh may indicate L3 NR radiculopathy
heel/toe walking test
can’t walk on heels- L5 problem, L4 IVD
can’t walk on toes- S1 problem, L5 IVD (MC)
kemps test
NR irritation or IVD herniation
radiculopathy
local pain with slight rotation or on convex side- capsulitis
local pain on extension or concave side- facet problem
general pain at waist- lumbar spine sprain/strain
radiating leg pain with flexion- IVD lesion
kernig
meningitis
brudzinski
meningitis
lasegue
hip pain: hip pathology
thigh or leg pain: radiculopathy
bilateral: tight hamstrings
lindner’s
seated: cervical myelopathy, meningitis
supine: meningitis
milgram’s
low back: herniation or lumbar sprain/strain
no pain: weak core muscles
minor’s sign
SI joint lesion L5 strain/sprain lumbo-pelvic fracture IVD syndrome muscular dystrophy sciatica
nachalas
radiating: femoral nerve or lumbar NR compression
localized: quad contracture
quick test
pain/locking/creptus in low back, hips, knees or ankles
bilateral leg lowering test
lumbosacral sprain/strain
facet syndrome
IVD lesion
