NMS II Test - Thoracic

Question 1

Adam’s Position

Answer 1

1) Pain and Point to It

2) Sign of Scoliosis / Flex at Hip
Scoliosis Goes Away - functional scoliosis
Scoliosis Stays - structural scoliosis

3) Two Tests:

Question 2

Amoss Sign

Answer 2

1) Pain and Point to It

2) Patient lying on side and rise to seated unassisted
positive: pain and using upper body strength to assist

3) Two Tests:

Question 3

Beevor’s Sign

Answer 3

1) Pain and Point to It

2) Patient supine, patient does crunch and leg lift, look at umbilicus and should remain in center
positive: umbilicus moves to opposite side of injury or weakness

3) Two Tests: milgrams test and bilateral leg lowering

Question 4

Chest Expansion Test

Answer 4

1) Pain and Point to It

2) Patient seated, 4th intercostal space, measure from behind, breathe in and out
normal: expand 1.5” - 3”
abnormal:

Question 5

Forestier Bowstring

Answer 5

1) Pain and Point to It

2) Patient standing, lateral bend side to side
positive: decreased ROM on one side / muscle spasm, AS, stacking, pain

3) Two Tests: Schepelmann’s and Antalgia Sign

Question 6

Rib Motion Test

Answer 6

1) Pain and Point

2) Patient is Supine, hands on sternocostal angel, breathe in and out (woman patient moves breasts out of the way)
stuck expiration: elevated rib
stuck inspiration: depressed rib
rib subluxation, muscle strain, pleuritis, fracture, arthritides

3) Two Tests: chest expansion and forestier bowstring

Question 7

Schepelmann’s Sign

Answer 7

1) Pain and Point

2) Patient seated, arms over head, laterally flex both sides
positive: intercostal pain
concave side: neuralgia
convex side: myalgia or myofascitis

3) Two Tests: forestier’s bowstring and antalgia sign