NMS Lumbars

Question 0

Strait Leg Raiser

Answer 0

Supine, Dr. Passively raises painful leg
1st 30 degrees- SOL
30-45- sciatica
60-lumbosacral lesion

Question 1

Antalgic Side

Answer 1

Leaning away- P and L disc bulge

Leaning towards pain - P central

Question 2

Bragard’s

Answer 2

done on pain leg
move leg down to where patient doesn’t feel pain, quick dorsiflexion.
Sciatica, spinal nerve traction

Question 3

Well Leg Raiser

Answer 3

Dr. passively lifts good leg

Radiating pain down bad leg means P M disc

Question 4

Fajerszajn’s

Answer 4

Quick dorsiflexion on well leg raiser

means P M disc

Question 5

Slump Test

Answer 5

Seated, Patient slumps Dr. moves leg up then dorsiflexes foot.
Radiating pain in P butt and leg suggests nerve traction

Question 6

Leseque’s

Answer 6

Supine, knee and hip at 90 d. dr. passively extends leg

Finding signs of nerve traction and sciatica

Question 7

Bechterew’s Test

Answer 7

Seated, extend leg one at a time so both are extended.
Dr. applies downward pressure prox. to the knee
Nerve traction associated with sciatica

Question 8

Cox Sign

Answer 8

During SLR, lifts hip off of table to decrease pain,

Possible prolapsed disc, severe sciatica

Question 9

Linder’s sign

Answer 9

Seated or supine, dr. passively flexes head to chest.

Positive with lumbar pain

Question 10

Ely’s Test

Answer 10

prone, leg to opposite butt cheek
positive- A. thigh pain
Tests nerve roots - L2-L4

Question 11

Femoral nerve Traction Test

Answer 11

Laying on side, dr. abducts thigh, then extends thigh, then flexes knee
Pain down A. thigh is positive
Tests L2-L4

Question 12

Heel/Toe Walk Test

Answer 12

Unable to heel walk- L5 nerve root L4 disc herniation or peroneal nerve compression.
Unable to toe walk- S1 nerve root L5 HNP disc
testing ankle muscles

Question 13

Kemp’s Test

Answer 13

Seated, rotate patient around then lean them back and laterally and put pressure on the ip. back
Localized lumbar facet pain, radiating pain HNP

Question 14

Milgram’s Test

Answer 14

Supine, Patient raises legs 6 inches off table and holds for 30 seconds
Unable to do so due to pain- subarachnoid pressure or SOL
No pain but still can’t- weak abs

Question 15

Minor’s sign

Answer 15

Attempts to stand from seated,

could mean- SI SX., lumbosacral sprain/strain, lumbar HNP, Fractures

Question 16

Nachla’s Test

Answer 16

Prone, flex knee to same side butt cheek

positive- pain in SI or lumbosacral area or if pain radiates down thigh or leg.

Question 17

Bilateral Leg Lowering Test

Answer 17

Supine, Dr. moves legs up to 90 d. of hip flexion. Patient then lowers legs slowly to 45 d. angle.
If legs drop, suggests mechanical lumbopelvic problem, disc lesion

Question 18

Quick Test

Answer 18

Patient squats
no pain relatively free from disease
assessing joints