Objective Exam: Lumbar

Question 1

What is the order of the lumbar spine objective exam?

Answer 1

Observe
AROM
RMT
Joint plat
Muscle performance testing
Neurological testing
Special Test
Palpation

Question 2

If there is a shift present how is named?

Answer 2

Names in regards to the shoulders to pelvis (IE if the shoulder are sb to the right, its a right shift)

Question 3

Which way to derangement deviate?

Answer 3

Away from painful side

Question 4

Which ways do ANR deviate?

Answer 4

To side of ANR

Question 5

What position will the patient like if they have stenosis>

Answer 5

Flexion, limited in extension

Question 6

What type of motions will spondyolsthesis present with?

Answer 6

Aberrant motions during movement

Question 7

What are the normal values for lumbar Flexion & Extension?

Answer 7

60
25

Question 8

What are the normal values for lumbar SB & Rotation?

Answer 8

25
45

Question 9

What is Hicls CPR on stabilization?

Answer 9

Younger than 40
General flexibility (SLR ROM > 91)
Aberrant movements
Positive prone instability test

Question 10

What are the 3 criteria to consider the SLR or Slump test positive>

Answer 10

Reproduce comparable sign
Asymmetrical finding
Sensitizing movement changes patient sxm

Question 11

When performing SLR test what does it suggest If the patient has neurologic pain reproduces in leg or low back between 30-70°?

Answer 11

Lumbar disc herniation at L4-S1

Question 12

When performing SLR test what does it suggest If the patient has neurologic pain reproduces in leg or low back at less 30°?

Answer 12

Acute spondyloithesis, gluteal abscess, disc protrusion or extrusion, tumor of butt, acute dural inflammation, malingering patient or sign of buttock

Question 13

When performing SLR test what does it suggest If the patient has neurologic pain reproduces in leg or low back greater than 70?

Answer 13

Tightness of hamstring, glut max, or hip capsule
Pathology of hip or sacroiliac joints

Question 14

What is a positive cross straight leg raise indicative of?

Answer 14

Nerve root compression secondary to disc protrusion or extrusion

Question 15

What maneuvers bias the sciatic nerve?

Answer 15

Ankle DF

Question 16

What are the special test for stabilization exercises?

Answer 16

Prone instability test
Posterior pelvic pain provocation test
Active straight leg raise test
Trendelenburg Test

Question 17

If a patient gets a negative quadrant test what can you completely rule out?

Answer 17

Lumbar spine

Question 18

If a patient gets a positive sign of buttock what does this indicate?

Answer 18

Red flag finding