Observations and Malingering

Question 1

What is the patient position for minor’s sign?

Answer 1

seated

Question 2

What observation is this?
-patient must push off when rising from chair, affected leg is bent and balancing on healthy
-patient climbs legs and torso to stand straight

Answer 2

minor’s sign

Question 3

What a positive sign for minor’s sign? What does this indicate?

Answer 3

slowed motion due to pain indicates sciatica or LBP

Question 4

What is the patient position for amoss’ sign?

Answer 4

supine or side lying

Question 5

What observation is this?
-recumbent patient places hands for behind their body to assist in rising to seated position

Answer 5

amoss’ sign

Question 6

What is the positive sign for amoss’ sign? What does this indicate?

Answer 6

stiffness or lack of motion or localized pain in the thoracolumbar region indicates AS, severe sprain/strain, or disc syndrome

Question 7

What is the patient position for beevor’s sign?

Answer 7

supine

Question 8

What observation is this?
-patient actively attempts partial sit up while doctor observes exposed umbilicus

Answer 8

beevor’s sign

Question 9

What is a positive sign of beevor’s sign? What does this indicate?

Answer 9

umbilicus will move away to one side

indications:
-lesion at T7-T11
-characteristic of ALS or muscular dystrophy

Question 10

What is the patient position for rust sign?

Answer 10

standing, seated, or supine

Question 11

What observation is this?
-patient with a serve injury to the upper cervical spine grasps head with both hands to support the weight of the head on the cervical spine
-removal of this support cannot be tolerated
-if pt is supine, they will support head while attempting to rise

Answer 11

rust sign

Question 12

What is a positive sign of rust sign? What does this indicate?

Answer 12

patient guards movements and stabilizes the head with slight traction to reduce the pain

indications: gross instability of the upper cervical spine as a result of:
-fracture
-dislocation
-severe muscle sprain
-ligamentous instability
-posterior disc defect

Question 13

What is the patient position for burn’s bench test?

Answer 13

kneeling

Question 14

What test is this?
-pt is kneeling on bench of table approx 18 in above floor
-doctor stabilizes pt leg by holding heels down and asks them to bend at waist and touch floor

Answer 14

burn’s bench test

Question 15

What is a positive sign of burn’s bench test? What does this indicate?

Answer 15

inability to perform indicates malingering

Question 16

What is the patient position for hoover’s sign?

Answer 16

supine

Question 17

What test is this?
-doctor places hand under each heel and asks pt to attempt to raise affected limb

Answer 17

hoover’s sign

Question 18

What is a positive sign for hoover’s sign? What does this indicate?

Answer 18

very little or no downward pressure from heel on unaffected side indicates malingering

note: it is normal to feel pressure from heel of unaffected side to show pt is making an effort

Question 19

What test is this?
-pt indicates point of pain and doctor marks it
-pt is distracted with other tests away from site
-doctor later asks pt about pain and asks them to indicate site again

Answer 19

magnuson’s test

Question 20

What is a positive sign of magnuson’s test? What does this indicate?

Answer 20

significant change in location of pain indicates malingering

Question 21

What test is this?
-pt’s resting pulse rate is established before test
-doctor applies mechanical pressure to point of complaint while monitoring pulse rate

Answer 21

mannkopf’s sign

Question 22

What is a positive sign of mannkopf’s sign? What does this indicate?

Answer 22

increase in pulse of more than 10bpm indicates NOT malingering