Ortho tests Spine

Question 1

CPS SpurlingS

Answer 1

Compress head + E, R, SB = Jacksons compression

Sprain / strain
Facet irritation
Radiculopathy - Nerve root pressure increase - disc

P+ = radicular pain
NOT local pain

Question 2

CPS & TSP Distraction

Answer 2

CSP - hand under chin
TSP - crossed arms, holding elbows pull back and up

Facet irritation
Radiculopathy - Nerve root pressure increase - disc
Muscle/lig/capsule

pain decreased = root nerve positive
pain increased = muscle/lig strain/sprain, disc herniation

Question 3

TSP & LSP Slump

Answer 3

Slum down, 1 leg raised, dori flex foot and E big toe

Radiculopathy - Nerve root pressure increase - disc
Sciatic nerve

+=reproduction of pain, shooting

Question 4

TSP & LSP KempS

Answer 4

standing = slide hand down opposite posterior leg
sitting = compress on shoulder and then E and R back

Sprain/strain
Facet irritation

+=local pain / numbness

Question 5

LSP Femoral nerve traction

Answer 5

Patient prone, F knee, then E hip and F knee
*prone, heels to bum

Nerve root pressure increase - disc
Radiculopathy

+= pain - with the hip E = femoral nerve impingement

Question 6

LSP SLR

Answer 6

raise leg 30/60 degrees, dorsi f and E big toe

strain / sprain
Nerve root pressure increase - disc
Radiculopathy
Piriformis entrapment

+=local and radicular pain