Page: 20-21 (Clinical Orthopedics: Lumbar Spine)

Question 1

What is the treatment for a disc herniation?

Answer 1

• Mckenzie exercises
• Flexion-Distraction technique
• Adjust

Question 2

What is the primary ORTHOPEDIC test that only indicates a Medial disc herniation?

Answer 2

• Well-Leg Raiser (aka: Fajerstazn’s)

Question 3

What ORTHOPEDIC test indicates Piriformis syndrome?

Answer 3

• Bonnet’s sign

Question 4

What is the best ORTHOPEDIC test for sciatica?

Answer 4

• Bowstring sign

Question 5

What ORTHOPEDIC tests indicate Sciatica?

Answer 5

• Straight-Leg raiser
• Braggard’s sign
• Sicard’s sign
• Turyn’s sign
• Bowstring sign
• Minor’s sign

Question 6

What ORTHOPEDIC tests indicates Root Sciatica?

Answer 6

• Linder’s sign

Root Sciatica = pain in the lumbar spine radiating to sciatic nerve.

Question 7

What Lumbar ORTHOPEDIC test indicates a Space Occupying Lesion?

Answer 7

• Millgram’s test

Question 8

What ORTHOPEDIC test indicates Tight Hamstrings?

Answer 8

• Neri’s bowing

Question 9

Name the Test

While the patient is in the supine position, the Dr. dorsiflexes the big toe?

a. ) Linder’s sign
b. ) Bowstring sign
c. ) Bonnet’s sign
d. ) Turyn’s sign

Answer 9

d.) Turyn’s

• Positive (+): Pain in the BUTTOCKS
• Indicates: Sciatica

Question 10

Name the Test

With the patient supine the doctor stands on the side being tested. Dr. internally rotates leg, adducts leg, and then performs SLR?

a. ) Linder’s sign
b. ) Bowstring sign
c. ) Bonnet’s sign
d. ) Turyn’s sign

Answer 10

c.) Bonnet’s sign

• Positive (+): Radicular pain into the limb
• Indicates: Piriformis syndrome

Question 11

Name the Test

Patient’s head is passively flexed to the chest while seated?

a. ) Linder’s sign
b. ) Bowstring sign
c. ) Bonnet’s sign
d. ) Turyn’s sign

Answer 11

a.) Linder’s sign

• Positive (+): Pain in the lumbar spine radiating to sciatic nerve
• Indicates: Root sciatic

Question 12

Name the Test

The doctor performs a SLR to the point of pain. The knee is flexed slightly and placed on the Dr.’s shoulder. Digital pressure is placed above the popliteal fossa and then in the popliteal fossa?

a. ) Linder’s sign
b. ) Bowstring sign
c. ) Bonnet’s sign
d. ) Turyn’s sign

Answer 12

b.) Bowstring sign

• Positive (+): Pain in the lumbar region of radiculopathy
• Indicates: Sciatica

Question 13

Name the Test

SLR with dorsiflexion of the foot is performed on the asymptomatic side of a sciatic patient?

a. ) Milgram’s test
b. ) Frajerstazn’s
c. ) Bragard’s sign
d. ) Sicard’s sign

Answer 13

b.) Frajerstazn’s (aka: Well-Leg-Raiser)

• Positive (+): Pain down symptomatic side
• Indicates: Medial disc lesion

Question 14

Name the Test

The patient is supine with the limbs extended. Patient is asked to elevate legs until 6 inches off table and hold for as long as possible (60 sec)?

a. ) Milgram’s test
b. ) Frajerstazn’s
c. ) Bragard’s sign
d. ) Sicard’s sign

Answer 14

a.) Milgram’s test

• Positive (+): Pain
• Indicates: Space occupying lesion

Question 15

Name the Test

Patient supine with affected leg raised slowly while hand of doctor is under lumbosacral portion of the spine?

a. ) Sicard’s sign
b. ) Braggard’s sign
c. ) Neri’s Bowing
d. ) Goldthwait’s sign

Answer 15

d.) Goldthwait’s sign

Question 16

Name the Test

Perform SLR, drop 5 degrees and dorsiflex big toe?

a. ) Sicard’s sign
b. ) Braggard’s sign
c. ) Neri’s Bowing
d. ) Goldthwait’s sign

Answer 16

a.) Sicard’s sign

• Positive (+): Pain in affected leg
• Indicates: Sciatica

Question 17

Name the Test

Perform SLR, then lower leg below the point of discomfort and then dorsiflex the foot sharply?

a. ) Sicard’s sign
b. ) Braggard’s sign
c. ) Neri’s Bowing
d. ) Goldthwait’s sign

Answer 17

b.) Braggard’s sign

• Positive (+): Pain in affected leg
• Indicates: Sciatica

Question 18

Name the Test

When bending forward from the waist the knee flexes on the side of involvement?

a. ) Sicard’s sign
b. ) Braggard’s sign
c. ) Neri’s Bowing
d. ) Goldthwait’s sign

Answer 18

c.) Neri’s Bowing

• Positive (+): Knee buckling
• Indicates: Tight hamstrings

Question 19

Goldthwait’s sign causes pain at…?

a. ) 0-30 degrees: _____?
b. ) 30-60 degrees: _____?
c. ) 60-90 degrees: _____?

Answer 19

a. ) SI joint problem
b. ) Lumbosacral joint problem
c. ) Lumbar spine or Contralateral SI joint problem

Question 20

When performing Belt Test, if the lesion is in the _____, the patient will have no pain while the pelvis is stabilized?

Answer 20

• Pelvis

Question 21

When performing Belt Test, if the lesion is in the _____, the pain will be present in both situations?

Answer 21

• Lumbar spine

Question 22

Name the Test

Patient seated. The patient attempts to extend each leg one at a time. Doctor places one hand on the side being tested to resist hip flexion by the patient. The patient then attempts to extend both legs together with both thighs stabilized by the doctor?

a. ) Belt test
b. ) Kemp’s test
c. ) Slumps test
d. ) Becterew’s sitting test

Answer 22

d.) Becterew’s sitting test

• Positive (+): Pain or Leaning back
• Indicates: Disc, Posteromedial disc if pain when good leg raised

Question 23

Kemp’s Test

1. ) Posteromedial disc: + Kemp’s _____ pain?
2. ) Posterolateral disc: + Kemp’s _____ pain?

Answer 23

1. ) away from

2. ) into