Spine Functional/Special Tests Flashcards
Straight Leg Raise
-test for sciatic n
- Test both sides
- passively raise leg
- DF
- Pt lift head
Pain in 0-30: acute/severe MSK
Pain in 30-70: nerve issue
Pain >70: not positive
Crossed SLR sign: opposite s/s, disc protrusion
Sensitizers:
-Tibial: DF > Eversion > Toe Ext
-Sural: DF > Inversion
-Common fib: PF > Inversion
Slump Test
-test neuromobility
- Hands behind back
- Head and neck flexed
- Lumbar flx
- Straighten knee
- overpressure
- DF of ankle
- Pt moves head
SIngle Limb Stance (SLS)
Note:
-abnormal postural sway
-assistance
-Sx
-side ot side diff
-(+) Trendelenberg Sign
-Poor balance (<30s)
Single Limb Squat
Note:
-depth
-assistance
-Sx
-side ot side diff
-(+) Trendelenberg Sign
-Poor balance (<30s)
Functional Tasks
-Lifting
-Squatting
-Bending
-Twisting
-assess quality and duration of movement prior to pain
Repeated Movements Testing
-Radiating S/s ONLY
Extension: 80%
-prone to standing
-10 reps
-want centralization
Flexion:
-Supine to standing
-10 reps
-want centralization
Sorenson Test
-muscle endurance and strength test
-stopped at 4 mins if continue
5: hands across chest 20-30s)
4: Hands at side (15-20)
3: Hands at siide (10-15)
2: Hands at side (1-10)
Dynamic Abdominal Endurance Test
-muscle endurance and strength test
5: hands behind neck (20-30s)
4: Hands crossed on chest (15s)
3: Arms straight (10-15)
2: Hands straight toward knees (1-10)
1: Unable to raise more than head
Flexibility Tests
-Psoas
-Rec Fem
-Piriformis (>90 IR)
-Hamstring
Prone Knee Bend
-Neuroprovocation Test
-tests femoral nerve
- Pt prone
- PT papssively flexes knee
- (+)= S/s 80-100 degs
- (-)
- Absense of s/s
-<80 deg knee joint dysfunction
->100 deg RF or spine dysfunction
Spinal Joint Play
-hypo, hyper, normal
Central (CPA):
-palpate SPs
-pisiform and push
-INCLUDE SACRUM
Unilateral (UPA):
-palpate opposite TP
-Thumbs and push
Prone Instability Test
-when you suspect instability
-hypermobile joint play
- Pt in prone with legs off
- Relaxed, PT push on symptomatic joint segments
- if painful, have Pt lift legs and push again
-(+): pain gets better - Repeat on each hypermobile section from joint play
Stoop Test
-for intermittent claudication****
-bike or walking
- Start upright and time until Sx occur
- Stoop until Sx occur
(+): Sx improve w Stopped posture (takes longer to produce)
Waddell’s Test
-for non-organic Sx
-need 3 or +/5
- Stimulation
-gently compress head, Pt response
-trunk rotation at hips, Pt response - Regional
-sensory weakness or weakness in whole area and not pattern - Tenderness
-superficial brush on skin in non-surgical area - Distraction
-look for inconsistencies
-SLR: distraction no response, response when brought to their attention
-Bending
-Limping - Over-Reaction
-less reliable
Contraindications for Manual Therapy
-infection*
-Fever*
-Cancer*
-Acute Circulatory Condition
-Open Wound
-Fracture*
-Hematoma
-Advanced DM
-Hypersensitivity
-Hypermobility*
-Abnormal Endfeel*
-RA
-Cellulitis
-Constant, Severe pain
-Extensive radiation of pain*
-Condition not evaluated
