step 6

Question 1

what happens at step 6

Answer 1

special tests

Question 2

what special tests are done for the back?

Answer 2

trendelenburg sign

sciatic stretch

patella reflex

Achilles reflex

plantar reflex

Question 3

what is done at trendelenburg sign?

Answer 3

Ask the patient to stand on the affected leg

Question 4

what would be a positive response ?

Answer 4

pelvis drops on the opposite side

Question 5

What does the trendelenburg sign assess

Answer 5

integrity of the abductor of the hips, gluteus minimus and medius.

Question 6

what does the sciatic stretch test include?

Answer 6

ask the patient to sit on the edge of the couch.

then ask them to perform a straight leg raise

The assessor must take the weight of the limb and increase dorsiflexion (pushed up).

Assess for discomfort or pain

Question 7

what does the sciatic stretch test, test for?

Answer 7

nerve root entrapment or potential prolapsed disc

Question 8

how is the patella reflex test done ?

Answer 8

Ask the patient to sit on the edge of the couch and use a reflex hammer and gently strike the patella tendon.

Question 9

what will a positive sign be?

Answer 9

no reflex

Question 10

what is the achilles reflex test?

Answer 10

tap the achilles tendon with a reflex hammer while the foot is dorsiflexion

Question 11

when would the Achilles reflex be absent? or reduced?

Answer 11

disk herniation at L5 - S1

reduction can be peripheral neuropathy

Question 12

how is the planter reflex done?

Answer 12

using the opposite end of the reflex hammer draw and S shape on the sole of the foot.

toes should curl downwards

Question 13

what does it mean if the toes spread upwards?

Answer 13

Babinski response which can be due to disease of spinal cord, and brain in adults.