Thoracic

Question 1

What does slumps test test for

Answer 1

Increased pressure on nerve root

Question 2

Technique for slumps

Answer 2

Sit on edge of couch + slump
Shoulders sag, spine flexed
Prac holds head + chin erect
Any symptoms?
If not- flex head + apply pressure
Extend Pt leg
Dorsiflex foot
Repeat on other foot

Question 3

+ve slumps test

Answer 3

Shooting P in leg
Reproduction of original symptoms

Lsp- local lumbarsacral P, reproduction of symptoms (shooting leg P)

Question 4

What does kemps test for

Answer 4

Acute inflammatory lesion, local sprain/strain, facet irritation, spinal fracture

Question 5

Technique for kemps

Answer 5

Sitting: Edge of couch
Rest forearms on shoulders
Apply force down
No pain extension + pressure
 E + rot to unaffected side
 E + rot to affected side
Standing: Wrap arm around + touch back of leg
Repeat on other side

Question 6

+ve Kemps

Answer 6

Localised pain

Lsp- increased peripheral pain/numbness, localised P

Question 7

Specificity for standing Kemps

Answer 7

Low

Question 8

Sensitivity for stadning Kemps

Answer 8

Low

Question 9

Adams test procedure

Answer 9

Pt standing, examiner observes for rib hump when Pt attempts to touch toes

Question 10

Adams interpretation

Answer 10

+ve Abnormal rib hump on one side–> scoliosis

Question 11

Schepelmanns sign

Answer 11

Pt seated or standing, abducts shoulders 180, SB spine from side to side (SB/QL stretch)
Observe for uniform motion and signs of Pt discomfort

Question 12

Schepelmanns interpretation

Answer 12

Rib P
Concave side- intercostal neuritis
Convex side- myofasciitis, intercostal strain, rib #