tsp

Question 1

slump test

Answer 1

a)patient sits on plinth and is asked to slump (spine flexes and shoulders sag forward)
-examiner holds chin and head
b)if no symptoms are produced, examiner flexes patient’s neck and holds head down with slump
c)if no symptoms are produced, examiner passively extends patient’s knee
d)if no symptoms are produced, examiner also passively dorsiflexes patient’s foot of same leg
-repeat with other leg
testing= impingement of dura and spinal cord/ nerve roots
positive test= Reproduction of symptoms- shooting pain
Sciatic pain symptoms

Question 2

kemps test

Answer 2

a)compress down with forearms to induce neutral compression
b)if no symptoms, sidebend and compress with forearm
c)if no symptoms sidebend and rotate and compress
d)if no symptoms, sidebend, rotate and extend then compress
can reinforce forearms and cross arms to use hands
testing= Intervertebral nerve root
-acute inflammatory lesion
-local sprain/ strain
-facet irritation
-spinal fracture
Increased pressure on nerve root
positive test=Symptoms produced as intervertebral foramen narrows and facet joints are stressed on the side of rotation