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Boards LB Orthos

QuestionAnswer
Neri’s Sign? As the patient bends forward, the patient bends knee of affected side. Positive=if the knee bends, or if the bending causes px in the leg; Indicates=lower disc problems, as well as ls and si strain subluxations
Lewin Punch test? Doctor punches patient in the ass; Positive=if it elicits px is it positive; indicates=spinal lesion, usually a protruded disc
Kemps test? sitting or standing, rotate patient away, and then obliquely, extended, and medially, POS=when it creates px that radiets down the lower extremities; facet encroachment, fx or disc involvement, local px is sprain/strain-standing=facets, and seated=discs
Adams/Belt? first the patient (with back px) bends over, and doc notes how much dorsoflex is needed produce px, doc stabilizes pelvis and patients bends forward-if symptoms reproduced you can determine it lumbar in nature rather than pelvic
Minors? As patient gets up from seated, or goes into a seated position, they use only their good leg, and flex their affected leg, IND=SI lesion, LS sprain-strain, fractures, disc syndrome, dystrophies, and myotonia
Dejerines? When patient coughs, sneezes or strains at the stool they feel px, indicates a SOL, but it can cause px in sprain/strain of SI, LS dysfunction
Bechterew’s? Patient is seated and actively raises each leg sep, doc presses downwards on femur, POS=radiating leg px, IND=Lumbar disc issue
Deyerle sign? Patient is seated and doc passively extends leg until px is reproduced, then the knee is flexed slightly while strong pressure is applied to the popliteal fossa, POS-if radicular px symptoms present, IND; irritation of sciatic nerve above the knee
Lesegue’s Sitting Test? Patient is seated and doc passively raises their leg POS=radicular px indicates lumbar disc herniation
Linder’s Test? Patient is either seated or supine and head is flexed forward POS=px in lumbar region or along the sciatic nerve distribution IND=nerve root lesion, or SOL
Gapping Test? Doc crosses arms and pushes A-P and M-L on ASIS of supine patient, POS=if px in unilateral gluteal or posterior crural px, IND=Anterior Sacroiliac ligament ligament sprain
SLR test? doc raises the patients leg, and hand on knee POS=if limited ROM due to px, then pos IND=sciantic from LS or SI, disc lesion, spondylolisthesis, adhesions, IVF occlusion, exacerbated px indicates sensitized nerve root, elicited sciatica indicates a SOL
Braggards? Same as Fajersztajn’s-If px during SLR or Lasegue test, leg lowered below pt of discomfort and foot sharpely dorsiflexed POS=px is increased IND=sciatic neuritis, spinal cord tumors, IVD lesion, and spinal nerve irritations
Sicards? If SLR is positive, lower leg so that pain goes away, and then dorsiflex the big toe. POS=If it reproduces radicular symptoms IND=sciatic neuritis, nerve root problem, SOL
Bowstring sign? Patient lies supine, doctor raise leg up, first pushes on hamstrings, and if hamstrings don’t elicit a response, then popliteal fossa POS=px in lumbar region or radiculopathy IND=nerve root compression
Milgram’s Test? patient lays supine and lifts both legs 6 inches off of the table and holds for as long as possible POS=low back pain IND=herniated disc, and rule out a pathological condition of intrathecal origin.
Patricks? FABRE, Patient lies supine and doc cross ankle over opposite knee (Figure 4), and applies pressure to knee and opposite iliac crest POS=Px in the hip IND=coxa pathologic condition
Laguerre’s? Same as Patricks, but you put your forearm under their leg
Gaenslen’s? Patient lies supine, and flexes knee into chest, doctor applies pressure to knee and extended (affected femur) POS=px in SI joint or referred down thigh IND=SI dysfunction; if no px could mean ls lesion
Lewin-Gaenslen’s Test? Just like Gaenslen’s, but patient lies on unaffected side, and extends affected leg for the examiner, provider further extends leg POS=px in SI IND=SI lesion
Thomas test? patient lies supine and raises the unaffected knee into their chest POS=affected knee or leg lifts off of the table IND=contracture of the iliopsoas
Smith-Peterson? supine and doc palpates lumbar spinous, as the leg is raised if px before spinous move, it is most likely and SI issue, after they move it is more likely a LS issue. If one can be raised way more than the other it is more likely to be an SI issue.
Goldwaiths? Patient lies supine and the doc palpates lumbar area, if the affected leg cannot be raised as high as the unaffected leg, then it is most likely an SI issue; if it can be raised to the same height it is more likely to be a lumbosacral lesion
Kernig/Brudzinski? Patient lies supine, and as their head is flexed forward, if their knees flex this is positive, then knees are raised to 90/90 and leg is extended. If opposite knee flexes it is positive also. Indicative of meningitis
Hibb’s test? patient lays prone, and doc flexes knee to 90, and then internally rotates femur (heel outside of buttocks) POS=pelvic px IND=sacralilliac px
Yeoman’s? Patient lies prone, doc places hand on affected SI, flexes knee to 90 degress, and then picks up knee hyperextending hip POS=SI px IND=SI lesion
Nachlas? patient lies prone, doc flexes heel to ipsliateral buttocks POS=px in SI joint, LS area, or if px radiates down the thigh or leg IND=SI or LS disorder, or femoral traction
Hyperextension? patient lies prone, doc stabilizes hip, and extends leg backwards POS=anterior thigh pain IND=L3/L4 nerve root irritation
Ely’s? Patient prone, Doc flexes heel to opposite ass cheek, and then knee hyper extended POS=not being able to perform this test IND=femoral radiation from lower, upper lumbar nerve root irritation, iliopsoas
Femoral nerve traction? Patient lies on their side with affected side up, doc flexes and extends knee POS=radicular px on anterior thigh IND=femoral nerve irritation
Iliac compression test? Patient lies on side and doc places pressure L to M POS=Px in SI joint IND=SI lesion
Burns Bench Test? Patient kneels on the table, and flexes forward trying to touch the floor POS=If patient fails to perform, or can’t IND=psychological overlay
Well Leg Raise? Patient lies supine, and their unaffected leg is raised. If pain occurs in other leg, it is indicative of a disc herniations
Lewin Supine? Patient lies supine and doc stabilizes feet, patient tries to sit up POS=if patient can’t do this IND=lumbar arthritis, lumbar fibrosis, DD thining with protrusion, SI or LS arthritis and sciatica
Lesague Test? Patient lies supine, doc flexes knee to 90/90, doc slowly extends leg for patient POS=px and inability to do test IND=sciatica from LS or SI lestions, subluxations, disc lesion, spondylolisthesis, adhestions, or IVF occlusion
Lesague Reboud? after patient leg is raised in the supine position, their leg is dropped. If this causes pain they may have a lumbar issue.duh.
Double Leg Raise? Both of patients legs are raised simultaneously and if px is produced earlier than single leg raise, usually indicates that there is disc disease and instability
Created by: maddie427 on 2011-09-29



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