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Thoracic/Lumbar

Thoracic/Lumbar Spine Special Tests

Special TestTests for...Positive (+) Test
Babinski upper motor nerve lesion great toe extends, others splay (performed on plantar surface)
Oppenheim upper motor nerve lesion great toe extends, others splay (performed on anterior tibia)
Straight Leg Raise sciatic nerve irritation/spasm; disc herniation sciatica - pain at 50-70 degrees; disc herniation - pain at 30 degrees
Well Straight Leg Raise larger disc lesion/herniation; sciatica pain is felt on involved side when univolved leg is raised
Hoover malingering no downward pressure of heel is felt when opposite leg is lifted
Kernig nerve root, meningeal/dural irritation pain disappears with knee FLEX
Brudzinski nerve root, miningeal/dural irritation pain felt in the back or leg with neck FLEX
Bowstring (Cram) compression or tension of the sciatic nerve athelte reports pain with compression in the popliteal fossa
Slump nerve root tension pain is elicited
Stork Stance spondylolisthesis; pars fracture back pain around affected vertebral level
Valsalva Maneuver Sciatica or disc herniation pain in back along the sciatic nerve distribution
Beevor's Sign thoracic nerve inhibition (T5-T12) umbilicus moves up, down or to one side
Created by: tmsavage