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Abs and Lumbar ST
Implications and positive tests for Abdomen and lumbar spine
| Question | Answer |
|---|---|
| Straight Leg Raising Test | Postive Test: Pain Implications: lesion in the hamstring, spinal cord, lumbrosacral and sacroiliac region |
| Brudzinki's sigN/ Lidner's Sign | Positive Test: Pain when flexing the neck Implication: stretching of the dura matter of spinal cord and/or lesion with in the spinal cord |
| Bragard's Test | Positive Test: Pain with ankle dorsiflexed Implication: lesion in the hamstring, lumbrosacral or sacroiliac joints |
| Unilateral Straight Leg Raise | Postive test: pain on oppisite side Implications a space occupying lesion (herniated disc) |
| Modified Straight Leg Raise | Positive Test: pain in back or back of leg Implications: lesion in hamstring, spinal cord, lumbrosacral or sacroiliac region |
| Bilateral Stright Leg Raise | Positive Test: Pain Implications: pain before 70 degrees=lesion in SI joint. Paint after 70 degrees= lesion in Lumbar spine |
| Prone Knee Bending Test | Positive Test: unilateral pain in lumbar area, buttock or posterior thigh Implications: L3 or L3 nerve root lesion |
| Brudzinki-Kernig Test | Positive Test: Flexes knee and if pain disappearsit is positive. Implications: Nerve root involvement or dural irritation |
| Femoral Nerve Traction Test | Positive Test: pain radiates down anterior thigh Implications: stretching of the femoral nerve |
| Bowstring Test | Positive Test: pain/symptoms Implcations: pressure on sciatic nerve |
| Sitting Root Test | Positive Test: Pain Implication: Pressure on Sciatic nerve |
| Babinski Test | Positive Test: splaying of the toes Implications: upper motor neuron lesion |
| Oppenheim Test | Positive Test: splaying of the toes Implications: Upper motor neuron lesion |
| Glueteal Skyline Test | Positive Test: shows a contraction Implications: damage to inferior gluteal nerve or pressure on L5, S1 or S2 nerve roots |
| Yeoman's Test | Positive Test: Pain in Lumbar spine during both parts Implications; Lumbar joint dysfunction |
| Milgram's Test | Positive Test; symptoms are reproduced in affected limb Implications: Lumbar Joint dysfunction |
| One Leg Standing Lumbar Extension | Positive Test: Pain in back Implication: just extention= spondylolisthesis ROT with EXT= Facet joint Pathology |
| Segmental Instability Test | Positive test: pain in resting position only Implication: Lumbar Segmental instability |
| Hoover Test | Positive Test: if lifted leg is weaker, pressure under normal heel increases. Implications: no increase in pressure, not really trying |
| Gaenslen's Test | Positive test: EXT of Lumbar spine, pain in SI region Implications:SI joint dysfunction |
| Prone Gapping Test | Positive Test: pain and increased laxity Implication: sprain of POST Sacroiliac ligament |
| Sacroiliac Joint Compression and Distraction | Positive Test: pain arising from SI joint Implication: C: sprain of ANT sacroiliac ligament. D: sprain of POST sacroiliac ligament |
| Sacral Apex pressure Test | Positive test: pain and or increased movement Impliations: sacroiliac joint problem |
| Laguere's Sign | Positive Test: pain in SI joint implications: SI joint dysfunction or lesion |
| Gillet's Test | Positive test: SI joint on sid eknee is flexed moves minimally or up. Implications: SI joint is hypomobile or blocked. |