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ST for Lumbar Spine
Special tests for the Lumbar Spine (Implications only)
| Question | Answer |
|---|---|
| Straight Leg Raise | Lesion in hamstring, spinal cord, lumbrosacral or Sacroilliac region |
| Brudzinski's Sign / Lidner's sign | Stretching of the dur matter of the spinal cord or lesion in the spinal cord |
| Bragard's test | May be a lesion in the hamstring area or in the lumbrosacral or sacroilliac joints |
| Unilateral Straight Leg Raise (Wells) | Indicates space occupying lesion (herniated disk) |
| Modified Straight Leg Raise | Lesion in hamstring, spinal cord,lumborsacral or SI region |
| Bilateral Straight Leg Raise | P! before 70: Lesion in SI region P! after 70: Lesion in Lumbar Spine |
| Prone Knee Bending Test | L2 or L3 nerve root lesion |
| Brudzinki-Kernig Test | Nerve Root invovlement or dural irritation |
| Femoral Nerve Traction | stretching of the femoral nerve |
| Bowstring Test | Pressure on sciatic nerve |
| Sitting Root Test | Pressure on sciatic nerve |
| Babinski Test | Upper motor neuron lesion |
| Openheim Test | upper motor neuron lesion |
| Gluteal Skyline | damage to inferior gluteal nerve or pressure on L5, S1 and or S2 nerve roots |
| Yeoman's Test | Lumbar Joint Dysfunction |
| Milgram's Test | Lumbar Joint dysfuntion |
| One Leg Standing Lumbar Extension | Just extension: Spondylolisthesis ROT w/ EXT: facet Joint Pathology |
| Segmental Instability Test | Lumbar segmental instability |
| Hoover's Test | No increase in pressure, they are not really trying |
| Gaenslen's Test | SI Joint dysfunction |
| Prone Gapping Test | Sprain of the osterior sacroilliac ligament |
| SI Joint Compression and Distraction | Sacroilliac pathology C: Sprain of the anterior sacroiliac ligament D: Sprain of the posterior sacroiliac ligament |
| Sacral Apex Pressure | SI Joint problem |
| Laguere's Sign | SI joint dysfunction or lesion |
| Gillet's Test | SI Joint hypomobile or blocked |