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