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| The doctor asks the patient to knee upright on the table and grasps the patient’s ankles from behind and asks the patient to bend over and touch the floor with the finger tips. If the patient refuses to do this = malingering |
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| The doctor places his hands under the heels of the supine patient and then asks them to lift the affected leg. If there is no increased pressure in the affected limb = malingering |
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| The seated patient is asked under the guise of your needing to check their circulation, to extend each leg one at a time so that it is parallel to the floor. If the patient can do so without causing pain when an SLR is “positive” = malingering |
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| Apply pressure to both mastoid processes. It is not used to indicate malingering but it is used to gauge the patient’s pain threshold. |
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| The doctor asks the patient at the beginning of the interview to point to where the pain is located. This site is marked with a skin pencil. Ask the patient the same question later in the interview and mark the point again. If the patient does not mark within 1-2 cm of the same spot = malingering |
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| The doctor palpates the prone patient’s radial pulse and notes the pulse rate. The doctor applies manual pressure to the area in which the patient complains of pain. Note the pulse rate while pressure is being applied. If there is no increase in the pulse rate = malingering |
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