Term
| Straight Leg Raising Test |
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Definition
0-35 degrees=SI joint lesion/spastic piriformis
35-70 degrees = IVD pathology
> 70 degrees = lumbar joint pain |
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Term
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Definition
SLR + Dorsiflex Foot (when SLR is Pos)
Positive if pain is increased associated with sciatic neuritis, spinal cord tumors, IVD lesions, and spinal nerve irritation. |
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Term
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Definition
SLR + Dorsiflex Big Toe
Positive if sciatic pain is produced associated with sciatic radiculopathy |
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Term
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Definition
Patient supine, legs extended, dorsiflex big toe
Positive is pain in gluteal region asssociated with sciatic radiculopathy |
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Term
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Definition
SLR (add hand over knee of raised leg)
Positive is when patient lifts pelvis of raised leg off of table associated with prolapse of the nucleus into the IVF |
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Term
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Definition
| SLR but cannot lift past 15 degrees due to pain in lumbar region associated with strain of iliocostalis lumborum m. |
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Term
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Definition
| SLR with positive when patient flexes the leg at knee associated with sciatic radiculopathy |
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Term
| Lasegue Differential Sign |
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Definition
SLR where examiner flexes the thigh at point of pain.
Positive is when pain is reduced upon flexion associated with radiculopathy (not hip articular pain) |
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Term
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Definition
Supine, legs extended, hip and knee of one leg flexed to 90 degrees
Positive is when pain occurs upon knee flexion associated with sciatica w/nerve root inflammation or compression |
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Term
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Definition
Supine, legs extended, elevate leg 45 degrees, squeeze calf firmly and dorsiflex foot.
Positive when pain occurs upon dorsiflexion of foot associated with thrombophlebitis |
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Term
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Definition
Supine, legs extended. Examiner flexes the hip and knee of either leg 90 degrees and then attempts to completely extend the leg.
Positive is when pain prevents extension of the leg and is often accompanied by involuntary flexion of other hip and knee - associated with meningeal irritation or inflammation |
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Term
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Definition
Supine, examiner flexes patient head
Positive is flexion of both knees (may also involve hips) associated with meningeal irritation or inflammation. |
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Term
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Definition
Supine, examiner moves the patient's leg until it is above the examiner's shoulder then applies firm pressure near the insertion of the hamstring m. If no pain examiner applies pressure to the popliteal fossa
Positive is pain in either location associated with lumbosacral nerve root compression |
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Term
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Definition
SLR on affected leg with restriction of leg movement the examiner will passively flex the knee
Positive if hip flexion does not increase with knee flexion(sign of buttock) indicating hip or buttock bursitis, tumor or abscess. If it does = lumbar spine disorder |
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Term
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Definition
SLR + dorsiflexion of foot on nonaffected leg.
Sign is present when pain on affected leg is present associated with sciatic nerve involvement (test pulls laterally on dural sac) |
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Term
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Definition
Can be performed seated or supine. Examiner passively flexes the patient's head into chest.
Positive is pain in the lumbar spine and sciatic nerve distribution associated with sciatica or nerve root irritation/inflammation |
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Term
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Definition
Supine, instruct patient to lift both legs six inches off the table and hold as long as possible.
Positive is when patient experiences low back pain and is not able to hold legs off table or reach approx six inches of elevation associated with herniated disc |
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Term
| Bilateral Leg Lowering Test |
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Definition
Supine, examiner lifts both legs while fully extended to 90 degrees. Instruct patient to lower legs from 90 to 45 degrees.
Positive is when the legs drop or low back pain is produced associated with mechanical lumbosacral involvement or disc lesions |
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Term
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Definition
Supine legs extended, examiner applies downward pressure to the legs, then patient performs a sit up without the use of their hands.
Positive is when patient is unable to do this associated with lumbar-lumbosacral-sacroiliac arthritis, degenerative disc with protrusion, or sciatica |
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Term
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Definition
Seated, patient extends each leg one at a time, examiner resists extension (downward pressure on thigh) at end range, one leg at a time. Followed by patient extending both legs simultaneously.
Positive is present when backache or sciatic pain is increased or the maneuver is impossible associated with sciatica, subluxation, spasm, or if extending both legs = pain, disc involvement |
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Term
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Definition
Assessment for Simulated Lumbar pain. Patient seated, knees flexed to 90 degrees; tell patient to rapidly and repeatedly kick the legs while legs are extended (flutter kick).
Positive is when patient must lean back to perform this (tripod posture) |
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Term
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Definition
| Patient is standing and is instructed to squat down and then stand up again. Used to rule in or out ankle, knees, and hips in differential diagnosis. Do not perform with pregnant patients or those with known arthritis in the lower extremeties |
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Term
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Definition
Examiner supports patient by reaching around the patient's shoulders and upper chest with one arm from behind and to the side of the patient. Patient is then directed to lean obliquely forward and away from the affected side. Examiner then actively rotates the patient's trunk toward the affected side.
Positive is pain on affected side associated with disc problem. |
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Term
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Definition
Patient is standing. Same position of support across chest. One hand is used to anchor pelvis on the affected side. Doctor firmly moves patient's opposite shoulder obliquely backward toward the affected side.
Positive is when pain is produced on affected side associated with facet issue. |
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