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Flashcards in Lumbar Orthopedic Exams Deck (75)
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A positive Lindner's Sign indicates?

If pain is elicited in the low back and sciatic nerve, it indicates nerve root inflammation or irritation
Supine version: same as Brudzinski's sign - meningitis
Seated version: same as Lhermitte's procedure - cervical myelopathy or meningitis


If Lindner's Sign is positive in the supine position what does this indicate and what other test is this similar to?

Brudzinksi Test


If Lindner's Sign is positive in the seated position what does this indicate and what other procedure is it similar to?

Cervical myelopathy or meningitis
Lhermitte's procedure


How is Milgram's Test performed?

Patient lies supine and lifts feet 6 in off the table with knees in full extension and holds this position for 30 seconds


What is a positive finding for Milgram's Test and what does it indicate?

Patient is unable to hold the position due to:
Low back pain - herniation or lumbar sprain/strain
No pain - may have weak core muscles


What is Minor's Sign?

Patient uses upper body strength to stand from a seated position - recruitment of upper body


A positive Minor's Sign may indicate?

SI joint lesion
L5 strain/sprain
Lumbopelvic fracture
IVD syndrome
Muscular Dystrophy


How is Nachlas's Test performed?

With patient lying prone dr attempts to touch the heel of one foot to the Ipsilateral buttock


A classic positive of Nachlas's Test would be?

Pain in the anterior thigh and/or groin area


A positive Nachlas's Test may indicate?

Radiating pain may be from femoral nerve or lumbar spinal root compression
Localized pain is due to quadriceps muscle contracture


How is Quick Test performed?

Patient supports him/herself with hand on wall or table and then does 5 deep squats with a bounce at the bottom


What is a positive Quick Test?

Pain/locking/crepitus in the low back, hips, knees or ankles


How is the bilateral leg lowering test performed?

Patient lies supine, dr flexes hips to 90 degrees with legs extended. Patient then lowers legs until dr says to stop, around 45 degrees.


What is a positive finding for bilateral leg lowering test?

Pain in the buttocks, SI joint or lower extremity
The leg drops due to pain


What does a positive bilateral leg lowering test indicate?

Mechanical limbo pelvic problem such as Lumbosacral sprain/strain, facet syndrome, or IVD lesion