Flashcards in Lumbar Orthopedic Exams Deck (75)
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?
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
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
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