Term
| Slump Test (part of screen) |
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Definition
| -Pt short-sitting w/ hands behind back -Have pt "slump" into T/L flexion w/ head down; apply OP to shoulders; -Flex foot into DF as pt ACTIVELY extends knee Maximal knee ext and/or extension of the head indicate + test for neuromeninceal tightnes (Sciatic) - test one leg then the other |
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Term
| Prone Knee Bend Test (part of screen) |
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Definition
-Pt prone, pt to grasp ant thigh and elevate leg passively to point of discomfort
-Ask pt where pain is
-Pain in back/buttock/hip indicates + test for Femoral n. involvement
-Pain in quad indicates + test for muscle tightness |
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Term
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Definition
-Pt standing, arms across chest. PT places hand on pt's opposite shoudler, guides through back ext, then SSSB, then OPPOSITE side rotation, with OP.
-Reprodn of sx's indicates + test for facet disfunction and/or narrowing of IVF
*if sx's stay local, indicates tissue pinch, if radiating indicates impingement on a nerve |
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Term
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Definition
| -Pt stands on 1 leg and extends bwd (can also add rotation to load facets on that side) -Test both sides -Increased back pain indicates + test for spoldylolisthesis on that side, loss of proprioception (if also have - trendelenburg), SI/knee/ankle instability |
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Term
| Bicycle Test (of Van Gelderen) |
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Definition
-Pt on exercise bike, pedaling vs resistance
-While pedaling, pt leans back
-If pain into buttock/post thigh, followed by tinglingin LE, proceed (if no pain, - test);
-While pedaling, pt leans fwd
-If pain subsides, test is + for NEUROGENIC INTERMITENT CLAUDICATION |
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Term
Prone Instability Test
(1 of 2 - no PT contact, just observe) |
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Definition
| *do this test if pt complains of "catching", or hypermobile in screening SLR: -Pt standing, have them bend over forward and come back up slowly -Instability/quivering/aberrant motion during flex/ext, and/or *gower's sign* (labored, climbing up legs) indicates + test for lumbar instability |
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Term
| Prone Instability test (2 of 2- use table) |
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Definition
-Pt bends over table
-Perform PA's S1 --> up spine
-When pt complains, have them hold legs up into air
-Re-test PAs
-Reduced pain w/ legs in the air indicates + test for paraspinal weakness |
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