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Spine Special Tsts
NPTE Musculoskeletal
| Question | Answer |
|---|---|
| VBI test performance | extend head 30sec, ext with L/R rotation |
| Hautant’s test | differentiates vascular vs vestibular dizziness. Shoulders 90d with palms up, close eyes and maintain position + for vestibular. Same position with neck extension and rotation for 30sec + vascular |
| Cx Transverse Lig stress test | integrity of transverse lig. Supine, C1 anterior glide + soft EF, dizzy, nystagmus, nausea, etc |
| Anterior shear test | Anterior glides of C2-C7 |
| Spurling’s test | Cx nerve root compression. LF with downward pressure. + pain/paresthesia in dermatomal pattern |
| Quadrant/max Cx compression | NR compression at IVF or facet |
| Distraction test | compression of NR at IVF or facet dysfunction. Passive distraction in sitting. Decreased sx in neck = facet. Decr sx in UE = neuro |
| Shoulder abduction test | Hand on head. Decrease in sx= compression of nerve in IVF |
| Lhermitte’s sign | SC or UMN lesion. Long sitting with passive Cx flexion and hip flexion with knee extension. + pain down spine &UE or LE |
| Romberg | UMN lesion. Stand feet together with eyes closed. + excessive swaying |
| Lasegue’s test | SLR test for LE neural tension with ankle DF |
| Femoral nerve traction test | same as sidelying “PKB” for femoral nerve ND testing |
| Valsalva’s maneuver | space occupying lesion. Hold deep breath and bear down. + if increased LBP or neuro sx in LEs |
| Babinski’s | UMN lesion. Glide thumb along plantar surface of foot. + if big toe EXT and splaying of toes |
| Quadrant identifies? | compression of neural structures at IVF or facet dysfxn |
| Quadrant performance | IVF- Left LF, Left ROT, EXT. Facet- Left LF, Right ROT, EXT to maximally compress facet joint on Left |
| Stork test | + spondylolithesis if pain in low back with SLS and trunk extension |
| McKenzie’s Side Glide test | differentiates between scoliosis vs neuro dysfxn causing lateral shift of trunk. |
| Performance of Side Glide | stand on side towards upper trunk shift. Shoulders into pt’s trunk and hands around pelvis. Align. + if neuro sx when realigned |
| Bicycle / Van Gelderen’s test | differentiates intermittent claudication & spinal stenosis. Ride stationary bike in erect & slumped postures. If able to do more in slumped, + for stenosis. |
| Gillet’s test | Assesses posterior ilium mvmt. Thumbs on PSIS and sacrum. Raise leg – PSIS should move posterior if WNL |
| Ipsilateral Anterior Rotation Test | Assesses anterior mvmt of ilium relative to sacrum. Thumbs on PSIS & sacrum. Extend hip – PSIS should move superior if WNL |
| Gaenslen’s test | SIJ dysfunction. Sidelying- bottom leg max flexed, upper leg passively extended. + if pain in SIJ |
| Long sitting (supine to sit) test | SIJ dysfunction causing fxnl leg length discrepancy. Supine, check medial malleoli. Long sitting, check malleoli. + if reversal in limb lengths |
| Goldthwait’s test | Lx spine vs. SIJ. Supine, PT fingers between Lx SPs. Passive SLR. + for SIJ if pain prior to mvmt in Lx spine. |
| TMJ Compression | Sitting, stabilize head and push mandible superior to compress TMJ. + if pain in TMJ. |
Created by:
Jenwithonen
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