Back ST, MMT

SLR

ACTION: PROM ext leg until limit, release and DF then repeat ext

(+): Pain with ext radiating down leg

Indicates: Lumbar radiculopathy, dic pathology

Slump test

ACTION: pt slumps, look down, ext knee, DF foot

(+): tension and increased symptoms

Indicates: Neural tension, rdiculopathy

Quadrant Test

ACTION: Pt stands DL, ext back, rot, lat flex

(+): pain

Indicates: SI Jt dysfunction, facet compression

SL Stance (Stork)

ACTION: Pt stand SL and ext back

(+): pain in low back or SI area

Indicates: Spondy

Valsalva

ACTION: Pt blows into hand to contract core muscles, like pooping

(+): Pain along spine

Indicates: Disc pathology

Prone Instability Test

ACTION: Pt prone bends over edge of table and clinician applies pressure to L spine while pt lifts legs

(+): Pain decreases while legs are up

Indicates: Lumbar instability

Hoover’s test

ACTION: Clinician holds both heels while pt is supine, pt lifts one leg at a time

(+): Should feel downward pressure, if pt lifts non tested leg, no actual pain

Indicates: Malingering, faking pain

Brudzinski’s Test

ACTION: Pt supine and flexed neck while lifting feet off table, like a half v up, clinician stabilize as needed

(+): Unable to keep leg straight

Indicates: Meningeal inflammation

Well crossed SLR

ACTION: PROM ext leg until limit, release and DF then repeat ext

(+): Pain with ext radiating down opposite leg

Indicates: Lumbar radiculopathy, dic pathology

Bechtrew’s Test

ACTION: Pt sits with legs off table, ext one leg then other then both

(+): pain or inability to ext both legs

Indicates: Radiculopathy

Side lying Jt Compression and Distraction

ACTION: Pt side lying, clinician pushes straight down on hip. Pt supine, clinican crosses arms and pushes apart hip bones

(+): pain in SI jt

Indicates: SI jt pathology

Milgram Test

ACTION: v sit hold 30 sec

(+): pain or unable to hold

Indicates: Intervertebral pressure, disc pathology

Trunk Ext MMT

Pt Pos: Prone torso off edge of table, legs on table

Stabilize: Holds legs down

Action: Pt performs back ext hold for 2 minutes

Trunk Flex MMT

Pt Pos: SS knees bent

Stabilize: None

Action: Hold lean back/crunch position

Trunk Rotation MMT

Pt Pos: Supine hands behind head

Stabilize: Shoulder and opposite hip

Action: try to touch should to hip

Lat Trunk Flexion MMT

Pt Pos: Side lying

Stabilize: Ankles

Action: Pt performs side crunch