Lumbar Orthopedics Practice Quiz

Minor sign

What sign is this?

Posterolateral disc protrusion

What type of disc herniation may be present?

- Test: straight leg raise

- Positive finding: reproduction of leg pain

- Indication: disc herniation, lumbar radiculopathy

- Test?

- Positive finding?

- Indication?

- Bragard's Test

- Well-Leg-Raise

- What is the name of this test?

- Name another lumbar orthopedic test that has this one as a part of the maneuver

- Positive finding: patient reports low back pain in first 0-15˚ of straight leg raise

- Indication: myalgia

- 60˚or above: SI joint

If Demianoff sign is positive, what does it indicate?

- Positive finding: leg pain

- Indication: sciatica

Lasegue Sitting Test

- Positive finding?

- Indication?

- Bowstring test

- Positive finding: reproduction of leg pain

- Indication: sciatica

- What is the name of this test?

- Positive finding?

- Indication?

- Seated Kemp Test

- Yes

- Standing Kemp with low back pain = facet

- What is the name of this test?

- Can it also be performed with the patient in the standing position?

- Positive finding: low back pain

- Indication: nerve root compression

Lindner Sign

- Positive finding

- Indication?

- Left image (toe-off)

- L4/L5 would be the heel-off

Which one would be positive in a L5/S1 herniation?

- Slump Test

- Positive finding: reproduction of pain

- Indication: lumbar radiculopathy

- Evidence-based, along with SLR

- Name of this test?

- Positive finding?

- Indication?

- Milgram Test (anular tear)

- Lewin Punch Test

- Lewin Snuff Test

Name two tests that would be positive for IVD disc lesion

- Spinal percussion test

- Pain over SP = fracture/sprain

- Pain over paraspinals = strain/myalgia

What is the positive finding and indication for each?

- Quick test

- Assessment for low back or LE pain

- Name of test?

- What is it assessing?

- Jackson One-Legged Hyperextension Test

- Positive finding: reproduction of back pain on symptomatic side

- Indication: impending pars fracture

- What is the name of the test to assess for a Pars Fracture?

- Positive finding?

- Indication?

- Ely Heel-to-Buttock Test

- Femoral Nerve Traction Test (evidence-based)

- Prone Knee-Bending Test

- Hyperextension Test

- Name all the orthopedic tests/signs to assess for Femoral Nerve Irritation L2/L3/L4

- Which one is evidence-based?

- Kernig Test (bring knee up, straight to 90˚, buckles to other side)

- Brudzinski Test (passive head flexion - reproduction of buckling of knees)

Name the two tests for Meningeal Irritation

- Tests motion of the lumbar spine

- Ankylosis spondylitis

Schober Test

- Which clinical condition would this test be positive?

- Vanzetti Test

- Positive finding: iliac crest height uneven with antalgic leg pain

- Indication: sciatic scoliosis

- Name of this test?

- Positive finding?

- Indication?