LQ Screen

What vitals should be included?

BP, HR, RR, body temp, skin check

How should movements be sequenced?

Start with uninvolved side, go active→passive→resisted, save painful movements for last

When is overpressure used?

For ruling out structures that are non-painful at end range

What is all in the LQS?

Lumbar AROM

FMS: squat, sl squat, SLS, heel walking, toe walking, gait

Myotomes: Hip F, Knee E, DF, Toe E, PF, Knee F*, Hip E*

Reflexes: patellar, achilles

Supine ROM: Hip F/ER/IR, Knee F/E, Ankle DF/PF/I/E

Neurodynamics: Slump, SLR, Prone Knee Bend, Femoral Nerve Tension Testing

Posture Type with associated short vs weak muscles

• Lordosis

• Flat-back

• Swayback

• Hip flexors and lumbar extensors tight, Abs and hip extensors weak

• Abs and hip extensors tight, lumbar extensors and hip flexors weak

• Abs and hip extensors tight, lower abs/lumbar extensors/hip flexors weak

What are the myotome levels for each functional movement

Squat: L3-5

SL Squat: L3-4

SLS: L5-S1

Heel walk: L4-5

Toe walk: S1

New myotome ranges for MMT?

Hip flexion: L1-3

Knee extension: L3-4

DF: L4-5

Great Toe extension: L5-S1

PF*: S1-2

Knee flexion*: L5-S1

Hip Extension*: L4-5

Reflex Levels?

Patellar: L3-4

Achilles: S1-2

A positive neurodynamic test possesses what qualities?

Reproduction of patient sx, different side to side, affected by movement of distant component

Describe SLR

Patient supine, therapist lifts legs until sx are felt, back it down slightly, then flex neck to see if they come back, + if yes

What are the variations of SLR?

Sural nerve: inversion, dorsiflexion (SID)

Peroneal/Fibular nerve: Inversion, plantar flexion (PIP)

Tibial nerve: Eversion, dorsiflexion (TED)

SLR is a - test for - - with a value -

Sensitive, Lumbar radiculopathy, 0.92-0.97

Describe the slump test

Sit next to patient, flex neck w overpressure, slump w overpressure, kick out leg, DF… if sx at certain level, raise head up to see if they go away

Slump is a - test for - - with a value of -

Sensitive, lumbar radiculopathy, 0.84-0.91

Describe prone knee bend test

Lay prone, bend knee with pelvis stabilized, can extend head or change ankle position to provoke

What can PKB test

L1-4 nerves, femoral nerve, RF length

Describe FNTT

Pt sidelying with involved side up, bottom leg to chest (arom) and top leg moved to knee flexion and hip extension (prom), pt extends neck