Clin3 Lumbar spine
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AROM - lumbar flexion
AROM - lumbar extension
AROM - lumbar lateral flexion
AROM - lumbar rotation
PROM - lumbar flexion
PROM - lumbar extension
Tissue stretch (firm)
PROM - lumbar rotation
MRT - lumbar flexion
- Internal/External obliques
- Rectus abdominis
MRT - lumbar extension
- Erector spinae group
- Quadratus Lumborum
MRT - lumbar lateral flexion
- Quadratus lumborum
- Internal/external obliques
MRT - lumbar rotation
- Tests for FJI (facet joint irritation) or SOL (space occupying legion) of lumbar spine
- Tests if client has sharp local low back pain that increases when the facet joints are "loaded - up" and or nerver pain extending into any part of the leg, muscle weakness loss of sensation.
- Instruct client to slowly extend, sidebend, and rotate the thorax and lumbar spine to the affected side. This can be accomplished by having the client run their fingertips of the hand on the affected side down the posterolateral aspect of the affected let as far as possible.
- Positive test for FJI when pain remains local in the lower back. Positive test for SOL if pain is radiating or other neurological signs in the affected leg indicated nerve root involvement.
- Tests for abnormal intrathecal pressure on the spine
- Tests if there is nerve pain, muscle weakness, loss of sensation, loss or diminished bladder/bowel control, or pelvic floor pain
- Client sits in a chair and leans forwar, supporting themself with their arms. Th. asks them to bear down as if having a bowel movement.
- Positive test for intrathecal pathology if there is an increase in nerve pain or loss of function. Also positive if there is pressure on the spinal cord. (Reproduction of signs/symptoms)
Straight Leg Raise Test with Braggard's Sign
- Tests for sciatica, sciatic nerve vs. hanstrings causing the problem
- Tests if client is experiencing sharp pain in back or if client has nerve pain down their leg, often to plantar surface of their foot.
- Client is supine. Therapist stands on the side of the table to be tested (side of leg nerve pain) and grasp's the clients heel and brings leg into hip flexion w/ knee extended @ 70-75 degrees, the sciatic nerve is streached. If pain increases before 70 degrees, lower the leg from point of pain about 10-20 degrees and then client dorsiflexes the foot and flexes the head and neck (Braggards sign)
- Positive test for nerve involvement and or hamstring contracture if pain is increased or there is numbness in either leg. If numbness again increases with Braggard's, disc involvement is present. If pain or numbness does not return, hamstring contracture is suspect.
Side-lying Prone Knee Bend Test
- Tests for Femoral Nerve Impingement at leve of L2-L4
- Why test - used with anterior/medial thigh nerve pain and or weakness
- Client is side-lying , test side up. Test knee is flexed to 90 degrees. Cradle top leg at knee/supporting lower leg. Extend hip while stabalizing greater trochanter.
- Positive test when pain/weakness in the anterior and/or medial thigh or medial leg develops or increases
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