scan & femoral traction test
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Questions and Answers

Which position is the patient in when ankle eversion (S1 myotome) is tested?

  • Standing
  • Sitting
  • Supine (correct)
  • Prone
  • Which myotome is being tested when the patient holds both big toes in a neutral position and the examiner applies resistance to the nails of both toes?

  • L4
  • L5 (correct)
  • S2
  • S1
  • In which position is hip extension (S1 myotome) tested?

  • Sitting
  • Prone (correct)
  • Supine
  • Standing
  • What is the recommended knee flexion angle for testing knee flexion (S1-S2 myotomes)?

    <p>90°</p> Signup and view all the answers

    Which test is positive if the patient experiences low back pain on axial loading of the spine in standing?

    <p>Straight leg raising test</p> Signup and view all the answers

    Which functional test involves the patient walking 7.5 m (25 ft) as fast as possible, turning, and returning to the starting position while being timed?

    <p>Timed 15-m (50-ft) walk</p> Signup and view all the answers

    Which test is considered by some to be the most important physical sign of disc herniation?

    <p>Straight leg raising test</p> Signup and view all the answers

    Which test is used to check the mechanical movement of neurological tissues and their sensitivity to mechanical stress or compression?

    <p>Neurodynamic test</p> Signup and view all the answers

    Which test should be done if there are neurological symptoms present?

    <p>All of the above</p> Signup and view all the answers

    Which test is used for lumbar instability?

    <p>H and I test</p> Signup and view all the answers

    Which test is used for joint dysfunction?

    <p>Clinical prediction rule for facet (zygapophyseal) joint involvement</p> Signup and view all the answers

    Which test is used for muscle tightness?

    <p>Ober test</p> Signup and view all the answers

    Which joints should be scanned during the peripheral joint scanning examination?

    <p>Knee joints</p> Signup and view all the answers

    During the scanning of sacroiliac joints, what indicates fixation of the joint?

    <p>Elevation of PSIS</p> Signup and view all the answers

    What is the purpose of scanning the peripheral joints?

    <p>To identify obvious pathology in the extremities</p> Signup and view all the answers

    How should the hip joints be moved during the examination?

    <p>All of the above</p> Signup and view all the answers

    What is the purpose of the Gillet's or sacral fixation test?

    <p>To assess the range of motion of the sacroiliac joints</p> Signup and view all the answers

    What should lead to a detailed examination of a joint during the scanning of peripheral joints?

    <p>Any deviation from normal</p> Signup and view all the answers

    Which movement should be tested with the knee flexed approximately 30°, especially if the patient complains of sciatic pain?

    <p>Ankle dorsiflexion</p> Signup and view all the answers

    Which myotome is responsible for ankle plantar flexion?

    <p>S1</p> Signup and view all the answers

    How should the examiner test hip flexion (L2 myotome)?

    <p>Flex the patient's hip to 30° to 40° and apply a resisted force into extension proximal to the knee</p> Signup and view all the answers

    Which movement should be tested with the patient standing?

    <p>Ankle plantar flexion</p> Signup and view all the answers

    Which myotome is responsible for great toe extension?

    <p>L4</p> Signup and view all the answers

    How should the examiner test knee extension (L3 myotome)?

    <p>Flex the patient's knee to 25° to 35° and apply a resisted flexion force at the midshaft of the tibia</p> Signup and view all the answers

    Which test is used to assess tension or pressure on the sciatic nerve?

    <p>Bowstring test</p> Signup and view all the answers

    Which test is a modification of the straight leg raising test and indicates tension or pressure on the sciatic nerve?

    <p>Bowstring test</p> Signup and view all the answers

    Which test involves flexing the head onto the chest and raising the extended leg actively by flexing the hip until pain is felt?

    <p>Brudzinski-Kernig test</p> Signup and view all the answers

    Which test involves applying direct pressure against the patient's knees or buttocks to produce radicular pain into the posterior leg?

    <p>Compression test</p> Signup and view all the answers

    Which test is used to assess tension or pressure on the femoral nerve and may also indicate nerve root problems?

    <p>Femoral Nerve Traction test</p> Signup and view all the answers

    Which test is used to differentiate between a tight iliotibial band and femoral nerve injury?

    <p>Femoral Nerve Traction test</p> Signup and view all the answers

    Which myotome is responsible for ankle dorsiflexion?

    <p>L4</p> Signup and view all the answers

    Which myotome is responsible for knee extension?

    <p>L3</p> Signup and view all the answers

    Which myotome is responsible for great toe extension?

    <p>L5</p> Signup and view all the answers

    Which myotome is responsible for ankle plantar flexion?

    <p>L5</p> Signup and view all the answers

    Which test is used to assess tension or pressure on the sciatic nerve?

    <p>Straight leg raise test</p> Signup and view all the answers

    Which test is positive if the patient experiences low back pain on axial loading of the spine in standing?

    <p>Valsalva maneuver</p> Signup and view all the answers

    During the scanning of sacroiliac joints, what indicates fixation of the joint?

    <p>Dropping of the PSIS</p> Signup and view all the answers

    Which movement should be tested with the knee flexed approximately 30°, especially if the patient complains of sciatic pain?

    <p>Hip extension</p> Signup and view all the answers

    Which test is used to check the mechanical movement of neurological tissues and their sensitivity to mechanical stress or compression?

    <p>Neurological stress test</p> Signup and view all the answers

    Which myotome is responsible for great toe extension?

    <p>L5</p> Signup and view all the answers

    Which test is positive if the patient experiences low back pain on axial loading of the spine in standing?

    <p>Axial compression test</p> Signup and view all the answers

    Which test is used for muscle tightness?

    <p>Muscle length test</p> Signup and view all the answers

    Which of the following is a test used to assess ankle eversion (S1 myotome)?

    <p>Supine position test</p> Signup and view all the answers

    Which myotome is responsible for great toe extension?

    <p>L5 myotome</p> Signup and view all the answers

    Which myotome is being tested when the patient holds both big toes in a neutral position and the examiner applies resistance to the nails of both toes?

    <p>L5 myotome</p> Signup and view all the answers

    Which myotome is responsible for ankle plantar flexion?

    <p>S1 myotome</p> Signup and view all the answers

    In which position is hip extension (S1 myotome) tested?

    <p>Prone position</p> Signup and view all the answers

    Which functional test involves the patient walking 7.5 m (25 ft) as fast as possible, turning, and returning to the starting position while being timed?

    <p>Timed 15-m walk</p> Signup and view all the answers

    Which test is used to assess tension or pressure on the sciatic nerve and is a modification of the straight leg raising test?

    <p>Bowstring test</p> Signup and view all the answers

    Which test involves flexing the knee slightly (20°) while maintaining the thigh in the same position to reestablish painful radicular symptoms?

    <p>Bowstring test</p> Signup and view all the answers

    Which test is positive if pain results from extending the knee while the patient's leg is clasped between the examiner's knees?

    <p>Brudzinski-Kernig test</p> Signup and view all the answers

    Which test is used to assess tension or pressure on the femoral nerve and may also indicate nerve root problems?

    <p>Femoral Nerve Traction test</p> Signup and view all the answers

    Which test is positive if neurological pain radiates down the anterior thigh and is a traction test for the nerve roots at the midlumbar area (L2-L4)?

    <p>Femoral Nerve Traction test</p> Signup and view all the answers

    Which test is positive if pain in the groin and hip radiates along the anterior medial thigh, indicating an L3 or L4 nerve root problem?

    <p>Femoral Nerve Traction test</p> Signup and view all the answers

    Which test is considered to be one of the most important physical signs of disc herniation, regardless of the degree of disc injury?

    <p>Straight leg raising test</p> Signup and view all the answers

    Which test is used to check the mechanical movement and sensitivity to mechanical stress or compression of the neurological tissues?

    <p>Neurodynamic tests</p> Signup and view all the answers

    Which movement should be tested with dorsi-flexion as a sensitizing maneuver in the slump test?

    <p>Neurological tissue moves toward the ankle</p> Signup and view all the answers

    Which areas are considered tension points where there is minimal movement of the neurological tissue?

    <p>C6, the elbow, the shoulder, T6, L4, and the knee</p> Signup and view all the answers

    Which statement is true regarding neurodynamic tests?

    <p>They should reproduce the patient's symptoms to be considered positive</p> Signup and view all the answers

    Which statement is true regarding the order in which neurodynamic test maneuvers are performed?

    <p>The results are different depending on the order</p> Signup and view all the answers

    Which myotome is responsible for ankle dorsiflexion?

    <p>L4</p> Signup and view all the answers

    Which myotome is responsible for hip flexion?

    <p>L2</p> Signup and view all the answers

    Which myotome is responsible for knee extension?

    <p>L3</p> Signup and view all the answers

    Which myotome is responsible for great toe extension?

    <p>S1</p> Signup and view all the answers

    Which myotome is responsible for ankle plantar flexion?

    <p>S1</p> Signup and view all the answers

    Which myotome is responsible for ankle eversion?

    <p>S1</p> Signup and view all the answers

    During the scanning of sacroiliac joints, what indicates fixation of the joint?

    <p>The PSIS elevates</p> Signup and view all the answers

    Which movement should be tested with dorsi-flexion as a sensitizing maneuver in the slump test?

    <p>Ankle plantar flexion</p> Signup and view all the answers

    Which joint(s) are scanned during the peripheral joint scanning examination?

    <p>All of the above</p> Signup and view all the answers

    How should the examiner test hip flexion (L2 myotome)?

    <p>By fully flexing the hip and noting the movement of the PSIS</p> Signup and view all the answers

    Which myotome is responsible for great toe extension?

    <p>L4</p> Signup and view all the answers

    What should lead to a detailed examination of a joint during the scanning of peripheral joints?

    <p>Any deviation from normal</p> Signup and view all the answers

    Which test is used to check the mechanical movement and sensitivity to mechanical stress or compression of the neurological tissues?

    <p>Slump test</p> Signup and view all the answers

    Which test involves flexing the knee slightly (20°) while maintaining the thigh in the same position to reestablish painful radicular symptoms?

    <p>Prone knee bending test</p> Signup and view all the answers

    Which test is used for lumbar instability?

    <p>H and I test</p> Signup and view all the answers

    Which test is used to assess tension or pressure on the sciatic nerve?

    <p>Straight leg raise or variant</p> Signup and view all the answers

    Which test is considered by some to be the most important physical sign of disc herniation?

    <p>Slump test</p> Signup and view all the answers

    Which test is used to assess tension or pressure on the femoral nerve and may also indicate nerve root problems?

    <p>Femoral nerve traction test</p> Signup and view all the answers

    Which test is used to assess tension or pressure on the sciatic nerve and is a modification of the straight leg raising test?

    <p>Bowstring test</p> Signup and view all the answers

    Which test is positive if neurological pain radiates down the anterior thigh and indicates a nerve root problem?

    <p>Femoral Nerve Traction test</p> Signup and view all the answers

    Which test is used to check the mechanical movement of neurological tissues and their sensitivity to mechanical stress or compression?

    <p>Compression test</p> Signup and view all the answers

    Which test is used to assess tension or pressure on the femoral nerve and may also indicate nerve root problems?

    <p>Bowstring test</p> Signup and view all the answers

    Which test involves flexing the knee slightly (20°) while maintaining the thigh in the same position to reestablish painful radicular symptoms?

    <p>Bowstring test</p> Signup and view all the answers

    Which test is positive if radicular pain into the posterior leg is produced and indicates a possible disc herniation?

    <p>Compression test</p> Signup and view all the answers

    Which test involves the patient starting in a standing position and then flexing forward as far as possible and returning to the upright posture as fast as tolerable, repeating the motion 10 times?

    <p>Repeated trunk flexion</p> Signup and view all the answers

    Which test involves the patient standing next to a wall, reaching forward with a weight at shoulder height as far as possible while keeping the heels on the floor?

    <p>Loaded reach test</p> Signup and view all the answers

    Which test involves the patient starting by sitting in a chair, standing fully, and returning to sitting, repeating the sequence 10 times as fast as possible?

    <p>Repeated sit-to-stand</p> Signup and view all the answers

    Which test involves the patient walking 7.5 m (25 ft) as fast as he or she can, turning, and returning to the starting position while being timed?

    <p>Timed 15-m walk</p> Signup and view all the answers

    Which test is positive if pain results from extending the knee while the patient's leg is clasped between the examiner's knees?

    <p>Knee flexion (S1-S2 myotomes) test</p> Signup and view all the answers

    Which test is positive if the patient experiences low back pain on axial loading of the spine in standing?

    <p>Low back pain on axial loading of the spine in standing</p> Signup and view all the answers

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