|
|
|
|
|
|
|
|
|
Client Supine
Lightly run a sharp object along the bottom of the foot |
Big toe extends. & the other toes abduct. |
Upper Motor Neuron Lesion (A positive test is normal for infants up to a few weeks old) |
|
|
|
|
|
|
|
|
|
|
Client Seated
Ask client to take a deep breath and then "bear down" (as if forcing a bowel movement) |
Increased pain. |
Space Occupying Lesion.
(such as a herniated disk, a tumor, or osteophytes) |
|
|
|
|
|
|
|
|
|
|
Client supine
Gently compress the jugular veins for ten seconds, then ask client to cough |
Pain in lower back region |
Intrathecal Spinal Cord Pressure
(Theca is the covering around the spinal cord… i.e. pia, arachnoid, & dura mater)
|
|
|
|
|
|
|
|
|
|
|
Client standing
Have client close eyes for 20-30 seconds |
Client sways excessively or loses balance. |
Upper Motor Neuron Lesion |
|
|
|
|
|
|
|
|
|
|
Client Seated Upright
(hands behind back, legs dangling).
1) Flex torso (w/head supported)
2) Apply pressure on clients shoulder
3) Client flexes head
4) Apply pressure on clients head
5) Extend knee & dorsiflex foot
6) Extend head
|
Unable to do all motions
or
Decreased symptoms with head extension |
Neuromeningeal Tract Lesion |
|
|
|
|
|
|
|
|
|
|
Client Supine
Raise client’s leg with knee extended to point of pain.
Slowly lower leg to point of no pain.
Flex clients neck or dorsiflex foot. |
Pain with neck flexion or foot dorsiflexion |
Neurological Lesion |
|
|
|
|
|
|
|
|
|
|
Client Supine
Raise client’s leg (non-test side) with knee extended |
Pain in the opposite leg |
Herniated Disc |
|
|
|
|
|
|
|
|
|
|
Client supine
(hands behind head)
1) Client actively flexes the neck
2) Client actively flexes the hip to the point of pain
2) Client flexes knee |
Pain disappears with knee bending |
Meningeal Irritation
Dural Irritation
Or
Nerve Root Compression |
|
|