OnExam

Identifies neural tension via radicular pain

Performing the Test

  1. Patient sits at side of bed with neck and thoracic spine flexed creating a slumped over posture
  2. Examiner passively straightens one of the pt.'s legs at a time
  3. If pain occurs in leg or back, ask patient to sit up straight while maintaining knee extension/hip flexion
  4. Positive: pain reduces or eliminates with sitting up as this reduces tension on the spinal cord and nerves while maintaining stretch on the pt.'s hamstring

References

  1. Baxter S, ed., McScheffrey G, ed. Toronto Notes: Comprehensive Medical Reference & Review for MCCQE 1 & USMLE 2. 26th ed. Toronto: Toronto Notes for Medical Students Inc; 2010.
  2. Hurley K. OSCE and Clinical Skills Handbook. Halifax: Elsevier Canada; 2005.