Movement Control Tests For Lumbar Spine: Difference between revisions
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<div class="editorbox"> '''Original Editor '''- [[User:Carin Hunter|Carin Hunter]] based on the course by [https://members.physio-pedia.com/instructor/nick-rainey// Nick Rainey]<br> '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | <div class="editorbox"> '''Original Editor '''- [[User:Carin Hunter|Carin Hunter]] based on the course by [https://members.physio-pedia.com/instructor/nick-rainey// Nick Rainey]<br> '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div> | ||
== Introduction == | |||
Tests are considered positive if with cueing and demonstration the person can not perform correctly. | |||
== Six Movement Control Tests == | |||
===== 1. Waiter’s Bow: ===== | |||
'''Correct''': Forward bending of the hips 50-70° without flexion of the low back. | |||
'''Incorrect''': Flexion occurring in the low back prior to 50° of hip flexion. | |||
===== 2. Sitting Knee Extension: ===== | |||
'''Correct''': Upright sitting with lumbar lordosis; extension of the knee to within 50° of straight without movement of LB. | |||
'''Incorrect''': Low back moving in flexion prior to within 50° of straight. | |||
===== 3. Rocking backwards: ===== | |||
'''Correct''': 120° of hip flexion without movement of the low back by transferring pelvis backwards. | |||
'''Incorrect''': Hip flexion causes flexion in the lumbar spine (typically the patient not aware of this). | |||
===== 4. Prone Lying Knee Flexion: ===== | |||
'''Correct''': Active knee flexion at least 90° without extension movement of the low back and pelvis. | |||
'''Incorrect''': Low back does not stay neutral, but moves into extension | |||
===== 5. Posterior Pelvic Tilt: ===== | |||
'''Correct''': Posterior pelvic tilt the pelvis while in standing by contracting the glute max while keeping the thoracic spine in neutral | |||
'''Incorrect''': Pelvis doesn't tilt or low back moves towards Ext./No gluteal activity/compensatory flexion in thoracic spine | |||
===== 6. Single-leg Stance: ===== | |||
Setup: Patient’s feet 12cm apart. Use a 20cm ruler and hold it on a stable object with the middle of the ruler lined up with the patient's umbilicus. | |||
'''Correct''': The patient’s umbilicus has <2cm difference side to side and <10 cm transfer on either foot. | |||
'''Incorrect''': Lateral transfer of belly button >2cm difference side to side or > 10 cm in either direction . | |||
== References == |
Revision as of 14:01, 30 December 2022
Top Contributors - Carin Hunter, Rishika Babburu and Jess Bell
Introduction[edit | edit source]
Tests are considered positive if with cueing and demonstration the person can not perform correctly.
Six Movement Control Tests[edit | edit source]
1. Waiter’s Bow:[edit | edit source]
Correct: Forward bending of the hips 50-70° without flexion of the low back.
Incorrect: Flexion occurring in the low back prior to 50° of hip flexion.
2. Sitting Knee Extension:[edit | edit source]
Correct: Upright sitting with lumbar lordosis; extension of the knee to within 50° of straight without movement of LB.
Incorrect: Low back moving in flexion prior to within 50° of straight.
3. Rocking backwards:[edit | edit source]
Correct: 120° of hip flexion without movement of the low back by transferring pelvis backwards.
Incorrect: Hip flexion causes flexion in the lumbar spine (typically the patient not aware of this).
4. Prone Lying Knee Flexion:[edit | edit source]
Correct: Active knee flexion at least 90° without extension movement of the low back and pelvis.
Incorrect: Low back does not stay neutral, but moves into extension
5. Posterior Pelvic Tilt:[edit | edit source]
Correct: Posterior pelvic tilt the pelvis while in standing by contracting the glute max while keeping the thoracic spine in neutral
Incorrect: Pelvis doesn't tilt or low back moves towards Ext./No gluteal activity/compensatory flexion in thoracic spine
6. Single-leg Stance:[edit | edit source]
Setup: Patient’s feet 12cm apart. Use a 20cm ruler and hold it on a stable object with the middle of the ruler lined up with the patient's umbilicus.
Correct: The patient’s umbilicus has <2cm difference side to side and <10 cm transfer on either foot.
Incorrect: Lateral transfer of belly button >2cm difference side to side or > 10 cm in either direction .