Speed’s Test

Purpose of Speed’s Test: To detect inflammation or lesions in the biceps/labral complex (1). Patient position: Sitting or Standing upright with the affected arm relaxed by the side. Examiner position: Standing beside the patient’s affected side. Procedure: First, position the affected shoulder in 90 degree-flexion and full external rotation (1). Next, place the elbow in extension and the forearm in supination (1). Ask the patient … Continue reading Speed’s Test

O’Brien’s Active Compression Test

Purpose of O’Brien’s Active Compression Test: To detect superior glenoid labral lesions and/or type 2 superior labrum anterior and posterior (SLAP) lesions (which is fraying of the superior glenoid labrum along with detachment of the biceps anchor) on the shoulder joint (1-3). Patient position: Standing position, with affected arm in forward flexion at 90 degrees and slight adduction at 10-15 degrees towards the midline of … Continue reading O’Brien’s Active Compression Test

In-field note: a patient appeared with an extraspinal source of referred leg discomfort

Introduction Low back pain is not a disease, it is a symptom. It can be defined as pain between the bottom ribs and the buttock creases(Dionne et al., 2008). Chronic low back pain patients are always asking about the cause of their pain(McPhillips-Tangum et al., 1998; Cherkin et al., 1998). A lot of people can experience it during their life. For instance, 6.3%–14.4% of people … Continue reading In-field note: a patient appeared with an extraspinal source of referred leg discomfort

Reverse Impingement Test

Reverse Impingement Test or Impingement Relief Test Purpose of Reverse Impingement Test or Impingement Relief Test: To confirm the diagnosis of ‘impingement syndrome’ by reversing/relieving the painful arc and/or eliminating the ‘impingement sign’ after initially reproducing the patient’s shoulder pain with shoulder impingement tests such as Neer’s test (1-3). Patient position: Sitting upright with affected arm relaxed by the side. Examiner position: Standing beside/behind the … Continue reading Reverse Impingement Test

Residual leg numbness after lumber decompression surgeries: A summary of research evidence.

Introduction: Lumbar disc herniation (LDH) is the most frequent lumbar degenerative illness that causes patients to have redundant pain (Ravindra et al., 2018). Lower back pain (LBP) and sciatica symptoms, such as leg pain (LP) and leg numbness (LN), are common in patients with LDH (Deyo et al., 2016). In addition, LN is a major factor influencing clinical outcomes and patient satisfaction following decompression surgery … Continue reading Residual leg numbness after lumber decompression surgeries: A summary of research evidence.