Springing Test

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 Springing Test


What is Springing Test?

Springing Test is used for localization of functional impairments in the lumbar spine, it’s also used to examine posterior longitudinal ligament.

See Also: Lasegue Test

How do yo do Springing Test?

Springing Test

What does a positive Springing Test mean?

Notes

Springing test is also a provocation test for the posterior longitudinal ligament in particular and will result in an increase in the deep, dull low back pain that is typical of this structure and is difficult to localize.

Springing test can also be used to differentiate between a cervical rib tip and a supraclavicular lymph node, the examiner applies intermittent pressure on a point corresponding to the surface marking of a cervical rib shaft and checks for transmission of the springing movement to the swelling. The tip of a cervical rib will move but a supraclavicular lymph node will not.

See Also: Thoracic Outlet Syndrome

Posterior Longitudinal Ligament

Sacroiliac Joint Springing Test

There is also a Springing Test that can be used to assess facet hyper mobility in the sacroiliac joint.

The examiner places the index finger of one hand first on the superior margin of the sacroiliac joint and then on its inferior margin (S1 – S3) in such a manner that the fingertip lies on the sacrum and the volar aspect of the distal phalanx lies on the medial margin of the ilium. The examiner’s other hand grasps the index finger and exerts posteroanterior pressure, which the palpating finger transmits to the sacrum .

A normal sacroiliac joint will be resilient: palpating pressure will slightly increase the distance between the posterior margin of the ilium and the sacrum. This resiliency is not present in a motion restricted sacroiliac joint. A relatively long range of motion with a hard end point suggests hyper-mobility in the sacroiliac joint. Pain during the examination can occur in both a motion-restricted and a strained hyper mobile joint (painful hyper mobility)

Springing Test SIJ
Sacroiliac Joint Springing Test

Reference




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