Bowstring Sign: Difference between revisions
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== Purpose == | == Purpose == | ||
Bowstring sign is | Bowstring sign is a passive provocative clinical test that is performed in patients presenting with low back pain to determine the lumbosacral nerve tension. | ||
== Technique == | == Technique == | ||
=== Patient Position === | |||
Patient in supine lying position without a pillow. | |||
=== Therapist Position === | |||
Examiner stands at the tested side with face facing towards patient's face. | |||
=== Procedure === | |||
* Initially, examiner performs [[Straight Leg Raise Test|Straight Leg Raise ( SLR) test]] in which the examiner lifts the leg with the extended knee. Examiner raises the leg to the point where the patient perceives pain along the distribution lumbosacral dermatomal level or when maximum flexion is got. | |||
* While performing SLR test, at the point of maximum pain (positive SLR) the examiner will slightly flex the patient’s knee approximately 20 degrees thereby reducing the pain. | |||
* Then examiner applies pressure (via thumb) on the popliteal fossa on sciatic nerve (lateral popliteal nerve). | |||
* If this elicit the same pain as pthe atient experiences during SLR, then Bthe owstring sign is said to be positive. | |||
<ref>Kamath, S. U., & Kamath, S. S. (2017). [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5483767/ Lasègue's Sign.] ''Journal of clinical and diagnostic research : JCDR'', ''11''(5), RG01–RG02. <nowiki>https://doi.org/10.7860/JCDR/2017/24899.9794</nowiki></ref> | |||
* This test should be performed in both leg,normal side being the first. | |||
{{#ev:youtube|dEX43YHaOxQ}}<ref>Sports Injuries And Rehabilitation. Bowstring test. Available from:https://www.youtube.com/watch?v=dEX43YHaOxQ</ref> | {{#ev:youtube|dEX43YHaOxQ}}<ref>Sports Injuries And Rehabilitation. Bowstring test. Available from:https://www.youtube.com/watch?v=dEX43YHaOxQ</ref> | ||
Revision as of 15:00, 1 March 2021
Original Editor - Manisha Shrestha Top Contributors - Manisha Shrestha, Kim Jackson, Kirenga Bamurange Liliane and Carina Therese Magtibay
Original Editor - User Name
Top Contributors - Manisha Shrestha, Kim Jackson, Kirenga Bamurange Liliane and Carina Therese Magtibay
Top Contributors - Manisha Shrestha, Kim Jackson, Kirenga Bamurange Liliane and Carina Therese Magtibay
Purpose[edit | edit source]
Bowstring sign is a passive provocative clinical test that is performed in patients presenting with low back pain to determine the lumbosacral nerve tension.
Technique[edit | edit source]
Patient Position[edit | edit source]
Patient in supine lying position without a pillow.
Therapist Position[edit | edit source]
Examiner stands at the tested side with face facing towards patient's face.
Procedure[edit | edit source]
- Initially, examiner performs Straight Leg Raise ( SLR) test in which the examiner lifts the leg with the extended knee. Examiner raises the leg to the point where the patient perceives pain along the distribution lumbosacral dermatomal level or when maximum flexion is got.
- While performing SLR test, at the point of maximum pain (positive SLR) the examiner will slightly flex the patient’s knee approximately 20 degrees thereby reducing the pain.
- Then examiner applies pressure (via thumb) on the popliteal fossa on sciatic nerve (lateral popliteal nerve).
- If this elicit the same pain as pthe atient experiences during SLR, then Bthe owstring sign is said to be positive.
- This test should be performed in both leg,normal side being the first.
Evidence[edit | edit source]
Provide the evidence for this technique here
Resources[edit | edit source]
add any relevant resources here
References[edit | edit source]
- ↑ Kamath, S. U., & Kamath, S. S. (2017). Lasègue's Sign. Journal of clinical and diagnostic research : JCDR, 11(5), RG01–RG02. https://doi.org/10.7860/JCDR/2017/24899.9794
- ↑ Sports Injuries And Rehabilitation. Bowstring test. Available from:https://www.youtube.com/watch?v=dEX43YHaOxQ
