Bowstring Sign: Difference between revisions

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<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>
<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.
* 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. [Lasted accessed: 26th Feb 2021]</ref>


== Evidence  ==
== Evidence  ==

Revision as of 15:03, 1 March 2021

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.

[1]

  • This test should be performed in both leg,normal side being the first.

[2]

Evidence[edit | edit source]

Provide the evidence for this technique here

Resources[edit | edit source]

add any relevant resources here

References[edit | edit source]

  1. Kamath, S. U., & Kamath, S. S. (2017). Lasègue's Sign. Journal of clinical and diagnostic research : JCDR11(5), RG01–RG02. https://doi.org/10.7860/JCDR/2017/24899.9794
  2. Sports Injuries And Rehabilitation. Bowstring test. Available from:https://www.youtube.com/watch?v=dEX43YHaOxQ. [Lasted accessed: 26th Feb 2021]