Springing Test: Difference between revisions

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<div class="editorbox"> '''Original Editor '''- [[User:Shreya Pavaskar|Shreya Pavaskar]]<br>
<div class="editorbox"> '''Original Editor '''- [[User:Shreya Pavaskar|Shreya Pavaskar]]<br>
  '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>
  '''Top Contributors''' - {{Special:Contributors/{{FULLPAGENAME}}}}</div>
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== Purpose  ==
== Purpose  ==


Spring test or springing test is an orthopedic test used to diagnose facet joint injury in spine especially in the lumbar and cervical region.<br>  
Spring test or springing test is an orthopaedic test used to diagnose facet joint injury in the spine especially in the lumbar and cervical region.<br>  


== Technique  ==
== Technique  ==
{{#ev:youtube|Wenh2GKHBzA|300}}<ref>jschuber. Spring Test. Available from: http://www.youtube.com/watch?v=Wenh2GKHBzA [last accessed 28/3/2021]</ref>
{{#ev:youtube|Wenh2GKHBzA|300}}<ref>jschuber. Spring Test. Available from: http://www.youtube.com/watch?v=Wenh2GKHBzA [last accessed 28/3/2021]</ref>


The patient lies in prone position while the clinician applies force anteriorly with the thumbs over the spinous or transverse processes of the thoracic spine on both sides . The clinician looks for pain or hypomobility / hypermobility of the joint. The test is then considered positive.  
The patient lies in a prone position while the clinician applies force anteriorly with the thumbs over the spinous or transverse processes of the thoracic spine on both sides. The clinician looks for pain or hypomobility /hypermobility of the joint. The test is then considered positive.
 
== Validity and Reliability ==
The exact psychometric properties of this test are unknown however, there are a few studies done on test reliability by  Horneij and colleagues <ref>Horneij E, Hemborg B, Johnsson B, Ekdahl C. [https://core.ac.uk/download/pdf/204434315.pdf Clinical tests on impairment level related to low back pain: a study of test reliability.] Journal of rehabilitation medicine. 2002 Jul 1;34(4):176-82.</ref> and Michael Schneider and colleagues<ref>Schneider M, Erhard R, Brach J, Tellin W, Imbarlina F, Delitto A. [https://www.sciencedirect.com/science/article/pii/S0161475408001760 Spinal palpation for lumbar segmental mobility and pain provocation: an interexaminer reliability study.] Journal of manipulative and physiological therapeutics. 2008 Jul 1;31(6):465-73.</ref> where they stated that palpation for segmental pain provocation showed fair to good reliability (''κ'' range, .21 to .73) and The ''κ'' values for palpation of segmental motion restriction were poor (range, −.20 to .17) and in many cases less than chance observation (negative ''κ'' values).


== Resources  ==
== Resources  ==
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<references />
<references />
[[Category:Special Tests]]
[[Category:Sacroiliac Examination]]
[[Category:Lumbar Spine - Assessment and Examination]]
[[Category:Cervical Spine - Assessment and Examination]]

Latest revision as of 19:47, 30 March 2021

Original Editor - Shreya Pavaskar
Top Contributors - Shreya Pavaskar and Aminat Abolade

Purpose[edit | edit source]

Spring test or springing test is an orthopaedic test used to diagnose facet joint injury in the spine especially in the lumbar and cervical region.

Technique[edit | edit source]

[1]

The patient lies in a prone position while the clinician applies force anteriorly with the thumbs over the spinous or transverse processes of the thoracic spine on both sides. The clinician looks for pain or hypomobility /hypermobility of the joint. The test is then considered positive.

Validity and Reliability[edit | edit source]

The exact psychometric properties of this test are unknown however, there are a few studies done on test reliability by Horneij and colleagues [2] and Michael Schneider and colleagues[3] where they stated that palpation for segmental pain provocation showed fair to good reliability (κ range, .21 to .73) and The κ values for palpation of segmental motion restriction were poor (range, −.20 to .17) and in many cases less than chance observation (negative κ values).

Resources[edit | edit source]

Sacral Thrust Test

Sacroiliac joint special test cluster

References[edit | edit source]

  1. jschuber. Spring Test. Available from: http://www.youtube.com/watch?v=Wenh2GKHBzA [last accessed 28/3/2021]
  2. Horneij E, Hemborg B, Johnsson B, Ekdahl C. Clinical tests on impairment level related to low back pain: a study of test reliability. Journal of rehabilitation medicine. 2002 Jul 1;34(4):176-82.
  3. Schneider M, Erhard R, Brach J, Tellin W, Imbarlina F, Delitto A. Spinal palpation for lumbar segmental mobility and pain provocation: an interexaminer reliability study. Journal of manipulative and physiological therapeutics. 2008 Jul 1;31(6):465-73.