Springing Test

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

Purpose[edit | edit source]

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

Technique[edit | edit source]

[1]

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.

Validity and Reliability[edit | edit source]

The exact psychometric properties of this test is 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.