Prone Instability Test | Lumbar Spine Instability
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- Опубликовано: 27 ноя 2014
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This is not medical advice. The content is intended as educational content for health care professionals and students. If you are a patient, seek care of a health care professional. The Prone Instability Test is included in Hicks clinical prediction rule for Lumbar Spine Instability
Article: www.ncbi.nlm.nih.gov/pubmed/14...
Fritz et al. (2005) actually did find a sensitivity of 61% and a specificity of 57% with radiological instability as a gold standard.
Reliability of the test was good with a Kappa of 0.69.
Fritze et al. (2005): www.ncbi.nlm.nih.gov/pmc/arti...
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Tags: Physio, therapy, physical, anamnesis, treatment, medical, Magee, assessment, tutorial, student, ESP, HVA, Hogeschool van, amsterdam, tutors, video, HD, test, prone, instability, test, lumbar, spine, back, pain
Thanks P. tutor
Thank for video
Hello! Is this the same as the lumbar extension load test?
Hallo Kay, ich schaue mir öfters eure Videos an,diesmal fand ich es erfreulich dass es mit Deutschen Untertitel versehen war .Ich würde mich freuen wenn ihr dies sukzessiv auf alle eure Videos installieren könntet.
Gruss aus Bad Homburg
Kuno Weil
Gracias algo así buscaba porq a veces siento inestabilidad en columna Gracias 🤗
Great videos guys! A question about this test: Where do you do the presure during the test, in the transverse apofisis? Thanks
Thanks Matias! On the spinous process of the most painful spinal level
Great content as always guys. With the extension phase of this ST wouldn't the patient be activating Lx paraspinals thus potentially increasing stability regardless? Do you use this test yourself?
Thanks Matt! Not sure what you mean exactly. The basic idea of this test is that your global muscles (er. spinae) are able to stabilize the hypermobile segment(s) in the lumbar spine and thus decrease pain with PA pressure.
As mentioned, there are no validity studies on it and I only use it in conjunction with other signs that let me think of hypermobility such as abberant motions while bending, hypermobility during PA pressure and hypomobility in the segments above and below, feeling of instability etc.
@@Physiotutors What is PA Pressure?
@@MS-us9jv PA is "Posterior to Anterior" pressure
Giving glides to spinous process are each transverse process or facets joint. Could you give me the clarity in that
Spinous process for this test if im not mistaken,
But when doing mobilizations, it Depends on what you're intending to do. Sometimes it's on the SP, sometimes it's the facet joint. Not the transverse process though, although I forget precisely why that was less reliable
Have you done H and I stability test
Not familiar with those
What if I still feel pain with the legs off the ground?
probably it wont be a stability issue, however you can't rule it out already
Agreed
Pain with all/ most of the movement maybe a sign of inflammatory cause. Just a hint
Oh god just watching this hurts. My back spasm like crazy after I do this. I actually stretch my back out like this by hanging over an ottoman.
Should I quit with the stretching and instead do stability exercises (or do both?)
I also have significant pain when bent over, hard to straighten after sitting for a while (after standing for a long time)
This includes pain rolling over in bed (anything where I have to lift the hips).
Remind me and I'll get back to this,
@@VinylUnboxingsreminder
Mobility is vital, but if your muscles and nervous system aren't able to control that mobility for extended periods of time, you may experience problems. Try looking into stability exercises and strength endurance training for your back and core muscles(: