TABLE 2.
Examination | ||||
---|---|---|---|---|
Patient 1 | Patient 2 | Patient 3 | Patient 4 | |
Observation | No deformity noted
Normal gait |
Reduction in the lordotic lumbar curve and antalgic gait | Reduction in the lumbar lordotic curve
Normal gait |
Increased anterior pelvic tilt and antalgic gait |
Neurological examination | No deficits in sensation | No deficits in sensation | No deficits in sensation | No deficits in sensation |
No deficits in LE strength | Diminished left quadriceps | No deficits in reflexes | No deficits in reflexes | |
No deficits in reflexes | No deficits in LE strength | No deficits in LE strength Positive femoral nerve tension test bilateral | No deficits in LE strength | |
Movement testing | Painful arc on return from a flexed trunk position and pain with right sidebending | Increased pain with flexion and decreased pain with centralization of symptoms in extension | Painful right sidebending and extension | Increased pain with all movements, extension most significantly limited |
Spring testing | Hypomobility at the levels L2-L5 | Hypomobility at L4 | Hypomobility lumbar spine | Hypomobility at L4/5 |
Prone instability test | Negative | Negative | Negative | Negative |
Aberrant movement | Positive | Positive | Positive | Positive |
Oswestry score | 12% | 26% | 30% | 68% |
LE-lower extremity