| Patient position |
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Prone with the inguinal region/anterior superior iliac spine at the edge of the bench.
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Arms at sides, ankles fixed (by strap or hands), holding horizontal position.
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Arms are folded across chest and back laid on a piece of wood to support the patient at a fixed angle of 60°.
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Toes are anchored either with a strap or by the tester.
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Both knees and hips are flexed 90°.
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The subject lies on one side supported by their pelvis, lower extremity and forearm.
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The top leg is placed in front of the lower leg with both feet on the floor.
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The upper arm is placed against the chest with the hand touching the anterior lower shoulder.
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| Procedure |
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The patient maintains the horizontal position as long as possible.
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Timing begins when the posture is horizontal and unsupported.
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Subjects are verbally encouraged to hold this position as long as possible.
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The wood is pulled back 10 cm (4 in).
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Timing starts when the initial posture is achieved.
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The subject holds the isometric posture as long as possible.
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The pelvis is raised off the table as high as possible and held in line with the long axis of the body, supporting the weight between the feet and elbow.
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Timing starts when the initial posture is achieved.
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Subjects statically maintain this elevated position.
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| Termination Criteria |
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The position is held up to a maximum of 240 s.
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If the patient drops below the horizontal position more than 10° (an additional chance to regain it is given after the first attempt).
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If the patient reports LBP or cramping in their legs, the test may be stopped.
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No specific time limitation, although generally considered a maximum of 240 s.
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When any part of the subject's back touches the wood. This generally equals a drop of more than 30° with respect to the reference.
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Significant LBP causes the test to be stopped.
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No specific time limitation, although generally considered a maximum of 240 s.
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The subject is unable to lift their body up from the floor or drops their pelvis or thigh part way more than 10° and cannot raise it up to the start position again.
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Significant LBP causes the test to be stopped.
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