Spring Test

Discussion in 'Medical Students - DO' started by Slevin, Oct 7, 2008.

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  1. Slevin

    Slevin 7+ Year Member

    Sep 26, 2008
    Spring test what is it good for, what are you testing?

    Anyone have a good online resource for Sacral torsions?

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  3. grinchick5

    grinchick5 7+ Year Member

    Jul 26, 2006
    Spring test = push down on L5 and determine whether or not it 'springs' (moves).

    Spring test is POSITIVE when there is NO movement of L5. This indicates that L5 is flexed relative to the sacrum and suggests a backward sacral torsion (May also suggest a unilateral sacral extension or a bilateral sacral extension, however, I've mainly seen it used to confirm backwards torsion)

    Spring test is NEGATIVE when L5 moves. This is generally a normal finding.
  4. pianoman511

    pianoman511 Member 10+ Year Member

    Jun 8, 2005
    Buffalo, NY
    Actually, you're testing the lumbosacral junction (L5-S1), not the motion of the L5 vertebra itself.
  5. JonnyG

    JonnyG IN the hospitals.... 7+ Year Member

    savarese chapter 5 tells it all
  6. scdocusc

    scdocusc 2+ Year Member

    Nov 12, 2006
    A positive test probably could also give you an indication of whether there is sacralization of L5 too.

    EMT2ER-DOC Why so Serious????? 10+ Year Member

    Oct 16, 2003
    Philadelphia Area
    The test can also tell you if the sacral problem is physiologic or not. For example a L on R and a R on L, L on L, and R on R are all physiological issues. However if you have a Bilateral deep sulcus, this is NOT physiologic and therefor had to have been caused by some sort of trauma such as falling on your rump.

    If you have a negative spring test you can already eliminate about 1/4 of the sacral dysfunctions.
  8. Natatiap

    Natatiap Member 10+ Year Member

    Jun 14, 2006
    You are testing the LS junction.
    Positive: No spring: sacrum is extended or backward torsion or rotation for example (left on right or right on left)
    Negative: there is spring or sacrum is flexed

    What I usually do is have the patient breath in: this straightens the lumbar spine out and extends or counternutates the sacrum. There will be NO spring (negative) so you can see how that feels then have the patient breath out so you can compare. Hope this helps

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