axial loading, hypermobility, pain, spine, standing, thoracolumbar, vertical compression test

Purpose

This test assesses the integrity of the alignment of the regions of the body, relative to each other.

Technique

Patient stands unsupported.

Clinician’s hands are placed at the top of the shoulder girdle, overlying the first rib. Clinician makes sure hands are not over the scapulae.

Clinician applies pressure very gradually. The pressure should be applied straight down toward the floor.

Positive

Most likely response is a buckling from the thoracolumbar junction or lower lumbar spine.

Interpretation

A positive response may indicate a potential hypermobility into extension and a need for treatment to be directed toward improving alignment.

References

1. Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York, NY: The McGraw-Hill Companies, Inc.

Related videos:

1. Lumbar Segmental Mobility (extension)
2. Lumbar Segmental Mobility (flexion)
3. Maitland Lumbar PAIVM (skeletal model)
4. Maitland Lumbar PAIVM (human model)
5. Lumbar Segmental Mobility (side bending)