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KEMPS TEST OR EXTENSION QUADRANT TEST FOR INTERFORAMINAL LUMBAR STENOSIS Next to the cluster of Cook and the 2-stage treadmill test that we saw yesterday, the Kemps or Extension Quadrant Test can be used in case you suspect INTERFORAMINAL lumbar stenosis. The biomechanical reasoning behind it is that you are narrowing the intervertebral foramen on the effected side, by having you patient perform extension, ipsilateral lateral flexion and ipsilateral rotation. You can compare this to the Spurling
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TEST CLUSTER FOR SUBACROMIAL PAIN SYNDROME (SAPS) Most shoulder special tests are unfortunately not that special - especially regarding SAPS. So while they don't have much clinical value, Michener et al. (2009) describes a cluster of 5 tests, which alters the post-test probability with 3 or more positive tests out of 5 by LR 2.93 and less than 3 positive out of 5 with LR- 0.34. This is still not much, but still better than a stand-alone test. These 5 tests are: Hawkins-Kennedy, Neer test, extern
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