Chiropractors and health practitioners use a variety of diagnostic tests to help identify the specific nature of musculoskeletal injury or condition. Orthopedic tests aid to identify specific conditions and diagnosis.
This section has a variety of common orthopedic tests, how they are performed, what they indicate when positive and the potential diagnosis as a result. Corresponding codes for ICD9 and ICD10 are displayed for each test.
They are listed by body region as well as alphabetic list below.
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Kemp's Test
| Orthopedic Test | Kemp's Test |
| Method | With the patient seated in an upright position, the examiner stands behind the patient and puts him or her into a combined position of rotation, lateral bending and extension while stabilizing the sacrum. Low back pain radiating into the lower extremity indicates a positive test and may be suggestive of a disc pathology. If this is the case, the nuclear material of the disc may lie in a medial, lateral or inferior position relative to the nerve root. In disk material medial to the nerve root, the patient will lean into the side of the disk compression and the test will be primarily positive when leaning away from the side of the lower extremity dermatogenous pain and mildly positive when leaning into the side of pain. In disk material lateral to the nerve root, the relief position of the patient will be away from the side of the pain and negative when leaning away. In an inferiorly placed disk, the patient resists bending to either side and prefers to stay in a strict flexed attitude of the lumbar spine. Local pain in the low back does not constitute a positive test, but rather is indicative of a strain or sprain of the posterior articular facets and their pericapsular tissue. |
| Diagnosis Indication | Intervertebral disc displacement, thoracolumbar region |
| ICD9 | 722.10 |
| ICD10 | M51.25 |
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| Orthopedic Test | Kemp's Test |
| Method | With the patient seated in an upright position, the examiner stands behind the patient and puts him or her into a combined position of rotation, lateral bending and extension while stabilizing the sacrum. Low back pain radiating into the lower extremity indicates a positive test and may be suggestive of a disc pathology. If this is the case, the nuclear material of the disc may lie in a medial, lateral or inferior position relative to the nerve root. In disk material medial to the nerve root, the patient will lean into the side of the disk compression and the test will be primarily positive when leaning away from the side of the lower extremity dermatogenous pain and mildly positive when leaning into the side of pain. In disk material lateral to the nerve root, the relief position of the patient will be away from the side of the pain and negative when leaning away. In an inferiorly placed disk, the patient resists bending to either side and prefers to stay in a strict flexed attitude of the lumbar spine. Local pain in the low back does not constitute a positive test, but rather is indicative of a strain or sprain of the posterior articular facets and their pericapsular tissue. |
| Diagnosis Indication | Intervertebral disc displacement, lumbar region |
| ICD9 | 722.10 |
| ICD10 | M51.26 |
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| Orthopedic Test | Kemp's Test |
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| Diagnosis Indication | |
| ICD10 |
| Orthopedic Test | Kemp's Test |
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| Diagnosis Indication | |
| ICD10 |
| Orthopedic Test | Kemp's Test |
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| Diagnosis Indication | |
| ICD10 |
| Orthopedic Test | Kemp's Test |
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| Diagnosis Indication | |
| ICD10 |