{"id":9450,"date":"2021-12-30T18:06:01","date_gmt":"2021-12-30T17:06:01","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=9450"},"modified":"2021-12-30T18:06:01","modified_gmt":"2021-12-30T17:06:01","slug":"kemps-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/kemps-test\/","title":{"rendered":"Kemp’s Test"},"featured_media":0,"template":"","class_list":["post-9450","wiki","type-wiki","status-publish","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":9451,"background_image_alt_text":"Kemp's Test"},"heading":"Kemp's Test | Extension Quadrant | Lumbar Stenosis","subheading":"Spine Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Kemp's Test | Extension Quadrant | Lumbar Stenosis<\/h2>\nKemp's Test is a common orthopedic test to assess neurogenic claudication due to lumbar spinal stenosis as well as facet joint irritation. In lumbar spinal stenosis, the intervertebral foramen narrows due to degenerative changes in lumbar spine anatomy. Symptoms are usually pooled under the term neurogenic claudication. It involves pain in the back, buttock, and thigh, reduced strength and feeling as well as heaviness and weakness of the leg. Symptoms are provoked in lumbar spine extension occurring during standing and walking for example.\n\nKemp's\u00a0test, which is also referred to as quadrant\u00a0test or extension quadrant is designed to\u00a0recreate this narrowing. Furthermore, it puts\u00a0maximal stress on the facet joints. It has a\u00a0\u00a0reported sensitivity of 70% as reported by Lyle et al. (2005).\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=4GBjhAcwh90[\/embed]\n\n<\/div>\nTo conduct the test, the patient is\u00a0standing. Assist the patient in extending the\u00a0spine maximally by holding their shoulders.\n\nThen, the patient should rotate and lateral flex\u00a0to the site of pain.\n\nA positive test will show in the reproduction of the patient's symptoms. If symptoms are more concordant with those of neurogenic claudication lumbar spinal stenosis is likely. If pain is predominant, degenerative joint disease of the facet joints can be at play.\n\n[cta]\n\nOther common tests for lumbar spinal stenosis are :\n