What is the indication for the Lewin Standing Test?

• A. Joint inflammation
• B. Hamstring spasm or radiculopathy
• C. Muscle weakness
• D. Hip arthritis

Answer: (B)

The Lewin Standing Test is specifically designed to assess for hamstring spasm or radiculopathy. During this test, the patient is asked to bend forward at the waist while maintaining a standing position. If the individual experiences pain or difficulty while performing this movement, it suggests that there may be an underlying issue such as a hamstring spasm or nerve root compression associated with radiculopathy.

This test is particularly useful in evaluating the functional capacity of the lower back and the associated structures of the lumbar spine as they relate to the neurological function of the lower extremities. The presence of significant discomfort or inability to perform the task may indicate a dysfunction in related muscle groups or nerve pathways.

Other options like joint inflammation, muscle weakness, or hip arthritis may present with different signs and symptoms that are typically evaluated through other tests or assessments rather than the Lewin Standing Test. Thus, B is the best indication for this specific test.