What positioning is used for the Kemp Test performed while the patient is standing?

• A. Patient rotates away from the side of contact
• B. Patient flexes toward the side of contact
• C. Patient bends forward at the waist
• D. Patient sits on the edge of the table

Answer: (A)

The Kemp Test is a clinical evaluation used to assess for the presence of lumbar radiculopathy, often related to nerve root compression or intervertebral disc problems. When the test is performed while the patient is standing, the appropriate positioning involves the patient rotating away from the side of contact. This maneuver effectively reproduces symptoms related to nerve root irritation or impingement by loading the intervertebral foramen on the opposite side, potentially worsening pain if a nerve root is compromised.

Rotating away from the side of contact allows for the examination of the patient's capacity to tolerate such stress and can reveal pain that may be indicative of underlying issues, such as disc herniation or facet joint pathology. Therefore, this positioning is crucial for accurately assessing the patient's condition during the test and understanding the nature of their symptoms.