Indications

Anghelescu’s Sign is a thoracic spine examination procedure that tests for general muscle condition and diagnoses destructive vertebral conditions such as tuberculosis of the spine.

Procedure

Patient should be awake and cooperative to perform Anghelescu’s Sign.

  1. Patient lies down on her back.
  2. Patient should raise her back as she lies supine. The examiner assists the patient as her arms remain on the examining table. Her head remains on the examining table as well. Only her back and hips are raised. Her feet and lower limbs remain close together.
  3. The patient holds this position for a short amount of time.
  4. The examiner checks for the patient’s ability, or inability, to perform the test.
  5. The examiner assists the patient to return to a supine lying position.

Patient is in a supine position with her back arched.

Interpretation

Positive Anghelescu’s Sign

There is a positive Anghelescu’s Sign when the patient is unable to perform the motion. This could indicate overall poor muscle conditioning, obesity and destructive vertebral conditions such as tuberculosis of the spine.

Clinical Notes

The Anghelescu’s Sign is contraindicated in patients with acute low back pain due to hyperextension injuries. Therefore an examiner has to assess for acute low back pain before administering this test.