Bechterew’s Sitting Test

Indications

Bechterew’s Sitting Test is a useful orthopaedic examination for patients with lower back pain to reproduce radiculopathy. This test is very similar to Lasègue’s Seated Test.


Procedure

  1. Patient seated, attempts to extend knee one side at a time.
  2. Patient then attempts to extend both knees at the same time.
Bechterew's Sitting Orthopaedic Test

Patient seated, attempts to extend knee one side at a time. Followed by both knees at the same time.

Interpretation

Bechterew’s Sitting test is mainly used to assess radiculopathy in the lower limb. The test can also reproduce local pain lumbar spine pain or hamstring muscle pain.

Positive Bechterew’s Sitting Test

There are three interpretation for a positive Bechterew’s Sitting Test

  1. Leg pain: Radiculopathy, interventricular foramen encroachment, space-occupying lesion, nerve root tension
  2. Local pain: Lumbar ligament sprain/ muscle strain

Clinical Notes

Examiner may place hand upon patient’s thigh to resist hip flexion.