Indications

Minor’s sign is obverted as a patient with lower back pain attempts to rise from a seating position. This sign may indicate lumbar/sacroiliac joint pathology (sprain/strain, fracture, disc herniation, sciatica).


Procedure

  1. Examiner observes patient rising from seated position to standing.
  2. Patient may use arms and unaffected lower extremity to support body weight or use hands to “walk” up legs.
Minor's Sign This sign may indicate lumbar/sacroiliac joint pathology

Patient may use arms and unaffected lower extremity to support body weight or use hands to “walk” up legs.

Interpretation

Positive AC Shear Test

    Presence of antalgic movement: Lumbosacral pathology (SI/lumbar sprain/ strain fracture, disc syndrome, muscular dystrophy, sciatica, myotonia)

Clinical Notes

A patient in an antalgic posture attempts to minimise spinal loading by distributing their body weight through their arms and hands.