This parameter is made up of four core strength tests and is a great one to show patients their core strength to see if they have stability. Throughout the process, look for mobility and overall stability. The maximum score the patient could receive would be a 4, meaning they passed all 4 tests. For each test that they fail, they lose points and the grade is lowered. 

Test #1: Lunge Test Bilaterally

  • Optional- This is completed with a 5ft (1.52 meter) long PVC bar/pipe that is approximately 3/4 inch - 1 inch thick
  • Holding onto the bar/pipe, the patient will complete a forward lunge, coming all the way down, touching the knee and then rise back up
  • Looking for a nice transition or slow glide on both legs
  • Pass = Can easily complete a stable lunge on both legs with a fully erect spine
  • Fail = Crashing their knee into the ground, using the bar/pipe to push their way up, cannot go down and up with a fully erect spine

Test #2: Single Leg Standing with Hip Flexion to 90°

  • This is completed with a 5ft (1.52 meter) long PVC bar/pipe that is approximately 3/4 inch - 1 inch thick
  • Holding the bar/pipe out in front, the patient will lift their left knee to 90° of hip flexion for at least 5-10 seconds on both sides
  • Looking for good stability in their core
  • Pass = Can easily complete without doing the following fail criteria
  • Fail = Shaking/wobbling during the test, cannot hold the pose for at least 5 seconds 

Test #3: (Table) Supine Sit-Up with No Momentum Used

  • From a recumbent position, feet on the table, observe if the patient can sit up to a seated position
  • Pass = Easy transition from a nice supine position to a seated one
  • Fail = Lifting feet or legs off the table, used momentum 

Test #4: (Table) 6" Leg Lift and Hold for 10 seconds

  • From a recumbent, supine position, the patient will lift their legs 30-70° (approx. 6 inches off the table) and hold for 10 seconds
  • Pass = The patient completes this, and without pain
  • Fail = Pain, which could be caused by facet syndrome, disc problems caused by compression in the lumbar spine

Watch the video below from Dr. Dane Donohue on how to complete this!