Table 1 Movement tests for classifying the lumbar extension rotation syndrome

Position Test items Test responses with increased low back pain
Standing Alignment Increased lumbar extensionIncreased anterior pelvic tilt with hip flexion Asymmetrical paraspinal hypertrophy
Return from forward bending Initiated movement with lumbar extension
Side bending Increased lumbar rotation
Supine Active hip and knee flexion-unilateral Increased lumbar rotation with pelvic rotation
Hip external rotation/abduction in hook lying Increased lumbar rotation with pelvic rotation
Sidelying Alignment Increased lumbar extension and lateral bending/rotation
Prone Alignment Increased lumbar extension
Active knee flexion-unilateral Increased lumbar extension with anterior pelvic tiltIncreased lumbar rotation with pelvic rotation
Quadruped Alignment Flat lumbar spineAsymmetrical paraspinal hypertrophy
Rock backward Increased lumbar rotation
Rock forward Increased lumbar extension