How is a test for a present Neri (Bowing) Sign performed?

How is a test for a present Neri (Bowing) Sign performed?

• A. The patient stands on one leg
• B. The patient bends forward to touch toes
• C. The patient lies down and raises legs
• D. The patient walks a set distance

Answer: (B)

The Neri sign, also known as the bowing sign, is primarily assessed by having the patient bend forward to touch their toes. This position helps to reveal any discomfort or limitation in the lumbar or sacral region that may suggest a neurological or musculoskeletal issue, particularly in relation to the sciatic nerve or conditions like hamstring tightness. When bending forward, if there is associated pain or an observable change in posture, it indicates a positive Neri sign, suggesting that the body is compensating for pain in the lower back or along the sciatic nerve. Assessing the Neri sign in this manner allows the clinician to observe the body mechanics and any involuntary responses, which are crucial in diagnosing underlying pathologies that might not be evident during static assessments or other forms of mobility testing.

The Neri sign, also known as the bowing sign, is primarily assessed by having the patient bend forward to touch their toes. This position helps to reveal any discomfort or limitation in the lumbar or sacral region that may suggest a neurological or musculoskeletal issue, particularly in relation to the sciatic nerve or conditions like hamstring tightness. When bending forward, if there is associated pain or an observable change in posture, it indicates a positive Neri sign, suggesting that the body is compensating for pain in the lower back or along the sciatic nerve.

Assessing the Neri sign in this manner allows the clinician to observe the body mechanics and any involuntary responses, which are crucial in diagnosing underlying pathologies that might not be evident during static assessments or other forms of mobility testing.