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Kemp Test

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Other Names

  • Extension Quadrant Test
  • Quadrant test
  • Extension-Rotation test
  • Kemp Sign
  • Facet loading test


Kemp Test
Starting and finishing position of the Kemp test[1]


  • The patient can either be standing or seated
  • Examiner places one hand on the patients spine, the other on the contralateral shoulder
  • Patient leans away from examiner then is twisted into forward flexion and eventually brought back into lateral flexion and extension
  • Positive test is pain in the lower back
    • Same side suggests facet etiology
    • Radiating pain suggests nerve root etiology
    • Pain on the contralateral side suggests lumbar strain



  • Unknown

See Also


  1. Stuber, Kent, et al. "The diagnostic accuracy of the Kemp’s test: a systematic review." The Journal of the Canadian Chiropractic Association 58.3 (2014): 258.
Created by:
John Kiel on 29 July 2019 17:06:49
Last edited:
14 April 2023 13:46:03