Adam’s forward bend test is used to screen for scoliosis by observing which of the following findings during forward bending?

Adam’s forward bend test is used to screen for scoliosis by observing which of the following findings during forward bending?

• A. No movement of the spine
• B. Trunk symmetry with forward bending
• C. Leg length discrepancy
• D. Hip rotation asymmetry

Answer: (B)

Adam's forward bend test evaluates scoliosis by watching for asymmetry in the back as the person bends forward. In a spine with a lateral curvature and vertebral rotation, one side of the rib cage protrudes more, creating a rib hump and uneven trunk height. This trunk asymmetry becomes most evident with forward bending. If the trunk remains symmetrical, it suggests no structural scoliosis detectable on exam. Other findings like leg length discrepancy or hip rotation asymmetry are not the primary indicators of scoliosis on this screen, and the test does not rely on the absence of movement. When asymmetry is seen, it warrants further evaluation with spinal imaging to measure the curvature.

Adam's forward bend test evaluates scoliosis by watching for asymmetry in the back as the person bends forward. In a spine with a lateral curvature and vertebral rotation, one side of the rib cage protrudes more, creating a rib hump and uneven trunk height. This trunk asymmetry becomes most evident with forward bending. If the trunk remains symmetrical, it suggests no structural scoliosis detectable on exam. Other findings like leg length discrepancy or hip rotation asymmetry are not the primary indicators of scoliosis on this screen, and the test does not rely on the absence of movement. When asymmetry is seen, it warrants further evaluation with spinal imaging to measure the curvature.