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The client performs combined extension and rotation of the spine (used for the cervical spine or the lumbar spine). The kemp test or kemp's test provokes this narrowing. Kemp's test, also known as extension quadrant test is an orthopedic test to assess for lumbar stenosis, in particular a lateral stenosis.

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The objective of this review was to evaluate the existing literature regarding the accuracy of the kemp’s test in the diagnosis of facet joint pain compared to a reference standard. In lateral lumbar spinal stenosis, the narrowing of the intervertebral foramen causes neurogenic claudication or facet joint pain