Lumbar Radiculopathy Assessment: Difference between revisions

No edit summary
No edit summary
Line 23: Line 23:
Several things must be considered when performing repeated movement:
Several things must be considered when performing repeated movement:


* Direction
* Direction.  Often a mistake is only performing repeated extension.
* Loaded or unloaded
* Loaded or unloaded. Standing is considered a loaded position of the lumbar spine whereas supine/prone is considered unloaded.
* Time and/or repetition
* Time and/or repetition.  Another mistake that can be made is not giving enough time or the proper number of repetitions to exhaust a movement.


== References  ==
== References  ==


<references />
<references />

Revision as of 05:04, 26 November 2023

Original Editor - User Name

Top Contributors - Jess Bell, Matt Huey and Wanda van Niekerk  

Introduction[edit | edit source]

Causes of Radiculopathy[edit | edit source]

Assessment for Radiculopathy[edit | edit source]

Myotomes[edit | edit source]

Sensation[edit | edit source]

Deep Tendon Reflexes[edit | edit source]

Neurodynamics[edit | edit source]

Repeated Movement[edit | edit source]

The use of repeated movement testing is a hallmark of Mechanical Diagnosis and Therapy (MDT or the McKenzie Method). The goal with utilizing repeated movement testing, is to determine if the person is able to centralize their radicular symptoms. There is evidence that utilizing repeated movement testing can be both useful in the assessment and treatment for lumbar radiculopathy[1]. Repeated movement testing can be useful even if a patient is only experiencing symptoms in their lower extremity[2].

Several things must be considered when performing repeated movement:

  • Direction. Often a mistake is only performing repeated extension.
  • Loaded or unloaded. Standing is considered a loaded position of the lumbar spine whereas supine/prone is considered unloaded.
  • Time and/or repetition. Another mistake that can be made is not giving enough time or the proper number of repetitions to exhaust a movement.

References[edit | edit source]

  1. Wetzel, F. T., & Donelson, R. (2003). The role of repeated end-range/pain response assessment in the management of symptomatic lumbar discs. The spine journal : official journal of the North American Spine Society, 3(2), 146–154. https://doi.org/10.1016/s1529-9430(02)00565-x
  2. osedale, R., Rastogi, R., Kidd, J., Lynch, G., Supp, G., & Robbins, S. M. (2020). A study exploring the prevalence of Extremity Pain of Spinal Source (EXPOSS). The Journal of manual & manipulative therapy, 28(4), 222–230. https://doi.org/10.1080/10669817.2019.1661706