Template:Special Test: Difference between revisions

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== Purpose<br>  ==


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Purpose
 
== Purpose  ==
 
This neural tension test can be used to rule out neural tissue involvement as a result of lumbar disc herniation.<ref name="Dutton">Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York: The McGraw-Hill Companies, Inc.</ref>


== Technique<br>  ==
== Technique<br>  ==


When performing the straight leg raise test the patient is positioned supine in the absence of pillows.&nbsp; The clinician lifts the patient's symptomatic leg by the posterior ankle while keeping the knee in a fully extended position.&nbsp; The clinican continues to lift the patient's leg by flexing at the hip until pain is illicited or end range is reached.&nbsp; Neurologic pain which is reproduced in the leg and low back between 30-70 degrees of hip flexion is a positive result of lumbar disc herniation at the L4-S1 nerve roots.&nbsp; In order to make this test more spcific, the ankle can be dorsiflexed and the cervical spine flexed.<ref name="Dutton" />
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== Evidence  ==
== Evidence  ==


Recent evidence has shown a sensitivty of .67<ref>Rabin A, Gerszten PC, Karausky P, et al. The Sensitivity of the Seated Straight-Leg Raise Test Compared With the Supine Straight-Leg Raise Test in Patients Presenting With Magnetic Resonance Imaging Evidence of Lumbar Nerve Root Compression. Arch Phys Med Rehabil. 2007;(88):840-843.</ref> and a specificity ranging from .26<ref>Deville WL, van der Windt DA, Dzaferagic A, et al. The test of Lasegue: systematic review of the accuracy
Provide the evidence for this technique here
in diagnosing herniated discs. Spine 2000;25:1140-7.</ref>


== Resources  ==
== Resources  ==


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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==


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== References  ==
== References  ==


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Latest revision as of 19:42, 5 May 2020

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Purpose
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Technique
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Evidence[edit source]

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Resources[edit source]

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