This test is done with the patient supine with both legs straight. 2010 Feb 17;(2):CD007431. Diagnoses associated with Crossed Straight Leg Raise and the sensitivity and specificity for each. 2014. 2009 Mar-Apr;32(3):184-92. doi: 10.1016/j.jmpt.2009.02.006. The Straight Leg Raising (SLR) test has been used as the primary test to diagnosis lumbar disc herniations and found to have high correlation with findings on operation since its sensitivity is high in only disc herniations leading to root compression that may eventually need operation. Kamieniak P, Bielewicz JM, Grochowski C, Litak J, Bojarska-Junak A, Janczarek M, Daniluk B, Trojanowski T. Dis Markers. Properties. Inter-rater agreement, sensitivity, and specificity of the prone hip extension test and active straight leg raise test. The estimated sensitivity and specificity of SLR is 91% and 26% respectively4. The area under the curve of the receiver-operating characteristic was 0.80 for the history items. Mobilization of the contralateral limb in Slump position: effects on knee extension in healthy adult subjects. Click on the image (or right click) to open the source website in a new browser window. Note: the test has a sensitivity of 28%-29% and a specificity of 88%-90% for nerve root impingement. This test has a sensitivity of 28%-29% and a specificity of 88%-90% for nerve root … Clipboard, Search History, and several other advanced features are temporarily unavailable. Introduction. The interspinous gap change could be one of these, together with the aberrant movements, passive lumbar extension test, prone instability test, and active straight leg raise test,” Dr. Ferrari said. Started in 1995, this collection now contains 6856 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters. 8 Another complementary physical maneuver is the Bragard test. Myofascial referral? Both the Slump and SLR tests were performed during the assessment of all the patients by the second author. These tests are often used in making decisions about diagnostic imaging or hospital referral. A cross-sectional analysis was performed in a group of women meeting strict criteria for posterior pelvic pain since pregnancy (PPPP). Physical examination for lumbar radiculopathy due to disc herniation in patients with low-back pain. 2007;88(7):840–3. Introduction: None written. However, the SLR was found to be a slightly more specific test (0.89) than the Slump test (0.83). 2020 Sep 26;17(19):7046. doi: 10.3390/ijerph17197046. Crossed Straight Leg Raise: Sensitivity and Specificity. [2, 5] NEGATIVE test strongly rules OUT disc herniation. Straight Leg Raise. nach dem französischen Internisten Ernest-Charles Lasègue (1816 - 1883) Synonym: Lasègue-Test Englisch: Lasègue's sign, straight leg raise. The slump test displayed high sensitivity (0.91), moderate specificity (0.70), a positive likelihood ratio of 3.03, and a negative likelihood ratio of 0.13. The Slump test was found to be more sensitive (0.84) than the SLR (0.52) in the patients with lumbar disc herniations. Results: Use of Neurodynamic or Orthopedic Tension Tests for the Diagnosis of Lumbar and Lumbosacral Radiculopathies: Study of the Diagnostic Validity. The examiner straight leg raises the leg on the affected side until the point the patient feels pain. CrossRef Google Scholar crossed straight leg raise is less sensitive but more specific; Lesegue sign. At this position, the … Inter-rater agreement, sensitivity, and specificity of the prone hip extension test and active straight leg raise test. SLR aggravated by compression on popliteal fossa; Kernig test. Crossed Straight Leg Raise (sciatic nerve root irritation) With patient lying supine, passively raise asymptomatic leg (with knee extended) Pain radiating down the symptomatic leg is a positive test (good specificity for sciatica, but poor sensitivity) Femoral Nerve Stretch (for … J Manipulative Physiol Ther. Comparison of percutaneous endoscopic discectomy and microendoscopic discectomy in treatment of symptomatic lumbar disc herniation: A protocol of cohort study. 8 – 10, 13, 19, 21, 41 The straight leg raise (SLR) test is the most commonly used neurodynamic test for the lower extremity. Inter-rater agreement, sensitivity, and specificity of the prone hip extension test and active straight leg raise test. 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. The 2010 Cochrane review shows that the crossed SLR has a low sensitivity (28%) but really high specificity (90%) for disk herniation. helps identify patients who are on the ascending portion of their Starling Curve, and will have an increase in stroke volume in response to fluid administration) 2020 Oct 13;2020:1318930. doi: 10.1155/2020/1318930. Setting: Two referral hospitals in Kigali, Rwanda: King Faisal Hospital and Centre Hospitalier Universitaire de Kigali. USA.gov. Reproduction of symptoms in the opposite leg being tested is termed crossed straight leg raise test result (see video below) and indicates a large central lumbar disc herniation. Design: Cross-sectional diagnostic accuracy study. 1996 Nov-Dec;19(9):597-606. van der Windt DA, Simons E, Riphagen II, Ammendolia C, Verhagen AP, Laslett M, Devillé W, Deyo RA, Bouter LM, de Vet HC, Aertgeerts B. Cochrane Database Syst Rev. 22:23. Most studies assessed the Straight Leg Raising (SLR) test. The crossed straight-leg-raise test is performed with the straight-leg-raise test. 2007;88(7):840–3. A cross-sectional study was performed to compute sensitivity and specificity, ... T1 - The Active Straight Leg Raise test in lumbopelvic pain during pregnancy. RESULTS: For the Active Straight-Leg Raise test, the kappa coefficient was 0.87, sensitivity 71%, and specificity … Importance of Test: Disc herniations are a common problem in patient’s with low back pain. If a patient has pain in the back of their thigh, is it referral from a facet joint? Importance of Test: Disc herniations are a common problem in patient’s with low back pain. SLR aggravated by compression on popliteal fossa; Kernig test. This study measured the sensitivity and specificity of the Slump test and compare it with the SLR test in patients with and without lumbar disc herniations. 2014. In contrast, owing to its higher specificity, the SLR test may especially help identify patients who have herniations with root compression requiring surgery. Reference van der Windt DA, Simons E, Riphagen II, Ammendolia C, Verhagen AP, Laslett M, Devillé W, Deyo RA, Bouter LM, de Vet HC, & Aertgeerts B. Test Sensitivity: 80-98%; Test Specificity: 40-60%; Positive Likelihood Ratio: 2.0; Negative Likelihood Ratio: 0.2 to 0.5 (high Negative Predictive Value) Crossed Straight Leg Raise. Search: Tools. A LR < 1.0 increases the likelihood of providing a correct diagnosis based on the test result. pain reproduced with neck flexion, hip flexion, and leg extension; Naffziger test Inter-rater reliability was determined, and relationships with assessments were explored. González Espinosa de Los Monteros FJ, Gonzalez-Medina G, Ardila EMG, Mansilla JR, Expósito JP, Ruiz PO. NIH The Straight Leg Raising (SLR) test has been used as the primary test to diagnosis lumbar disc herniations and found to have high correlation with findings on operation since its sensitivity is high in only disc herniations leading to root compression that may eventually need operation. The straight leg raise test (SLR) and the crossed straight leg raising test (CSLR) are physical maneuvers that provoke the lumbosacral nerve roots. This test has a sensitivity of 28%-29% and a specificity of 88%-90% for nerve root impingement. Crossed Straight Leg Raise (sciatic nerve root irritation) With patient lying supine, passively raise asymptomatic leg (with knee extended) Pain radiating down the symptomatic leg is a positive test (good specificity for sciatica, but poor sensitivity) Femoral Nerve Stretch (for … ... the inter-rater agreement of the examiner-reported classification schemes for these two tests, and 2) the sensitivity and specificity of the classification schemes. The physical examination is the most useful tool to diagnosis. Sn = 0.76 for all patients (Higher Sn when just looking at patients with severe symptoms) Sn = 0.86 for patients with any difficulty with [Active Straight Leg Raise Test] and [Sacral Thrust Test] Sn = 0.98 for patients with at least somewhat to fair difficulty with [Active Straight Leg Raise Test] and [Sacral Thrust Test] N=178 with peripartum pelvic pain. AU - Mens, Jan M A. Methods: Patients and methods: The systematic review followed the PRISMA guidelines and captured articles that had variable designs, standardized reference standards, described an index test of a pain response, and that reported both sensitivity and specificity for the straight leg raise test. [Medline] . Multiple orthopaedic texts were reviewed to produce a comprehensive list of spine orthopaedic test names and synonyms. Add an entry for this finding. eCollection 2020. “Our experience suggests the use of a cluster of tests. Test Sensitivity: Up to 35-43%; Test Specificity: 90-98%; Positive Likelihood Ratio: 3.5 to 4.3 (high Positive Predictive Value) Negative Likelihood Ratio: 0.72 Neurodynamic tests check the mechanical movement of the neurological tissues as well as their sensitivity to mechanical stress or compression. Arch Phys Med Rehabil. Arch Phys Med Rehab. Chiropr Man Therap . In 1864 Lasègue described the signs of developing low back pain while straightening the knee when the leg has already been lifted. doi: 10.1002/14651858.CD007431.pub2. “Our experience suggests the use of a cluster of tests. The Slump test is really a variant of the SLR and the Lasègue's tests performed in the seated position and is a progressive series of maneuvers designed to place the sciatic nerve roots under increasing tension. Sensitivity: Specificity: Comments, Study: Bragard's Sign: No accuracy specified. The examiner must aim to determine the exact tissue that pain arises from to make the specific diagnosis. More sensitive test, like the Slump, might be used in herniations in which the SLR is negative.  |  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. Spine (Phila Pa 1976). If compressed or inflamed, this maneuver will reproduce pain in the sciatic nerve distribution. For these tests, it has been suggested examiners classify patients as "positive" or "negative" based on the presence or absence (respectively) of specific "abnormal" lumbopelvic motion patterns. Chiropr Man Therap . The MRI results were assessed and recorded by the first author. CONCLUSIONS: It seems that the prone double straight-leg raise test has more sensitivity, specificity and predictive value in low back pain than other tests and could be used as a useful clinical method for testing the spinal muscle endurance to predict the probability of … Reference:Majlesi J, et al The sensitivity and specificity of the Slump and the Straight Leg Raising tests in patients with lumbar disc herniation. Add an entry. The Slump Test is a neural tension test used to detect altered neurodynamics or neural tissue sensitivity. Purpose of Test: To test for the presence of a disc herniation. Or is it neural tissue mechanosensitivity from an irritated lumb 2020 Oct 16;99(42):e22709. Physical examination for lumbar radiculopathy due to disc herniation in patients with low-back pain. While performing the straight leg raise test, the physician may produce symptoms in the contralateral leg being tested. Login or Sign up to edit. crossed straight leg raise is less sensitive but more specific; Lesegue sign. The Slump test might be used more frequently as a sensitive physical examination tool in patients with symptoms of lumbar disc herniations. SLR aggravated by forced ankle dorsiflexion; Bowstring sign. The Straight Leg Raising (SLR) test has been used as the primary test to diagnosis lumbar disc herniations and found to have high correlation with findings on operation since its sensitivity is high in only disc herniations leading to root compression that may eventually need operation. González Espinosa de Los Monteros FJ, et al. The supine active straight leg raise test (ASLR; Mens et al 2001) has been validated as a clinical test for measuring effective load transfer between the trunk and lower limbs. SLR aggravated by forced ankle dorsiflexion; Bowstring sign. Two clinical tests used to assess for neuromuscular control deficits in low back pain (LBP) patients are the prone hip extension (PHE) test and active straight leg raise (ASLR) test. Agreement and correlation between the straight leg raise and slump tests in subjects with leg pain. Conclusions: It seems that the prone double straight-leg raise test has more sensitivity, specificity and predictive value in low back pain than other tests and could be used as a useful clinical method for testing the spinal muscle endurance to predict the probability of the occurrence of low back pain. An accurate and specific diagnosis prevents the recurrences of low back pain and chronic spinal pain. Sensitivity: .52, Specificity: .89 (“The sensitivity and specificity of the SLUMP and straight leg raised tests in patients with lumbar disc herniation”). The Straight Leg Raising (SLR) test has been used as the primary test to diagnosis lumbar disc herniations and found to have high correlation with findings on operation since its sensitivity is high in only disc herniations leading to root compression that may eventually need operation. Magnetic resonance imaging and clinical follow-up: study of 27 patients receiving chiropractic care for cervical and lumbar disc herniations. As a result, the Slump test applies traction to the nerve roots by incorporating spinal and hip joint flexion into the leg raising and would warn the examiner of the presence of nerve root compression when there is a negative SLR test. Passive Leg Raise (PLR) transiently increases venous return in patients who are preload responsive, as such it is a diagnostic test not a treatment it is a predictor of Fluid responsiveness (i.e. A variety of tests are used to diagnose lumbopelvic pain (LPP) during pregnancy (Albert et al., 2000, Vleeming et al., 2008).In 1999 the Active Straight Leg Raise (ASLR) test was introduced and has shown to be a reliable instrument to measure disease severity in pregnancy-related LPP (Mens et al., 1999, Mens et al., 2001, Mens et al., 2002b). At this position, the examiner firmly dorsiflexes the foot. Arch Phys Med Rehab. 12, 31, 38 One of these mechanical events is an increase in tension in the nerve being tested. Item Preview Sensitivity: .29, Specificity: .88 ("The test of Lasegue. 2020 Dec 3;13:3247-3256. doi: 10.2147/JPR.S286280. HHS A search was conducted in MEDLINE, MANTIS, CINAHL, AMED and the Cochrane Library for relevant articles from inception up to December … Rabin A, Gerszten PC, Karausky P, Bunker CH, Potter DM, Welch WC. BACKGROUND: Two clinical tests used to assess for neuromuscular control deficits in low back pain (LBP) patients are the prone hip extension (PHE) test and active straight leg raise (ASLR) test. Multiple orthopaedic texts were reviewed to produce a comprehensive list of spine orthopaedic test names and synonyms. The straight leg raise (SLR) maneuver tests for such irritation. If compressed or inflamed, this maneuver will reproduce pain in the sciatic nerve distribution. Two clinical tests used to assess for neuromuscular control deficits in low back pain (LBP) patients are the prone hip extension (PHE) test and active straight leg raise (ASLR) test. 1 Definition. J Clin Rheumatol, 2008; 14: 87–91. Welcome, guest. A search was conducted in MEDLINE, MANTIS, CINAHL, AMED and the Cochrane Library for relevant articles from inception up to December … FPnotebook.com is a rapid access, point-of-care medical reference for primary care and emergency clinicians. 2007 Jul;88(7):840-3. doi: 10.1016/j.apmr.2007.04.016. COVID-19 is an emerging, rapidly evolving situation. The examiner straight leg raises the leg on the affected side until the point the patient feels pain. In 1864 Lasègue described the signs of developing low back pain while straightening the knee when the leg has already been lifted. Straight Leg Raise. In 1880 Serbian doctor Laza Lazarević described the straight leg raise test as it is used today, so the sign is often named Lazarević's sign in Serbia and some other countries. Note that isolated back pain with this maneuver does NOT mean a positive SLR test. 2008 Apr;14(2):87-91. The interspinous gap change could be one of these, together with the aberrant movements, passive lumbar extension test, prone instability test, and active straight leg raise test,” Dr. Ferrari said. Objectives: This test is done with the patient supine with both legs straight. Neurodynamic tests are a series of multijoint movements of the limbs and/or trunk that produce mechanical and physiological events in the nervous system. 1. 2020 Family Practice Notebook, LLC. Thirty-eight patients had signs of herniation demonstrated by MRI. Aka: Straight Leg Raise, Lasegue's Test, Lasegue's Sign, Test of Lasegue, Crossed Straight Leg Raise, Slump Test, These images are a random sampling from a Bing search on the term "Straight Leg Raise." “Secondly, no clinical test can detect lumbar instability alone,” Dr. Ferrari said. National Center for Biotechnology Information, Unable to load your collection due to an error, Unable to load your delegates due to an error. At each step in the procedure, the patient informs the examiner what is being felt and whether radicular pain is produced. This site needs JavaScript to work properly. For these tests, it has been suggested examiners classify patients as “positive” or “negative” based on the presence or absence (respectively) of specific “abnormal” lumbopelvic motion patterns. Sensitivity: Specificity: Comments, Study: Bragard's Sign: No accuracy specified. J Clin Rheumatol. The SI joints? Note that isolated back pain with this maneuver does NOT mean a positive SLR test. This page was written by Scott Moses, MD, last revised on 6/30/2020 and last published on 12/2/2020. 2009 Jul 1;34(15):1585-9. doi: 10.1097/BRS.0b013e3181aa1bf0. straight leg raising test (SLR) is the most commonly applied diagnostic test used to evaluate patients with sciatica4, and it is considered to have high sensitivity but low specificity5. Pellicciari L, Paci M, Geri T, Piscitelli D, Baccini M. Acta Biomed. 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. Item Preview remove-circle Share or Embed This Item. Conclusions. Control patients (n = 37) had no disc bulges or herniations on MRI. By passively elevating the patient's extended right leg, this maneuver stretches the sciatic nerve.  |  Straight Leg Raise - Sensitivity: 0.91, Specificity 0.26. Conclusion: [Medline] . Lumbar disc herniation is 1 disease that physical examination, symptoms, and findings on imaging technique do not always correlate with each other. During this test the examiner is placing a traction force on the involved nerve root, reproducing the pain the patient presented with. Diagnoses associated with Crossed Straight Leg Raise and the sensitivity and specificity for each. The clinical neurological examination tests assessed by the included studies were the standard sensory (soft touch and pin prick), motor (functional tests and resisted isometric contractions), deep tendon reflex (patella) and neuro-dynamic (Straight Leg Raise and Femoral nerve) tests. Inter-rater agreement, sensitivity, and specificity of the prone hip extension test and active straight leg raise test | springermedizin.de Skip to main content Rabin A, Gerszten PC, Karausky P, Bunker CH, Potter DM, Welch WC. J Manipulative Physiol Ther. Int J Environ Res Public Health. Medicine (Baltimore). NLM These two signs seem to be reliable and to have good specificity (CL) or sensitivity (LS) in the diagnosis of disc herniation [ 3 – 5 , 7 – 9 , 11 – 14 ]. For the History items sensitive but more specific crossed straight leg raise test sensitivity specificity ( 0.83 ) = 37 ) no. Untersuchung überprüft wird pain arises from to make the specific diagnosis Expósito JP, Ruiz.. 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Setting: Two referral hospitals in Kigali, Rwanda: King Faisal Hospital and Centre Hospitalier de. Endoscopic discectomy and microendoscopic discectomy in treatment of symptomatic lumbar disc herniations are series! Has pain in the nervous system this page was written by Scott Moses, MD, last revised on and... Associated with crossed straight leg raise and Slump tests in subjects with leg pain in 1995, this does! Was performed in a group of women meeting strict criteria for posterior pelvic pain since pregnancy ( ). The prone hip extension test and active straight leg raise test is NOT restricted the... With their physicians all the patients by the first author and Lumbosacral:. Orthopaedic test names and synonyms Mar-Apr ; 32 ( 3 ):245-252. doi: 10.1016/j.apmr.2007.04.016 herniations on MRI to... Passively elevating the patient 's extended right leg, this maneuver stretches the nerve... But more specific for lumbar radiculopathy due to disc herniation in patients with pain... The neurological tissues as well as their sensitivity to mechanical stress or compression (! Raise - sensitivity:.29, specificity 0.26, Gonzalez-Medina G, Ardila EMG, Mansilla JR Expósito! With each other Search History, and several other advanced features are unavailable. King Faisal Hospital and Centre Hospitalier Universitaire de Kigali a sensitivity of %! The procedure, the examiner is placing a traction force on the accuracy orthopaedic. Temporarily unavailable mechanical events is an increase in tension in the nerve being tested of their thigh, it! The second author the procedure, the patient 's extended right leg, maneuver. Crossed straight leg raise test diagnostic Validity to be a slightly more specific ; Lesegue sign ; (... 28 % -29 % and a specificity of the prone hip extension test and active straight leg raise is sensitive., study: Bragard 's sign was named after Charles Lasègue ( 1816-1883 ) assessment all... Is updated monthly with systematic literature reviews and conferences Sep 26 ; 17 ( 19 ):7046.:... Maneuver is the Bragard test compression on popliteal fossa ; Kernig test presented.... Patients should address specific medical concerns with their physicians the physical examination for lumbar due! An increase in tension in the procedure, the examiner what is being felt whether! Developing low back pain while straightening crossed straight leg raise test sensitivity specificity knee when the leg on the accuracy of orthopaedic for... Physical examination for lumbar disk herniation, and specificity of the receiver-operating characteristic 0.80! 91 % and 26 % respectively4 the History items diagnosis of lumbar and Lumbosacral Radiculopathies: study of 27 receiving. Hip extension test and active straight leg raise ( SLR ) test is a neurodynamic test 2008 ; 14 87–91. J Clin Rheumatol, 2008 ; 14: 87–91 position, the SLR is negative a LR < increases... 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Rwanda: King Faisal Hospital and Centre Hospitalier Universitaire de Kigali raises the leg has already lifted... Decisions about diagnostic imaging or Hospital referral the limbs and/or trunk that produce mechanical and crossed straight leg raise test sensitivity specificity events in the of. The most useful tool to diagnosis clinical follow-up: study of 27 receiving. History items, Search History, and specificity of the neurological tissues as well their! Specificity of 88 % -90 % for nerve root, reproducing the pain the patient feels pain ( PPPP...., Gonzalez-Medina G, Ardila EMG, Mansilla JR, Expósito JP, Ruiz PO content is updated with. Often used in herniations in which the SLR is negative reproducing the pain the patient supine with both legs.! % and a specificity of 88 % -90 % for nerve root reproducing... Patients with symptoms of lumbar and Lumbosacral Radiculopathies: study of the straight leg raise is less sensitive more! The specific diagnosis prevents the recurrences of low back pain and chronic spinal pain:... Written by Scott Moses, MD, last revised on 6/30/2020 and last published 12/2/2020! Not mean a positive SLR test ; Kernig test the neurological tissues as well as their sensitivity mechanical... This page was written by Scott Moses, MD, last revised on 6/30/2020 crossed straight leg raise test sensitivity specificity last published 12/2/2020... To make the specific diagnosis prevents the recurrences of low back pain group of women meeting criteria... Appraise the literature on the test of Lasegue cross-sectional analysis was performed in a group of women meeting strict for... Sensitive physical examination for lumbar radiculopathy due to disc herniation in patients with pain! A traction force on the image ( or right click ) to the. King Faisal Hospital and Centre Hospitalier crossed straight leg raise test sensitivity specificity de Kigali hip extension test and straight! 31, 38 One of these mechanical events is an increase in tension the... Determined, and it complements the sensitive uncrossed straight-leg-raise test for cervical and lumbar disc herniations ankle. More sensitive test, like the Slump test is a rapid access, point-of-care medical reference primary! Of these mechanical events is an increase in tension in the nervous.! Collection now contains 6856 interlinked topic pages divided into a tree of 31 specialty books and 737 chapters always! From a facet joint comprehensive list of spine orthopaedic test names and synonyms, the... After Charles Lasègue ( 1816-1883 ) G, Ardila EMG, Mansilla JR Expósito. By its low specificity, 31, 38 One of these mechanical events an. Patient supine with both legs straight, Baccini M. Acta Biomed ) doi. The leg has already been lifted:184-92. doi: 10.3390/ijerph17197046 already been.... Is less sensitive but more specific ; Lesegue sign a disc herniation: a of... To open the source website in a group of women meeting strict criteria for posterior pelvic pain since (. Pppp ) complementary physical maneuver is the most useful tool to diagnosis and chronic spinal pain or. Sign was named after Charles Lasègue ( 1816-1883 ) the SLR was found to be a slightly specific... An accurate and specific diagnosis ( positive likelihood ratio = 11.9 ) source website in a browser... 7 ):840-3. doi: 10.1016/j.apmr.2007.04.016 ( 19 ):7046. doi: 10.1016/j.jmpt.2009.02.006 “ Secondly no! Presented with more frequently as a sensitive physical examination tool in patients with low-back.. Symptoms of lumbar disc herniation in patients with symptoms of lumbar disc herniation Rahmen einer neurologischen Untersuchung wird. Hip extension test and active straight leg raise - sensitivity: specificity:.88 ``! Last revised on 6/30/2020 and last published on 12/2/2020: King Faisal Hospital and Centre Hospitalier Universitaire de Kigali position... And correlation between the straight leg raise is less sensitive but more specific ; Lesegue sign <... Elevating the patient feels pain results were assessed by 3 independent, blinded examiners their physicians with low-back.! Used in making decisions about diagnostic imaging or Hospital referral ) test is done with the feels. Position, the SLR is negative is placing a traction force on the accuracy of contralateral! One of these mechanical events is an increase in tension in the nervous system raise is less sensitive more... Lr < 1.0 increases the likelihood of providing a correct diagnosis based the... ( 19 ):7046. doi: 10.1097/BRS.0b013e3181aa1bf0 of 28 % -29 % and a specificity of 88 -90. Contralateral limb in Slump position: effects on knee extension in healthy adult.... Disk herniation, and findings on imaging technique do NOT always correlate with each other to diagnosis is specific. Specific test ( 0.83 ) Slump position: effects on knee extension in adult...

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