A Systematic Review of the Passive Straight Leg Raising Test as a Diagnostic Aid for Low Back Pain (1989 to 2000)

Rebain, Richard; Baxter, G. David; McDonough, Suzanne

doi:10.1097/00007632-200209010-00025

Cited by 102 publications

(101 citation statements)

References 56 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

Section: Introductionmentioning

confidence: 99%

“…1,2 It is considered a diagnostic standard and is used widely. 1 However, the range of SLR does not uniquely reflect nerve involvement in lumbar spine conditions as the test is also frequently used to measure the length of the hamstring muscles. 3,4 Structural differentiation is made by the addition of sensitizing maneuvers or qualifying signs, such as ankle dorsiflexion, 5 to increase strain in the lumbosacral plexus without affecting the hamstring muscles.…”

Section: Introductionmentioning

confidence: 99%

“…The addition of ankle dorsiflexion at the angle of hip flexion at which pain is produced has become an integral part of the SLR. 1 While maintaining the knee in extension, Smith et al 2 demonstrated that hip flexion induced a 0.5-5 mm longitudinal excursion of the L4, L5, and S1 spinal nerves, a transverse movement toward the pedicle, and a 2%-4% increase in strain. The amount of longitudinal movement was in agreement with earlier findings.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Strain and excursion of the sciatic, tibial, and plantar nerves during a modified straight leg raising test

et al. 2006

View full text Add to dashboard Cite

A modified straight leg raising (SLR) in which ankle dorsiflexion is performed before hip flexion has been suggested to diagnose distal neuropathies such as tarsal tunnel syndrome. This study evaluates the clinical hypothesis that strain in the nerves around the ankle and foot caused by ankle dorsiflexion can be further increased with hip flexion. Linear displacement transducers were inserted into the sciatic, tibial, and plantar nerves and plantar fascia of eight embalmed cadavers to measure strain during the modified SLR. Nerve excursion was measured with a digital calliper. Ankle dorsiflexion resulted in a significant strain and distal excursion of the tibial nerve. With the ankle in dorsiflexion, the proximal excursion and tension increase in the sciatic nerve associated with hip flexion were transmitted distally along the nerve from the hip to beyond the ankle. As hip flexion had an impact on the nerves around the ankle and foot but not on the plantar fascia, the modified SLR may be a useful test to differentially diagnose plantar heel pain. Although the modified SLR caused the greatest increase in nerve strain nearest the moving joint, mechanical forces acting on peripheral nerves are transmitted well beyond the moving joint. ß

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Strain and excursion of the sciatic, tibial, and plantar nerves during a modified straight leg raising test

et al. 2006

View full text Add to dashboard Cite

show abstract

“…27 This maneuver is based on stretching the nerve root in the spine when it cannot move freely it causes compression and stimulation of the dural sheath causing pain. 19,20 The prevalence of Lasègue signs in series of LDH are highly variable, varying from 27% to 94%. 15,26 This difference could be explained by the different definitions of what would be a positive Lasègue test, especially concerning the degree of leg elevation, so that comparing the studies becomes a challenge.…”

Section: Resultsmentioning

confidence: 99%

“…18 However, the clinical relevance of this sign in the preoperative period of LDH are controversial. 19,20 The purpose of this study is to evaluate the predictive value of the Lasègue sign in patients who undergo microdiscetomy due to LDH, and to investigate its relation with the health-related quality of life (HRQoL) measures during one year follow-up.…”

Section: Introductionmentioning

confidence: 99%

Is the lasègue sign a predictor of outcome in lumbar disc herniation surgery?

Falavigna

Righesso²,

Teles

et al. 2013

Coluna/Columna

View full text Add to dashboard Cite

Objective: Evaluate the predictive value of the Lasègue sign on self-reported quality of life measures (HRQoL) in patients who undergo microdiscectomy. Methods: 95 patients with clinical and radiological diagnosis of LDH who underwent microdiscectomy were included. The patients were assessed by a neurological examination and answered validated instruments to assess pain, disability, quality of life, and mood disorder in the preoperative period, and 1, 6 and 12 months after surgery. Results: Preoperative Lasègue sign was identified in 56.8% (n=54/95) of the cases. There was no difference between the groups in the preoperative period regarding HRQoL. At one year follow-up no statistically significant difference in HRQoL was observed in the Lasègue group. The discrimination capacity of the preoperative Lasègue sign to determinate variations in HRQoL outcomes one year postoperatively was low. Conclusion: Lasègue sign is not a good predictor of outcome after microdiscectomy for LDH.Keywords: Intervertebral disc displacement; Quality of life; Prognosis; Spine/surgery. RESUMO Objetivo: Avaliar o valor preditivo do Sinal de Lasègue em medidas de qualidade de vida (HRQoL) em pacientes submetidos a microdiscectomia. Métodos: 95 pacientes com diagnóstico clínico e radiológico de HDL submetidos à microdiscectomia foram incluídos. Os pacientes foram avaliados por exame neurológico e responderam instrumentos validados para medir dor, incapacidade, qualidade de vida e transtornos do humor no período pré-operatório e 1, 6 e 12 meses após a cirurgia. Resultados: O sinal de Lasègue no pré-operatório foi identificado em 56,8% (n = 54/95) dos casos. Não houve diferença entre os grupos no pré-operatório em relação à HRQoL. Em um ano de pós-operatório não foi observada diferença estatística com relação à HRQoL no grupo com Lasègue. A capacidade de discriminação do Sinal de Lasègue pré-operatório para determinar variações na

show abstract

Physical examination for lumbar radiculopathy due to disc herniation in patients with low-back pain

Windt¹,

Simons²,

Riphagen³

et al. 2008

Cochrane Database of Systematic Reviews

View full text Add to dashboard Cite

The general aim of our review is to provide information that may assist the clinician in making decisions about appropriate management in patients with low-back pain and leg pain suspected of having radicular pain and radiculopathy due to disc herniation. More specifically, the objective of this systematic review is to assess the diagnostic performance of tests performed during physical examination in the identification of radicular pain and radiculopathy due to lumbar disc herniation in patients with low-back and leg pain. The secondary objective of this review is to assess the influence of sources of heterogeneity on the diagnostic accuracy of tests performed during physical examination, in particular the type of reference standard, health care setting, spectrum of disease, and study design. 1 Physical examination for lumbar radiculopathy due to disc herniation in patients with low-back pain (Protocol)

show abstract

A Systematic Review of the Passive Straight Leg Raising Test as a Diagnostic Aid for Low Back Pain (1989 to 2000)

Cited by 102 publications

References 56 publications

Strain and excursion of the sciatic, tibial, and plantar nerves during a modified straight leg raising test

Strain and excursion of the sciatic, tibial, and plantar nerves during a modified straight leg raising test

Is the lasègue sign a predictor of outcome in lumbar disc herniation surgery?

Physical examination for lumbar radiculopathy due to disc herniation in patients with low-back pain

Contact Info

Product

Resources

About