Literature DB >> 19674698

Physical assessment of lower extremity radiculopathy and sciatica.

Kenneth Jeffrey Miller1.   

Abstract

OBJECTIVE: The purpose is to describe active and passive physical maneuvers that provoke or alleviate lumbosacral radiculopathy and/or sciatica to demonstrate how these maneuvers function in common orthopedic and neurological tests/signs.
METHODS: Descriptions of the maneuvers and their countermaneuvers are provided to establish an understanding of their mechanisms and influence on lumbosacral nerve roots and the sciatic nerve. Common tests and signs for lower extremity radiculopathy and sciatica are described to demonstrate the clinical application of the maneuvers. Combinations of common tests are also offered to improve examination efficiency.
RESULTS: Understanding how each maneuver contributes individually or in combination with standard tests will enhance the reader's examination skills.
CONCLUSION: Improved examination skills lead to improved diagnosis and differential diagnosis of lower extremity radiculopathy and sciatica.

Entities:  

Year:  2007        PMID: 19674698      PMCID: PMC2647081          DOI: 10.1016/j.jcme.2007.04.001

Source DB:  PubMed          Journal:  J Chiropr Med        ISSN: 1556-3707


  16 in total

1.  Nerve root pressure in lumbar disc herniation.

Authors:  K Takahashi; I Shima; R W Porter
Journal:  Spine (Phila Pa 1976)       Date:  1999-10-01       Impact factor: 3.468

Review 2.  The test of Lasègue: systematic review of the accuracy in diagnosing herniated discs.

Authors:  W L Devillé; D A van der Windt; A Dzaferagić; P D Bezemer; L M Bouter
Journal:  Spine (Phila Pa 1976)       Date:  2000-05-01       Impact factor: 3.468

3.  Characteristics of patients with lower extremity symptoms treated with slump stretching: a case series.

Authors:  Steven Z George
Journal:  J Orthop Sports Phys Ther       Date:  2002-08       Impact factor: 4.751

4.  BIOMECHANICS OF THE LUMBOSACRAL NERVE ROOTS.

Authors:  A BREIG; O MARIONS
Journal:  Acta Radiol Diagn (Stockh)       Date:  1963-11

5.  Biomechanical considerations in the straight-leg-raising test. Cadaveric and clinical studies of the effects of medial hip rotation.

Authors:  A Breig; J D Troup
Journal:  Spine (Phila Pa 1976)       Date:  1979 May-Jun       Impact factor: 3.468

6.  Interexaminer reliability in physical examination of patients with low back pain.

Authors:  L E Strender; A Sjöblom; K Sundell; R Ludwig; A Taube
Journal:  Spine (Phila Pa 1976)       Date:  1997-04-01       Impact factor: 3.468

7.  The slump test: examination and treatment.

Authors:  G D Maitland
Journal:  Aust J Physiother       Date:  1985

8.  Piriformis syndrome resulting from a rare anatomic variation.

Authors:  Ima Kosukegawa; Mitsunori Yoshimoto; Satoshi Isogai; Shinsuke Nonaka; Toshihiko Yamashita
Journal:  Spine (Phila Pa 1976)       Date:  2006-08-15       Impact factor: 3.468

9.  Reliability of the lumbar flexion, lumbar extension, and passive straight leg raise test in normal populations embedded within a complete physical examination.

Authors:  D G Hunt; O A Zuberbier; A J Kozlowski; J Robinson; J Berkowitz; I Z Schultz; R A Milner; J M Crook; D C Turk
Journal:  Spine (Phila Pa 1976)       Date:  2001-12-15       Impact factor: 3.468

10.  Slump stretching in the management of non-radicular low back pain: a pilot clinical trial.

Authors:  Joshua A Cleland; John D Childs; Jessica A Palmer; Sarah Eberhart
Journal:  Man Ther       Date:  2005-12-27
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  4 in total

Review 1.  [The piriformis syndrome-a special indication for botulinum toxin].

Authors:  W Hermann
Journal:  Nervenarzt       Date:  2020-02       Impact factor: 1.214

2.  Sensitivity and Specificity of Modified Bragard Test in Patients With Lumbosacral Radiculopathy Using Electrodiagnosis as a Reference Standard.

Authors:  Kaynoosh Homayouni; Seyedeh Halimeh Jafari; Hossein Yari
Journal:  J Chiropr Med       Date:  2018-01-12

3.  How to proceed when evidence-based practice is required but very little evidence available?

Authors:  Charlotte Leboeuf-Yde; Olivier Lanlo; Bruce F Walker
Journal:  Chiropr Man Therap       Date:  2013-07-10

4.  Use of Neurodynamic or Orthopedic Tension Tests for the Diagnosis of Lumbar and Lumbosacral Radiculopathies: Study of the Diagnostic Validity.

Authors:  Francisco Javier González Espinosa de Los Monteros; Gloria Gonzalez-Medina; Elisa Maria Garrido Ardila; Juan Rodríguez Mansilla; José Paz Expósito; Petronila Oliva Ruiz
Journal:  Int J Environ Res Public Health       Date:  2020-09-26       Impact factor: 3.390

  4 in total

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