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Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet]. York (UK): Centre for Reviews and Dissemination (UK); 1995-.
Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews [Internet].
Show detailsBibliographic details: Scaia V, Baxter D, Cook C. The pain provocation-based straight leg raise test for diagnosis of lumbar disc herniation, lumbar radiculopathy, and/or sciatica: a systematic review of clinical utility. Journal of Back and Musculoskeletal Rehabilitation 2012; 25(4): 215-223. [PubMed: 23220802]
Abstract
PURPOSE: The purpose of this study was to investigate the diagnostic accuracy of a finding of pain during the straight leg raise test for lumbar disc herniation, lumbar radiculopathy, and/or sciatica.
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. Each article specified that a positive straight leg raise test was one in which the subject felt pain during the administration of the test, and was assessed for quality using the QUADAS tool. Sensitivities and specificities were evaluated along with positive and negative likelihood ratios.
RESULTS: The systematic review and hand search identified 7 articles for inclusion; three of these articles were rated as high quality using QUADAS scores. Sensitivity and specificity varied among the 7 studies with 4 suggesting that a pain response SLR is sensitive whereas 3 suggested it is a specific measure.
CONCLUSIONS: Variability in reference standard may partly explain the inconsistencies in the diagnostic accuracy findings. Further, pain that is not specific to lumbar radiculopathy, such as that associated with hamstring tightness, may also lead to false positives for the SLR; and may inflate the sensitivity of the test.
- Review Physical examination for lumbar radiculopathy due to disc herniation in patients with low-back pain.[Cochrane Database Syst Rev. 2010]Review Physical examination for lumbar radiculopathy due to disc herniation in patients with low-back pain.van der Windt DA, Simons E, Riphagen II, Ammendolia C, Verhagen AP, Laslett M, Devillé W, Deyo RA, Bouter LM, de Vet HC, et al. Cochrane Database Syst Rev. 2010 Feb 17; (2):CD007431. Epub 2010 Feb 17.
- Review Neurological examination of the peripheral nervous system to diagnose lumbar spinal disc herniation with suspected radiculopathy: a systematic review and meta-analysis.[Spine J. 2013]Review Neurological examination of the peripheral nervous system to diagnose lumbar spinal disc herniation with suspected radiculopathy: a systematic review and meta-analysis.Al Nezari NH, Schneiders AG, Hendrick PA. Spine J. 2013 Jun; 13(6):657-74. Epub 2013 Mar 15.
- Validity of the straight-leg raise test for patients with sciatic pain with or without lumbar pain using magnetic resonance imaging results as a reference standard.[J Manipulative Physiol Ther. 2...]Validity of the straight-leg raise test for patients with sciatic pain with or without lumbar pain using magnetic resonance imaging results as a reference standard.Capra F, Vanti C, Donati R, Tombetti S, O'Reilly C, Pillastrini P. J Manipulative Physiol Ther. 2011 May; 34(4):231-8. Epub 2011 May 5.
- The sensitivity and specificity of the Slump and the Straight Leg Raising tests in patients with lumbar disc herniation.[J Clin Rheumatol. 2008]The sensitivity and specificity of the Slump and the Straight Leg Raising tests in patients with lumbar disc herniation.Majlesi J, Togay H, Unalan H, Toprak S. J Clin Rheumatol. 2008 Apr; 14(2):87-91.
- Similar outcome despite slight clinical differences between lumbar radiculopathy induced by lateral versus medial disc herniations in patients without previous foraminal stenosis: a prospective cohort study with 1-year follow-up.[Spine J. 2014]Similar outcome despite slight clinical differences between lumbar radiculopathy induced by lateral versus medial disc herniations in patients without previous foraminal stenosis: a prospective cohort study with 1-year follow-up.Mérot OA, Maugars YM, Berthelot JM. Spine J. 2014 Aug 1; 14(8):1526-31. Epub 2013 Oct 11.
- The pain provocation-based straight leg raise test for diagnosis of lumbar disc ...The pain provocation-based straight leg raise test for diagnosis of lumbar disc herniation, lumbar radiculopathy, and/or sciatica: a systematic review of clinical utility - Database of Abstracts of Reviews of Effects (DARE): Quality-assessed Reviews
- rbcL [Welwitschia mirabilis]rbcL [Welwitschia mirabilis]Gene ID:6276201Gene
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