Faculty Perception of Clinical Value of Five Commonly Used Orthopedic Tests

Kleinfield, Steven L.; Daniel, Dwain; Ndetan, Harrison

doi:10.7899/1042-5055-25.2.164

Cited by 3 publications

(3 citation statements)

References 8 publications

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“…In another survey to examine the perceptions of clinical value of five commonly used orthopaedic tests including PSLRT amongst faculty of a chiropractic college, faculty members significantly agreed that a positive SLRT was a strong indicator of presence of disc pathology. Only 32% of faculty agreed than a negative SLRT suggests absence of disc pathology 5 .…”

Section: Discussionmentioning

confidence: 99%

“…The clinical evaluation of a patient with radicular pain / sciatica includes adequate history and clinical examination. Passive Straight Leg Raising Test (PSLRT) is one of the most common tests used in clinical practice 3 - 5 . However together with other clinical signs used in practice for evaluation of a patient with lumbar radiculopathy, it was found to be of limited utility when used in isolation 4 , and with low reproducibility when used in general practice 6 .…”

Section: Introductionmentioning

confidence: 99%

“…For a clinical test subject to individual interpretation, only two surveys, one each in osteopaths and chiropractors has reported their perceptions and understanding of the test 5 , 8 . No data is available on perception and awareness in other clinicians who regularly use PSLRT in practice.…”

Section: Introductionmentioning

confidence: 99%

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The Use of Passive Straight Leg Raising Test: A Survey of Clinicians

Pande

2015

MOJ

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Introduction: Passive Straight Leg Raising Test (PSLRT) is one of the most commonly performed test in clinical practice. The purpose of this study was to survey the practice and interpretation of PSLRT amongst clinicians working in a tertiary care hospital.Methods: A 15 item questionnaire survey was developed covering various aspects of PSLRT. Orthopaedic surgeons(n=15), neurosurgeons (n=7) and physiotherapists (n=9)were identified as clinicians performing this test regularly and were approached to take part in the survey.Results: The PSLRT was used in all cases of back and leg pain by 68% and correctly performed by 30/31. There was a wide variation in the angle at which it was considered positive (median 45 degrees; range 10-90 degrees). Only 7/31 correctly recognised reproduction of leg pain as indicative of a positive PSLRT. The sitting /distraction SLRT andwell leg / cross SLRT was performed only by 3/31 and 16/31 of clinicians respectively. 90% felt that a positive PSLRT suggested nerve root irritation and 57% thought it was due to stretch of dura and / or nerve root. 23/31 clinicians felt that PSLRT was useful or very useful and 90% reported that result of PSLRT would affect the way they treat a patient.Conclusions: PSLRT is widely used, correctly performed and felt to be useful in practice. But the interpretation of a positive test, understanding of its mechanism and useof variations is poor. There is a need to improve the interpretation and understanding of PSLRT amongst its users.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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The Use of Passive Straight Leg Raising Test: A Survey of Clinicians

Pande

2015

MOJ

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Bibliography of Publications

Lindsey¹,

Mason²

2005

Ethnic Relations in Canada

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The sampling error of estimated deviates, together with other illustrations of the properties and applications of the integrals and derivatives of the normal error function. Brit. Assn. Math. Tab., 1. xxvixxxv (3rd ed., xxviii-xxxvii, 1951). (With S. Bartlett). Pasteurised and raw milk. Nature, 127: 591-592. # 92A Principles of plot experimentation in relation to the statistical interpretation of the results.

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Diagnostic Utility of Magnetic Resonance Imaging for the Patients with Problems Confined to Cross-Legged Posture

Chung

Yang

et al. 2014

Korean J Sports Med

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This study was conducted to evaluate the diagnostic utility of magnetic resonance imaging (MRI) for the patients having problems confined to cross-legged posture. The study subjects were 128 cases (male 87.5%) and 120 patients from October 2008 to June 2013. Average age of male patients was 50 years old (range, 21−72 years old), and female 45 years old (range, 18−76 years old). The rate of positive MRI findings was compared according to abnormal physical findings. The average duration of symptoms was 11.7 months. The most frequent complains was on the back (41.9% at rest, 57% when taking the posture). Patrick test was positive for 33.6% of cases, simple radiography was abnormal only for 20% of cases. Bone scan was normal for all 98 cases. Only 21.9% of 128 cases showed abnormal MRI findings which were managed with conservative treatment. Limitation in the range of hip joint motion was not statistically associated with abnormal findings of MRI (p=0.148). Normal Patrick test was associated with normal MRI finding (p=0.001). Among normal cases on both physical and simple bone X-ray film, 88.6% were normal at MRI. In conclusion, for patients with physical complaints from the cross-legged posture, diagnostic utility of MRI is relatively low when they show normal on both physical examination and simple radiography.

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Faculty Perception of Clinical Value of Five Commonly Used Orthopedic Tests

Cited by 3 publications

References 8 publications

The Use of Passive Straight Leg Raising Test: A Survey of Clinicians

The Use of Passive Straight Leg Raising Test: A Survey of Clinicians

Bibliography of Publications

Diagnostic Utility of Magnetic Resonance Imaging for the Patients with Problems Confined to Cross-Legged Posture

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