Fingertip-to-Floor Test and Straight Leg Raising Test: Validity, Responsiveness, and Predictive Value in Patients With Acute/Subacute Low Back Pain

Ekedahl, Harald; Jönsson, Bo; Frobell, Richard

doi:10.1016/j.apmr.2012.04.020

Cited by 67 publications

(55 citation statements)

References 31 publications

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“…Thus, our results seem to support previous results [16,21] that showed FTF to be a useful additional outcome measure for patients with radicular pain.…”

Section: Discussionsupporting

confidence: 82%

“…Interestingly, for the group with positive Slump test, our results showed a statistical significant improvement in the primary outcome and a simultaneous significant improvement in FTF, and this improvement for FTF well exceeded the previously described minimal detectable change of 4.5 cm [21]. Thus, our results seem to support previous results [16,21] that showed FTF to be a useful additional outcome measure for patients with radicular pain.…”

Section: Discussionsupporting

confidence: 82%

“…Fingertip-to-floor test (FTF), a validated and responsive test with a minimal detectable change of 4.5 cm [20,21], performed in standing with lumbar and hip flexion according to the published instructions. The minimal vertical distance between the tip of the index finger and the floor was measured in centimeters [20].…”

Section: Outcome Measuresmentioning

confidence: 99%

“…• [6,21], was performed on the affected leg according to the published instructions. The test was performed without ankle dorsiflexion.…”

Section: Straight Leg Raising Test (Slr) a Validated Measure With A mentioning

confidence: 99%

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Three week results of transforaminal epidural steroid injection in patients with chronic unilateral low back related leg pain: The relation to MRI findings and clinical features

Ekedahl

Jönsson

Annertz

et al. 2016

BMR

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Abstract. BACKGROUND:Transforaminal epidural steroid injection (TESI) is a frequently used intervention for lumbar radicular pain. OBJECTIVE: To evaluate the value of MRI findings, neurologic assessment and the Slump test (neurodynamic test) as predictors of treatment response to TESI. METHOD: One hundred subjects (mean age 58 [SD13], 54% females) were included in this trial. The sample was stratified by location of disc herniaton, grade of nerve root compression, clinically assessed neurologic deficit and positive Slump test. Treatment response was primarily evaluated by Visual Analogue Scale for leg pain after three weeks. Predictive value for each stratum was analyzed using logistic regression after the sample was dichotomized into definite treatment response ( 50% reduction of pain) and negative response ( 0% reduction) to TESI (the 1-49% reduction group was excluded). RESULTS: The overall definite treatment response rate was 27%. The Slump test was the only predictor of the response to TESI (p = 0.031). The definite treatment response rates for subjects with positive and negative Slump test were 33% and 15%, respectively. CONCLUSION: In patients with chronic low back related leg pain, MRI findings and neurologic assessment results failed to predict treatment response, whereas a positive Slump test predicted the best 3-week response to TESI.

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“…Thus, our results seem to support previous results [16,21] that showed FTF to be a useful additional outcome measure for patients with radicular pain.…”

Section: Discussionsupporting

confidence: 82%

Section: Discussionsupporting

confidence: 82%

Section: Outcome Measuresmentioning

confidence: 99%

“…• [6,21], was performed on the affected leg according to the published instructions. The test was performed without ankle dorsiflexion.…”

Section: Straight Leg Raising Test (Slr) a Validated Measure With A mentioning

confidence: 99%

See 2 more Smart Citations

Three week results of transforaminal epidural steroid injection in patients with chronic unilateral low back related leg pain: The relation to MRI findings and clinical features

Ekedahl

Jönsson

Annertz

et al. 2016

BMR

Self Cite

View full text Add to dashboard Cite

show abstract

“…According to Perret, Poiraudeau, Fermanian, Colau, Benhamou, and Revel [33], the FFD has excellent criteriarelated validity (r = .96) and interobserver reliability (ICC = .99). For the FFD test, AS patient was asked to bend forward and attempt to reach the floor with his fingertips.…”

Section: Methods:-mentioning

confidence: 99%

Traditional Chinese Qigong for Enhancing Spinal Mobility, Functional Independence. Capability, and Quality of Life in a Patient With Ankylosing Spondylitis: A Case Study.

Zou¹,

Wang²,

Li³

et al. 2017

IJAR

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The relationships between spinal amplitude of movement, pain and disability in low back pain: A systematic review and meta‐analysis

Nzamba

Damme

Favre

et al. 2023

European Journal of Pain

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Background and ObjectivesThe role of spinal movement alterations in low back pain (LBP) remains unclear. This systematic review and meta‐analyses examined the relationships between spinal amplitude of movement, disability and pain intensity in patients with LBP.Databases and Data TreatmentWe searched PubMed, CINAHL, Embase, Pedro and Web of Science for relevant articles until 14th March 2023. Risk of bias was assessed with the Quality in Prognostic Studies Tool. We analysed the relationships between amplitude of movement, disability and pain intensity with standard correlational meta‐analyses and meta‐analytic structural equation modelling (MASEM) in cross‐sectional and longitudinal data.ResultsA total of 106 studies (9001 participants) were included. In cross‐sectional data, larger amplitude of movement was associated with lower disability (pooled coefficient: −0.25, 95% confidence interval: [−0.29 to −0.21]; 69/5899 studies/participants) and pain intensity (−0.13, [−0.17 to −0.09]; 74/5806). An increase in amplitude of movement was associated with a decrease in disability (−0.23, [−0.31 to −0.15]; 33/2437) and pain intensity (−0.25, [−0.33 to −0.17]; 38/2172) in longitudinal data. MASEM revealed similar results and, in addition, showed that amplitude of movement had a very small influence on the pain intensity–disability relationship.ConclusionsThese results showed a significant but small association between amplitude of movement and disability or pain intensity. Moreover, they demonstrated a direct association between an increase in amplitude of movement and a decrease in pain intensity or disability, supporting interventions aiming to reduce protective spinal movements in patients with LBP.SignificanceThe large meta‐analyses performed in this work revealed an association between reductions in spinal amplitude of movement and increased levels of disability and pain intensity in people with LBP. Moreover, it highlighted that LBP recovery is associated with a reduction in protective motor behaviour (increased amplitude of movement), supporting the inclusion of spinal movement in the biopsychosocial understanding and management of LBP.

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Fingertip-to-Floor Test and Straight Leg Raising Test: Validity, Responsiveness, and Predictive Value in Patients With Acute/Subacute Low Back Pain

Abstract: We certify that no party having a direct interest in the results of the research supporting this article has or will confer a benefit on us or on any organization with which we are associated and we certify that there is no financial and material support for this research.

Cited by 67 publications

References 31 publications

Three week results of transforaminal epidural steroid injection in patients with chronic unilateral low back related leg pain: The relation to MRI findings and clinical features

Three week results of transforaminal epidural steroid injection in patients with chronic unilateral low back related leg pain: The relation to MRI findings and clinical features

Traditional Chinese Qigong for Enhancing Spinal Mobility, Functional Independence. Capability, and Quality of Life in a Patient With Ankylosing Spondylitis: A Case Study.

The relationships between spinal amplitude of movement, pain and disability in low back pain: A systematic review and meta‐analysis

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