The Straight-Leg-Raising Test: A Review

Urban, Lawrence M.

doi:10.2519/jospt.1981.2.3.117

Cited by 41 publications

(16 citation statements)

References 70 publications

(9 reference statements)

Supporting

Mentioning

Contrasting

Order By: Relevance

“…However, movement of the pelvis in this test (Bohannon, 1982) make the test less specific to the hamstrings and therefore raises questions of the appropriateness and reliability of the SLR test. It has been argued that differences in the movement of the sciatic nerve exist between the two tests (Urban, 1981). In addition the SLR has been described as the 'key tension test' of the lower limb and trunk (Butler, 1991) making it potentially more useful as a neurological test rather than a muscle length test in the clinical setting.…”

Section: Hamstring Length Measuresmentioning

confidence: 99%

Inter-tester reliability of a self-monitored active knee extension test

Norris

Matthews

2005

Journal of Bodywork and Movement Therapies

View full text Add to dashboard Cite

Section: Hamstring Length Measuresmentioning

confidence: 99%

Inter-tester reliability of a self-monitored active knee extension test

Norris

Matthews

2005

Journal of Bodywork and Movement Therapies

View full text Add to dashboard Cite

“…The historical aspects of PSLRT and its variations have been extensively reviewed 7,9 . These authors have also reviewed the mechanism of pain production during SLRT.…”

Section: Discussionmentioning

confidence: 99%

“…A positive SLRT is reproduction of the radicular pain at an angle between 35 to 75 degrees, when the majority of movement of the nerve occurs at the intervertebral foramen 9 . Clinicians surveyed reported a range from 10 to 90 degrees for interpretation of a positive test with only 7/31 correctly identifying reproduction of leg pain as a positive test.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

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

Pande

2015

MOJ

View full text Add to dashboard Cite

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.

show abstract

“…We postulated that chronic pain patients would have difficulty 'targeting' or discriminating the end-point of any specific movement, and would show wide variance when the movement was repeatedly performed. We chose the straight leg raising (SLR) test because it requires the exercise of this discriminative function and is a commonly used and reliable test (10). As well, it is very easy to measure the angle attained.…”

Section: Abstract: Chronic Pain Pain Mechanisms Rehabilitation Stmentioning

confidence: 99%

Impaired Discriminative Function in Patients with Chronic Pain Measured by Variance in Straight Leg Raising

Hoirch¹,

Smith²,

Beugnot³

et al. 1996

Pain Research and Management

View full text Add to dashboard Cite

A s clinicians we are often surprised by the difficulty that patients with chronic pain problems have in rehabilitating from relatively minor physical components of a chronic pain syndrome (1-3). We have sometimes noted an apparent inability of chronic pain patients to self-regulate the process of physical rehabilitation, and that detailed instructions of the amount of time to walk, sit up, etc, have been required before rehabilitation can be achieved.A typical example of this is provided by a patient who was initially seen and treated for reflex sympathetic dystrophy of her left foot and who had a recurrence of back pain from surgically treated idiopathic kyphoscoliosis. During on-going psychotherapy for psychological problems underlying her original complaint, we had the chance to observe her regularly over several years. Because of continuing back pain, the bracing rods in her back were removed and an un-united fusion was successfully regrafted. Recovery proceeded well, she was placed in a brace and later returned to work, but she removed the brace for long periods and would only replace it when the pain became intolerable. It seemed that she could not determine the optimum time to replace PAIN RES MANAGE VOL 1 NO 3 AUTUMN 1996Pain Management Centre and Department of Physiotherapy, Royal Victoria Hospital and McGill University, Montreal, Quebec Correspondence: Dr Richard FH Catchlove, Director, Pain Management Centre, Royal Victoria Hospital, 687 Pine Avenue West, Suite S10.51, Montreal, Quebec H3A 1A1. Telephone 514-842-1231 ext 5221, fax 514-843-1723 Received for publication February 12, 1996. Accepted March 26, 1996 AM Hoirch, V Smith, S Beugnot, J Turner, RFH Catchlove. Impaired discriminative function in patients with chronic pain measured by variance in straight leg raising. Pain Res Manage 1996;1(3):146-148.Many chronic pain patients seem to have difficulty regulating exercise programs and require detailed, precise instructions of what exercises to do as well as their frequency and timing. This may be due to a lack of information concerning the state of the damaged tissues, which may result from inadequate feedback mechanisms for pain, stretch and position. The straight leg raising test was used as a model of this mechanism, and variance in targeting the end-point of this test was measured in patients with chronic pain and in controls.Variance about the end-point in chronic pain patients was more than three times larger than that in controls. Although chronic pain patients were older, there was no correlation between straight leg raising and age. The implications of these findings to the maintenance of the original injury and the importance of this in the maintenance and continuation of chronic pain states are discussed.

show abstract

The Straight-Leg-Raising Test: A Review

Cited by 41 publications

References 70 publications

Inter-tester reliability of a self-monitored active knee extension test

Inter-tester reliability of a self-monitored active knee extension test

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

Impaired Discriminative Function in Patients with Chronic Pain Measured by Variance in Straight Leg Raising

Contact Info

Product

Resources

About