How do different levels of lumbar traction influence pain-free mobility in low back pain patients?

In 2000, the study conducted by T. F. Meszaros, et. al., employed a single-group test-retest repeated measures design to investigate the impact of lumbar traction on the straight leg raise (SLR) test in symptomatic patients experiencing low back pain. The traction was administered with three different force levels: 10%, 30%, and 60% of the body weight. The primary objective was to assess the influence of … Continue reading How do different levels of lumbar traction influence pain-free mobility in low back pain patients?

Neurodynamic Assessment

A neurodynamic test checks the length, mobility and mechanical sensitivity of the neurological tissues (1). For a neurodynamic test to be positive, the limb/joint positioning sequence should reproduce the patient’s symptoms associated with radiculopathy along with/without a measurable asymmetry between left and right sides. A positive neurodynamic test indicates multiple pathogeneses, which may include increased tension in the dura mater and the nerves, compression on … Continue reading Neurodynamic Assessment

Bilateral Straight Leg Raise Test

Purpose of Bilateral Straight Leg Raise Test: To test if the tension along the sciatic nerve, tibial nerve, L4,5,S1 nerve roots (1), conus medullaris (2), and the adjacent dura to the spinal cord (3) contribute to the neurologic symptoms associated with radiculopathy (4-6). Patient position: Supine lying. Examiner position: Standing beside the examination table, facing the patient. Procedure: Perform the limb/joint positioning sequence in the … Continue reading Bilateral Straight Leg Raise Test

Straight Leg Raise Test 6

Straight Leg Raise Test 6 – Modified for patients who cannot lie supine Purpose of Straight Leg Raise Test 6: To test if the tension along the sciatic nerve, tibial nerve, L4,5,S1 nerve roots (1), conus medullaris (2), and the adjacent dura to the spinal cord (3) contribute to the neurologic symptoms associated with radiculopathy (4). Patient position: Side-lying with a pillow in-between two legs, … Continue reading Straight Leg Raise Test 6

Straight Leg Raise Test 5

Straight Leg Raise Test 5 – Crossed Straight Leg (Well-Leg) Raising Test of Fajersztajn Purpose: To test if a modified straight leg raise test with a bias towards the movement of the dura and contralateral lumbosacral (L4,5,S1) nerve roots assist in the differential diagnosis of nerve root pathology (disc prolapse) in people with neurologic symptoms associated with radiculopathy (1, 2). Patient position: Supine lying. Examiner … Continue reading Straight Leg Raise Test 5