Relationship of straight leg raise and slump tests to nerve palpation in individuals with spinally referred leg pain

2016 ◽  
Vol 25 ◽  
pp. e49
Author(s):  
C. Ridehalgh ◽  
A. Moore ◽  
A. Hough
Keyword(s):  
Leg Pain ◽  
Referred Leg Pain ◽  
Straight Leg Raise ◽  
Relationship Of

scholarly journals Chronic Venous Insufficiency (CVI) - A Study of 100 Cases

1970 ◽  
Vol 9 (1) ◽  
pp. 20-26
Author(s):  
MM Shahin-Ul-Islam ◽  
Md Zahirul Haque ◽  
Saki Md Jakiul Alam ◽  
Mesbahuddin Noman ◽  
FM Siddiqui
Keyword(s):  
Chronic Venous Insufficiency ◽  
Venous Insufficiency ◽  
Leg Pain ◽  
Advanced Stage ◽  
College Hospital ◽  
Prolonged Standing ◽  
Burning Pain ◽  
Significant Difference ◽  
Ceap Classification ◽  
Relationship Of

This study was carried out in the out patient department of Dhaka Medical College Hospital. 100 patients presented with chronic venous insufficiency during the period of January 2005 to June 2005 were studied to find out the various modes of presentation, risk factors and relationship of symptoms with age, sex and Body Mass Index of the patients. It was found that, maximum patients presented with heaviness in the leg (87%), followed by aching leg pain (75%), leg swelling (70%), cramping leg pain (68%), tiredness (48%), burning pain (43%), engorged leg vein (39%), restless leg at night (21%), throbbing leg pain (18%), itching (13%), various skin changes without active ulceration (7%) and active leg ulceration only 3% of cases. Increasing age of the patients, obesity, increasing number of pregnancy, prolonged standing and sitting position at work were found to be positively correlated with CVI. Advanced age is associated with more advanced stage of CVI according to clinical CEAP classification. There is almost equal sex distribution among the stages of CVI except in advanced stage, in stage C4, C5 and C6 there is 10 patients out of them 9 are male and only 1 is female. Relationship of symptoms with BMI of the patients were also sort out and found that, in C3 group of CEAP classification out of 61 patients 46 are obese according to BMI, of which 32 are female and 14 are male and only 17 patients have BMI within normal range, but in other group there is no significant difference in incidence between two groups.   DOI = 10.3329/jom.v9i1.1421 J MEDICINE 2008; 9 : 20-26

Referred leg pain originating from the sacroiliac joint: 6-month outcomes from the prospective randomized controlled iMIA trial

2016 ◽  
Vol 158 (11) ◽  
pp. 2219-2224 ◽  
Author(s):  
Julius Dengler ◽  
◽  
Bengt Sturesson ◽  
Djaya Kools ◽  
Domenico Prestamburgo ◽  
...  
Keyword(s):  
Sacroiliac Joint ◽  
Leg Pain ◽  
Randomized Controlled ◽  
Referred Leg Pain

scholarly journals The Influence of Pain Distribution on Walking Velocity and Horizontal Ground Reaction Forces in Patients with Low Back Pain

2012 ◽  
Vol 2012 ◽  
pp. 1-10 ◽  
Author(s):  
Maureen J. Simmonds ◽  
C. Ellen Lee ◽  
Bruce R. Etnyre ◽  
G. Stephen Morris
Keyword(s):  
Back Pain ◽  
Leg Pain ◽  
Gait Velocity ◽  
Control Group ◽  
Low Back ◽  
Gait Characteristics ◽  
Reaction Forces ◽  
Back Problems ◽  
Referred Leg Pain ◽  
Walking Speeds

Objective. The primary purpose of this paper was to evaluate the influence of pain distribution on gait characteristics in subjects with low back problems (LBP) during walking at preferred and fastest speeds. Design. Cross-sectional, observational study. Setting. Gait analysis laboratory in a health professions university. Participants. A convenience age- and gender-matched sample of 20 subjects with back pain only (BPO), 20 with referred leg pain due to back problems (LGP), and 20 pain-free individuals (CON). Methods and Measures. Subjects completed standardized self-reports on pain and disability and were videotaped as they walked at their preferred and fastest speeds along a walkway embedded with a force plate. Temporal and spatial gait characteristics were measured at the midsection of the walkway, and peak medial, lateral, anterior, and posterior components of horizontal ground reaction forces (hGRFs) were measured during the stance phase. Results. Patients with leg pain had higher levels of pain intensity and affect compared to those with back pain only (t=4.91, P<.001 and t=5.80, P<0.001, resp.) and walking had an analgesic effect in the BPO group. Gait velocity was highest in the control group followed by the BPO and LGP group and differed between groups at both walking speeds (F2.57=13.62, P<.001 and F2.57=9.09, P<.001, for preferred and fastest speed condition, resp.). When normalized against gait velocity, the LGP group generated significantly less lateral force at the fastest walking speed (P=.005) and significantly less posterior force at both walking speeds (P≤.01) compared to the control group. Conclusions. Pain intensity and distribution differentially influence gait velocity and hGRFs during gait. Those with referred leg pain tend to utilize significantly altered gait strategies that are more apparent at faster walking speeds.

Concurrent Validity of 2D and Inertial Goniometer Motion Assessment

2020 ◽  
Vol 25 (3) ◽  
pp. 134-139
Author(s):  
Kornelius Kraus ◽  
Elisabeth Kraus ◽  
Boris Gojanovic ◽  
Francois Fourchet
Keyword(s):  
Concurrent Validity ◽  
Degrees Of Freedom ◽  
Ease Of Use ◽  
Validity And Reliability ◽  
Mobility Performance ◽  
Technological Advances ◽  
The Difference ◽  
Straight Leg Raise ◽  
Motion Assessment ◽  
Relationship Of

Context: The validity and reliability of manual goniometry is highly dependent on the examiner’s expertise. Technological advances can overcome these problems to some extent. Inertial goniometry, for instance, could bridge the gap between 2D and manual goniometry, but its validity remains to be studied. Participants: 40 healthy individuals (mean ± SD: 31 men, age = 23.9 ± 4.1 years, 184 ± 6 cm, 80.7 ± 10.0 kg; 9 women, age = 23.6 ± 3.6 years, 170 ± 4 cm, 60.6 ± 5.1 kg). Measurements: 2D and inertial goniometry by mobee med™ were used to measure active and passive single straight-leg raise mobility performance. Intracorrelation coefficients (ICCs) and typical error of the estimate (TEE) inform the reliability and quality of the measurement by the rater. Results: The relationship of the inertial goniometry for active and passive mobility of the single straight-leg raise was practically perfect (r = .95–.98). Based on the Bland-Altman plots, the means of the difference between the 2D and inertial based goniometry were small (2–3°). Conclusion: Due to its high concurrent validity, ease of use, and efficiency with regard to time and personnel requirements, this inertial goniometer device is an effective and efficient approach to measuring range of motion. However, additional validity and reliability studies should investigate joints with more degrees of freedom.

Lumbar Disc Surgery: Results of the Prospective Lumbar Discectomy Study of the Joint Section on Disorders of the Spine and Peripheral Nerves of the American Association of Neurological Surgeons and the Congress of Neurological Surgeons

Neurosurgery ◽  
1991 ◽  
Vol 29 (2) ◽  
pp. 301-308 ◽  
Author(s):  
Joel N. Abramovitz ◽  
Samuel R. Neff
Keyword(s):  
Logistic Regression ◽  
Back Pain ◽  
Lumbar Disc ◽  
Lumbar Discectomy ◽  
Sensory Deficit ◽  
Leg Pain ◽  
Lumbar Disc Surgery ◽  
Stepwise Logistic Regression ◽  
Mechanical Back Pain ◽  
Straight Leg Raise

Abstract The Prospective Lumbar Discectomy Study enrolled 740 patients in a multiphysician, multicenter, consecutive patient protocol to evaluate the indications and efficacy of lumbar discectomy. Five hundred and thirteen patients could be evaluated at 3 months after surgery. Stepwise logistic regression showed that the factors of fraction of pain referred to the back, work-related injury, absence of back pain on straight leg-raise examination, correspondence of leg pain to typical radicular patterns, leg pain on straight leg-raise examination, and reflex asymmetry were independently predictive of good outcome from surgery. Univariate analysis of the cases with different numbers of predictive factors present showed that use of the operating microscope, sensory deficit, central disc bulge, and free disc fragment were correlated with outcome only in subgroups. An analysis of unsatisfactory outcomes showed two patterns: one of failure as a result of mechanical back pain and one of failure as a result of radiculopathy. Factors predictive of outcome did not influence the type of failure, In a stepwise logistic regression analysis, facetectomy and preoperative sensory deficit were associated with increased likelihood of mechanical back pain failure, while preoperative motor deficit was associated with an increased likelihood of radicular failure. The results support several intuitively derived and commonly believed principles of lumbar disc surgery.

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