Monday, January 28, 2013

Straight Leg Raise Test (Lasegue’s Test)

Purpose: To assess for impingement of the dura and spinal cord nerve roots of the lower lumbar spine. The test targets the sciatic nerve, tibial nerve, sural nerve, common peronal nerve and nerve root (disc prolapse).

Patient/Therapist Position and Procedure: Basic SLR; Pt is lying supine with leg straight. PT then flexes hip until pt complains of pain or tightness in the lower back or radicular pain down the posterior portion of the tested leg. PT then lowers leg (which should slowly relieve pain). If no comparable symptoms occur the PT can proceed to next SLR modification.

*Note- Unaffected leg should always be tested first.


Interpretation: + indication when pain is reproduced with comparable symptoms, radicular pain in posterior portion of tested leg, and if the pain is relieved when the PT lowers the tested leg.


Statistics: Sensitivity 33%, Specificity 87% , Reliability 0.93, Validity 98%





References:

Magee, David and Sueki, Derrick. Orthopedic Physical Assessment Atlas and Video: Selected Special Tests and Movements. Musculoskeletal Rehabilitation Series. 2011.

Capra, Francesco, Vanti, Carla, et. Al. Validity of the Straight-Leg Raise Test for Patients with Sciatic Pain with or without Lumbar Pain Using Magnetic Resonance Imaging Results as a Reference Standard.” Journal of Manipulative and Physiological Therapeutics. Volume 34, Number 4. May 2011. Pgs. 231-238.

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  12. NATURAL HERBS FOR CURING HIV, HERPES, HPV, HSV1&2, CANCER AND DIABETES

    I just experience the wonders of Dr Ohunyom herbs. God will continue to bless you Dr Ohunyom more abundantly for the good work you are doing in peoples life by curing them from different type of diseases. I will keep on testifying about your good work. I was diagnosed of herpes 6 months ago and my doctor told me that there is no cure. I did not believe him and i keep my faith up hoping that one day i will be cured from this horrible disease. One day i saw a post on HIV forum about a herbal doctor called Dr Ohunyom on how he cure people from diseases with his herbs and i quickly contact Dr Ohunyom on his email and explain my problem to him and he told me not to worry that he is going to cure me and truly he prepared the cure and send it to me through UPS and gave me instructions on how to take it. After two weeks of taken the herbal cure, i went to my doctor for checkup and my result show Negative and my doctor told me that there is no trace of herpes in my body and the virus is completely gone from my body. Everybody at the clinic rejoice with me and they all ask for Dr Ohunyom contact. You can contact Dr Ohunyom on his email: drohunyom@gmail.com or WhatsApp him on +2349060579973.and He also have herbs medicine to cured the following diseases; eczema,urethra wart,chronic problems.Herpes, Cancer, Als,Hepatitis, Diabetes, HPV,Infections,ulcer  ETC

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