Straight leg raise test (SLR) + crossed SLR. How to test sciatica?

Рет қаралды 34,971

3 жыл бұрын

There are few tests in diagnosis of sciatica. All of the tests rely on pain reproduction caused by stretching the sciatic nerve. Learn about most commonly used: Straight Leg Raise Test (SLR) and Crossed SLR.
Please be welcomed:
kate-physiotherapist-with-bra...
Articles worth reading:
Straight Leg Raise Test (Gaston O. Camino Willhuber; Nicolas S. Piuzzi)
www.ncbi.nlm.nih.gov/books/NB...
Lasègue’s Sign (Surendra Umesh Kamath1 and Shaila Surendra Kamath2)
www.ncbi.nlm.nih.gov/pmc/arti...
The sensitivity and specificity of the Slump and the Straight Leg Raising tests in patients with lumbar disc herniation (Javid Majlesi 1, Halit Togay, Halil Unalan, Sadk Toprak)
pubmed.ncbi.nlm.nih.gov/18391...

Пікірлер: 33

@sanguser5852 11 ай бұрын

I have seen quite a few videos on this test, conducted professionals who seem to have significant experience in treatment but they all fail to account for the fact that this test has high sensitivity but low specificity, and there is no consensus on any normative measures to confirm its accuracy. It is refreshing to see all those pointed out, you seem well informed.

@nicktoma6741 6 ай бұрын

It really helped me that you explained it step by step and also included pictures for better understanding! The best video about SLR and xSLR I've seen! Thanks!!

@pwnfour 9 ай бұрын

The best video on this!

@medschool5784 Жыл бұрын

This was massively helpful thank you

@afnanjaved1986 7 ай бұрын

This was very helpful and detailed! Thanks a bunch❤

@ravindarbethi8675 Жыл бұрын

Simply great explanation. I advise the viewers to make use of your transcript, that is edited well. Thank you and keep it up.

@DrNazmulkabirnayan 10 ай бұрын

Thanks a lot.the way you described is worth mentioning. 👍

@gracewaithaka9382 7 ай бұрын

Thank you. Well explained.

@haniaibrahim2902 Жыл бұрын

Great explanation

@kathirajendran9455 2 ай бұрын

Wonderful explanation

@shahdamer8776 Жыл бұрын

Thanks a lot I have an exam and this was very helpful 🙏🏻💗

@Shiramtuiran 9 ай бұрын

Thank you so much ❤

@mugerarogers5897 Жыл бұрын

This was very nice

@yaseminunsal7816 Жыл бұрын

thank you.

@ingridmunoz666 9 ай бұрын

You are the best❤

@Someonebutnoone10 2 жыл бұрын

Great explanation! Thanks

@katephysiotherapistwithbraid 2 жыл бұрын

You're welcome!

@ely6886 Жыл бұрын

Can you do a SI joint test? Also what are the best exercises to do . Also, continue your good work....very informative from a professional.

@vasu7982 2 жыл бұрын

Very well explained👏👏👏

@katephysiotherapistwithbraid 2 жыл бұрын

Glad you liked it

@SD4ever 2 ай бұрын

❤

@cisco549 Жыл бұрын

I had this done to me but I only have pain in my lower back never in my leg

@rodneyrodriguez3676 8 ай бұрын

Concerning, But as long as you don’t have pain in your buttocks or your legs You’re good. Now if I was you, make sure that your not 20 lbs + overweight. Walk a mile 3 times a week.

@atefbelgayed4263 8 ай бұрын

I had this done to me but I only have pain in my lower back not in my leg (the left leg hurt my back more than right one)

@ireshudayashantha226 Жыл бұрын

Do Run or walk better good ? Please tell madam

@corneliusfrank 2 жыл бұрын

Can foraminal stenosis also be a cause for a positive test? Or is this test purely for examining the cause by disc protrusion?

@katephysiotherapistwithbraid Жыл бұрын

Yes, foraminal stenosis can cause a positive test, but it is rare and anyway it is usually closely related to disc herniation. Stenosis does not arise on its own (without a reason), it is the body's defensive reaction in response to damage / inflammation. Thus, typically Patients with stenosis are Patients who have previously suffered damage to the disc or other structures of the spine. In a nutshell, the process can be described as follows: when you damage a healthy disc and it is accompanied by a lot of pain - and then SLR turns out to be positive. In the perspective of a few months / years - the disc heals, but the place around it is "secured" by degenerative changes - than the spine hurts less, but then SLR has a negligible dianostic value (low sensitivity and low specificity).

@corneliusfrank Жыл бұрын

@@katephysiotherapistwithbraid Thanks for your reply! You explained it very well. Thanks for the video!

@tamastoth6256 2 жыл бұрын

I have a pain in this test .in a right..and a left Leg too

@katephysiotherapistwithbraid 2 жыл бұрын

The test may come out positive on both sides. The only question is whether it was properly executed and interpreted, because such a situation is extremely rare. Pain alone is not a positive result - to be considered positive it must be a really sudden radiating pain shot. In the case of a positive bilateral result, most often we deal with a very serious damage to the intervertebral disc, which puts pressure on both the right and left nerve roots. In my practice, I have encountered such a case only once and it was a Patient who was unable to walk at all (was brought to the hospital with a spine injury in a motorcycle accident). I hope this is just a misinterpretation of the test for you. I wish you good health!

@santygongora883 2 жыл бұрын

I have a doubt, for the test to be taken as positive, the pain must come from the lower back or can it be only from the buttock?

@katephysiotherapistwithbraid 2 жыл бұрын

The pain must be sharp and radiating. If this is the case, it is really difficult to say whether it begins in the spine or in the buttock (the pain is so bad that the Patient will not be able precise where it started). In practice, Patients with a positive Laseque test result will almost "jump from pain" on the couch with minimal leg elevation. If we lift the leg and there is no sharp shot of pain, and the Patient feels just a pulling or a little pain in the buttock or spine, then the test is negative.