Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging
Abstract Objective To show the accuracy of the most used maneuvers in the clinical diagnosis of lumbosciatalgia, the slump test and the Laségue sign. Methods In order to perform the present study, 101 patients with magnetic resonance imaging (MRI) discopathy (gold standard) were selected and had t...
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| Format: | Article |
| Language: | English |
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Sociedade Brasileira de Ortopedia e Traumatologia
2022-01-01
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| Series: | Revista Brasileira de Ortopedia |
| Subjects: | |
| Online Access: | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000600761&lng=en&tlng=en |
| _version_ | 1797335481464127488 |
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| author | Isabel Hahn Miranda José Luiz Pozo Raymundo Kevin Maahs Klein |
| author_facet | Isabel Hahn Miranda José Luiz Pozo Raymundo Kevin Maahs Klein |
| author_sort | Isabel Hahn Miranda |
| collection | DOAJ |
| description | Abstract Objective To show the accuracy of the most used maneuvers in the clinical diagnosis of lumbosciatalgia, the slump test and the Laségue sign. Methods In order to perform the present study, 101 patients with magnetic resonance imaging (MRI) discopathy (gold standard) were selected and had their medical records reviewed to identify which had the positive maneuvers on the initial physical examination. Results The sensitivity found for the slump test and the Laségue sign in the diagnosis of disc herniation was 55.3% and 18.1%, respectively. Nonetheless, when they were compared with each other for the diagnosis of disc bulging, the sensitivity obtained was of 85.7% for the slump test and of 28.6% for the Laségue sign. Conclusion Comparing both clinical exams with MRI, it was found that the slump test presents superior sensitivity compared with the Laségue sign for both the diagnosis of hernia and disc bulging, and should be more present in clinical practice. |
| first_indexed | 2024-03-08T08:38:44Z |
| format | Article |
| id | doaj.art-d52694d8fa6e4155a2eab26ad23dcb5a |
| institution | Directory Open Access Journal |
| issn | 1982-4378 |
| language | English |
| last_indexed | 2024-03-08T08:38:44Z |
| publishDate | 2022-01-01 |
| publisher | Sociedade Brasileira de Ortopedia e Traumatologia |
| record_format | Article |
| series | Revista Brasileira de Ortopedia |
| spelling | doaj.art-d52694d8fa6e4155a2eab26ad23dcb5a2024-02-02T00:15:07ZengSociedade Brasileira de Ortopedia e TraumatologiaRevista Brasileira de Ortopedia1982-43782022-01-0156676176510.1055/s-0040-1722590Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance ImagingIsabel Hahn Mirandahttps://orcid.org/0000-0003-1813-0404José Luiz Pozo Raymundohttps://orcid.org/0000-0002-2546-7593Kevin Maahs Kleinhttps://orcid.org/0000-0001-6354-2892Abstract Objective To show the accuracy of the most used maneuvers in the clinical diagnosis of lumbosciatalgia, the slump test and the Laségue sign. Methods In order to perform the present study, 101 patients with magnetic resonance imaging (MRI) discopathy (gold standard) were selected and had their medical records reviewed to identify which had the positive maneuvers on the initial physical examination. Results The sensitivity found for the slump test and the Laségue sign in the diagnosis of disc herniation was 55.3% and 18.1%, respectively. Nonetheless, when they were compared with each other for the diagnosis of disc bulging, the sensitivity obtained was of 85.7% for the slump test and of 28.6% for the Laségue sign. Conclusion Comparing both clinical exams with MRI, it was found that the slump test presents superior sensitivity compared with the Laségue sign for both the diagnosis of hernia and disc bulging, and should be more present in clinical practice.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000600761&lng=en&tlng=ensensitivity and specificitylower back paindisc herniaradiculopathy |
| spellingShingle | Isabel Hahn Miranda José Luiz Pozo Raymundo Kevin Maahs Klein Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging Revista Brasileira de Ortopedia sensitivity and specificity lower back pain disc hernia radiculopathy |
| title | Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging |
| title_full | Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging |
| title_fullStr | Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging |
| title_full_unstemmed | Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging |
| title_short | Sensitivity of Laségue Sign and Slump Test in Hernia and Disc Bulging Diagnoses Compared with Magnetic Resonance Imaging |
| title_sort | sensitivity of lasegue sign and slump test in hernia and disc bulging diagnoses compared with magnetic resonance imaging |
| topic | sensitivity and specificity lower back pain disc hernia radiculopathy |
| url | http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0102-36162021000600761&lng=en&tlng=en |
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