Evidence map›Paper›PMID 23227972›Full record

ArticleBMC musculoskeletal disorders2012

Normal inter-limb differences during the straight leg raise neurodynamic test: a cross sectional study.

Benjamin S Boyd, Philip S Villa

Registry-linked trialAbstract read
In one paragraph

Article in BMC musculoskeletal disorders, 2012. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT05636917 (Study of the Diagnostic Accuracy of the Slump and Straight Leg Raise Neurodynamic Tests in Patients With Clinical Suspicion of Lumbar Radiculopathy), which is not on this map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT05636917 unknown statusnot on this mapstarted 2021, after this paper: background citation

Study of the Diagnostic Accuracy of the Slump and Straight Leg Raise Neurodynamic Tests in Patients With Clinical Suspicion of Lumbar Radiculopathy

TypeobservationalSponsorUniversidad de ZaragozaRan2021 to 2023Enrolled150ConditionsLumbar Radiculopathy
3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Article
  11. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

2 authors.

Benjamin S BoydDepartment of Physical Therapy, Samuel Merritt University, Oakland, CA 94609, USA. bboyd1@samuelmerritt.edu
Philip S Villa

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe straight leg raise (SLR) neurodynamic test is commonly used to examine the sensitivity of the lower quarter nervous system to movement. Range of motion during the SLR varies considerably, due to factors such as age, sex and activity level. Knowing intra-individual, inter-limb differences may provide a normative measure that is not influenced by such demographic characteristics. This study aimed to determine normal asymmetries between limbs in healthy, asymptomatic individuals during SLR testing and the relationship of various demographic characteristics.

methodsThe limb elevation angle was measured using an inclinometer during SLR neurodynamic testing that involved pre-positioning the ankle in plantar flexion (PF/SLR) and neutral dorsiflexion (DF/SLR). Phase 1 of the study included 20 participants where the ankle was positioned using an ankle brace replicating research testing conditions. Phase 2 included 20 additional participants where the ankle was manually positioned to replicate clinical testing conditions.

resultsThe group average range of motion during PF/SLR was 57.1 degrees (SD: 16.8 degrees) on the left and 56.7 degrees (SD: 17.2 degrees) on the right while during DF/SLR the group average was 48.5 degrees (SD: 16.1 degrees) on the left and 48.9 degrees (SD: 16.4 degrees) on the right. The range of motion during SLR was moderately correlated to weight (-0.40 to -0.52), body mass index (-0.41 to -0.52), sex (0.40 to 0.42) and self-reported activity level (0.50 to 0.57). Intra-individual differences between limbs for range of motion during PF/SLR averaged 5.0 degrees (SD: 3.5 degrees) (95% CI: 3.8 degrees, 6.1 degrees) and during DF/SLR averaged 4.1 degrees (SD: 3.2 degrees) (95% CI: 3.1 degrees, 5.1 degrees) but were not correlated with any demographic characteristic. There were no significant differences between Phase 1 and Phase 2.

conclusionsOverall range of motion during SLR was related to sex, weight, BMI and activity level, which is likely reflected in the high variability documented. We can be 95% confident that inter-limb differences during SLR neurodynamic testing fall below 11 degrees in 90% of the general population of healthy individuals. In addition, inter-limb differences were not affected by demographic factors and thus may be a more valuable comparison for test interpretation.

Indexed as

Motor ActivityNeurologic ExaminationAdultAnalysis of VarianceAnkle JointArthrometry, ArticularBiomechanical PhenomenaBody Mass IndexBody WeightCross-Sectional StudiesFemaleFunctional LateralityHip JointHumansLower ExtremityMale

Identifiers

PMID23227972
PMCPMC3541198

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.