NCT04485572

Diagnostic Validity of the Neurodynamic or Orthopedic Tension Tests

Use of Neurodynamic or Orthopedic Tension Tests for the Diagnosis of Lumbar-Sacral and Lumbar Radiculopathies: Study of the Diagnostic Validity

• Status: Completed
• Phase: —
• Study type: Observational
• Enrollment: 1,887 (actual)
• Sponsor: University of Extremadura · Academic / Other
• Sex: All
• Age: 18 Years – 70 Years
• Healthy volunteers: Not accepted

Summary

The objective of the present study is to analyse the diagnostic validity of 8 neurodynamic and/or orthopedic tension tests using magnetic resonance imaging as the Gold Standard.

Detailed description

Lumbar radiculopathy is a nerve root disorder which affects quality of life of the patient and it is considered as an important health problem. Therefore, its correct diagnosis is essential. The objective of the present study is to analyse the diagnostic validity of 8 neurodynamic and/or orthopedic tension tests using magnetic resonance imaging as the Gold Standard. This is an epidemiological study of randomized consecutive cases which was observational, descriptive, transversal, double blinded and followed the STARD (Standards for Reporting Diagnostic accuracy studies) declaration.

Conditions

• Radiculopathy, Lumbosacral Region

Interventions

Type	Name	Description
DIAGNOSTIC_TEST	Straight Leg Raise test (SLR) and Bragard test (B)	The following neurodynamic and/or orthopedic tension tests were done: the Straight Leg Raise test (SLR), the Bragard test (B) and another test which was the combined test of both (SLR+B)
DIAGNOSTIC_TEST	Fajersztajn test (F) and Sicard test (S)	The following neurodynamic and/or orthopedic tension tests were done: the Fajersztajn test (F), the Sicard test (S) and another test which was the combination of both (F+S)
DIAGNOSTIC_TEST	Passive Neck Flexion test (PNF)and Kernig test (K)	The following neurodynamic and/or orthopedic tension tests were done: the Passive Neck Flexion test (PNF), the Kernig test (K) and another test which was the combination of both (PNF+K)
DIAGNOSTIC_TEST	Slump test (ST) and Dejerine triad (DT)	The following neurodynamic and/or orthopedic tension tests were done: the Slump test (ST), the Dejerine triad (DT) and another test which was the combination of both (ST+DT)
DIAGNOSTIC_TEST	MRI scan	All participants will undergo a MRI scan to compare results between the index tests and the Gold Standard

Timeline

• Start date: 2014-07-01
• Primary completion: 2016-08-30
• Completion: 2016-08-30
• First posted: 2020-07-24
• Last updated: 2020-07-24