000129897 001__ 129897
000129897 005__ 20240720100843.0
000129897 0247_ $$2doi$$a10.3390/healthcare11243138
000129897 0248_ $$2sideral$$a136199
000129897 037__ $$aART-2023-136199
000129897 041__ $$aeng
000129897 100__ $$0(orcid)0009-0000-0252-5642$$aMontaner-Cuello, Alberto$$uUniversidad de Zaragoza
000129897 245__ $$aIs the straight leg raise suitable for the diagnosis of radiculopathy? analysis of diagnostic accuracy in a phase iii study
000129897 260__ $$c2023
000129897 5060_ $$aAccess copy available to the general public$$fUnrestricted
000129897 5203_ $$aThe straight leg raise test (SLR) has been proposed to detect increased nerve mechanosensitivity of the lower limbs in individuals with low back pain. However, its validity in the diagnosis of lumbosacral radiculopathy shows very variable results. The aim of this study was to analyse the diagnostic validity of the SLR including well-defined diagnostic criteria (a change in symptoms with the structural differentiation manoeuvre and the reproduction of the patient’s symptoms during the test or the asymmetries in the range of motion or symptoms location between limbs) in a sample of participants in phase III with suspicion of lumbar radiculopathy using the electrodiagnostic studies (EDX) as the reference standard. A phase III diagnostic accuracy study was designed. In total, 142 individuals with suspected lumbosacral radiculopathy referred for EDX participated in the study. Each participant was tested with EDX and SLR. SLR was considered positive using three diagnostic criteria. The sensitivity of the SLR for Criterion 3 was 89.02% (CI 81.65–96.40), the specificity was 25.00% (CI 13.21–36.79), and the positive and negative likelihood ratios were 1.19 (CI 1.01–1.40) and 0.44 (0.21–0.94), respectively. SLR showed limited validity in the diagnosis of lumbosacral radiculopathy. The incorporation of more objective diagnostic criteria (asymmetry in range of motion or localisation of symptoms) improved the diagnostic validity but the imprecision of the confidence intervals limited the interpretation of the results.
000129897 540__ $$9info:eu-repo/semantics/openAccess$$aby$$uhttp://creativecommons.org/licenses/by/3.0/es/
000129897 590__ $$a2.4$$b2023
000129897 592__ $$a0.606$$b2023
000129897 591__ $$aHEALTH POLICY & SERVICES$$b49 / 118 = 0.415$$c2023$$dQ2$$eT2
000129897 593__ $$aHealth Policy$$c2023$$dQ2
000129897 591__ $$aHEALTH CARE SCIENCES & SERVICES$$b73 / 174 = 0.42$$c2023$$dQ2$$eT2
000129897 593__ $$aLeadership and Management$$c2023$$dQ2
000129897 593__ $$aHealth Informatics$$c2023$$dQ3
000129897 593__ $$aHealth Information Management$$c2023$$dQ3
000129897 655_4 $$ainfo:eu-repo/semantics/article$$vinfo:eu-repo/semantics/publishedVersion
000129897 700__ $$0(orcid)0000-0002-0026-9224$$aBueno-Gracia, Elena$$uUniversidad de Zaragoza
000129897 700__ $$aRodríguez-Mena, Diego$$uUniversidad de Zaragoza
000129897 700__ $$0(orcid)0000-0002-5161-7479$$aEstébanez-de-Miguel, Elena$$uUniversidad de Zaragoza
000129897 700__ $$0(orcid)0000-0001-9080-0543$$aMalo-Urriés, Miguel$$uUniversidad de Zaragoza
000129897 700__ $$aCiuffreda, Gianluca$$uUniversidad de Zaragoza
000129897 700__ $$0(orcid)0000-0003-0328-2309$$aCaudevilla-Polo, Santos$$uUniversidad de Zaragoza
000129897 7102_ $$11007$$2610$$aUniversidad de Zaragoza$$bDpto. Medicina, Psiqu. y Derm.$$cArea Medicina
000129897 7102_ $$11006$$2413$$aUniversidad de Zaragoza$$bDpto. Fisiatría y Enfermería$$cÁrea Fisioterapia
000129897 773__ $$g11, 24 (2023), 3138 [12 pp.]$$pHealthcare (Basel)$$tHealthcare (Switzerland)$$x2227-9032
000129897 8564_ $$s2055835$$uhttps://zaguan.unizar.es/record/129897/files/texto_completo.pdf$$yVersión publicada
000129897 8564_ $$s2740195$$uhttps://zaguan.unizar.es/record/129897/files/texto_completo.jpg?subformat=icon$$xicon$$yVersión publicada
000129897 909CO $$ooai:zaguan.unizar.es:129897$$particulos$$pdriver
000129897 951__ $$a2024-07-19-18:46:50
000129897 980__ $$aARTICLE