From: Accuracy of physical examination for chronic lumbar radiculopathy
Predictor | L4 nerve root impingement | L5 nerve root impingement | S1 nerve root impingement | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
 | Sens | Spec | +LR | −LR | Sens | Spec | +LR | −LR | Sens | Spec | +LR | −LR |
Femoral nerve stretch test | * | * | * | * | 0.17 (0.07–0.33) | 0.99 (0.94–1.00) | 14.33 (1.74–117.80) | 0.84 (0.72–0.99) | * | * | * | * |
Straight leg raise test | * | * | * | * | 0.53 (0.36–0.70) | 0.47 (0.36–0.57) | 1.00 (0.68–1.47) | 1.00 (0.64–1.57) | 0.63 (0.44–0.78) | 0.49 (0.39–0.60) | 1.24 (0.87–1.78) | 0.75 (0.44–1.28) |
Knee reflex | 0.67 (0.21–0.94) | 0.83 (0.75–0.89) | 3.96 (1.61–9.74) | 0.40 (0.08–1.99) | 0.18 (0.08–0.37) | 0.75 (0.63–0.84) | 0.73 (0.30–1.79) | 1.09 (0.87–1.37) | 0.11 (0.04–0.28) | 0.80 (0.70–0.87) | 0.55 (0.18–1.72) | 1.11 (0.94–1.32) |
Ankle reflex | 0.67 (0.21–0.94) | 0.60 (0.51–0.69) | 1.67 (0.73–3.84) | 0.55 (0.11–2.76) | 0.27 (0.14–0.44) | 0.55 (0.44–0.65) | 0.59 (0.31–1.11) | 1.34 (1.00–1.79) | 0.44 (0.27–0.639 | 0.61 (0.50–0.70) | 1.13 (0.69–1.85) | 0.92 (0.63–1.33) |
Sensory loss L4 | 0.33 (0.06–0.79) | 0.88 (0.81–0.93) | 2.90 (0.54–15.55) | 0.75 (0.34–1.68) | 0.20 (0.10–0.37) | 0.91 (0.83–0.95) | 2.15 (0.81–5.70) | 0.88 (0.73–1.07) | 0.11 (0.04–0.28) | 0.88 (0.79–0.93) | 0.90 (0.27–2.99) | 1.01 (0.87–1.18) |
Sensory loss L5 | 0.33 (0.06–0.79) | 0.73 (0.65–0.81) | 1.26 (0.25–6.40) | 0.91 (0.40–2.03) | 0.43 (0.27–0.61) | 0.79 (0.69–0.86) | 2.07 (1.16–3.70) | 0.72 (0.51–1.00) | 0.18 (0.08–0.37) | 0.71 (0.61–0.79) | 0.63 (0.27–1.49) | 1.15 (0.92–1.44) |
Sensory loss S1 | * | * | * | * | 0.33 (0.19–0.51) | 0.51 (0.41–0.61) | 0.68 (0.39–1.18) | 1.30 (0.94–1.81) | 0.44 (0.27–0.63) | 0.55 (0.45–0.65) | 0.99 (0.61–1.60) | 1.01 (0.69–1.48) |
Hip flexion | * | * | * | * | 0.23 (0.12–0.41) | 0.93 (0.86–0.97) | 3.34 (1.22–9.16) | 0.82 (0.67–1.01) | * | * | * | * |
Hip extension | 0.33 (0.06–0.79) | 0.88 (0.81–0.93) | 2.90 (0.54–15.55) | 0.75 (0.34–1.68) | 0.03 (0.01–0.17) | 0.85 (0.76–0.91) | 0.22 (0.03–1.61) | 1.14 (1.02–1.27) | 0.18 (0.08–0.37) | 0.90 (0.82–0.94) | 1.83 (0.67–5.00) | 0.91 (0.75–1.10) |
Hip abduction | * | * | * | * | 0.07 (0.02–0.21) | 0.92 (0.84–0.96) | 0.82 (0.18–3.73) | 1.01 (0.91–1.13) | 0.04 (0.01–0.18) | 0.91 (0.83–0.95) | 0.41 (0.05–3.15) | 1.06 (0.96–1.17) |
Knee flexion | 0.67 (0.21–0.94) | 0.45 (0.36–0.54) | 1.22 (0.54–2.75) | 0.74 (0.15–3.71) | 0.50 (0.33–0.67) | 0.43 (0.33–0.53) | 0.88 (0.59–1.31) | 1.16 (0.75–1.79) | 0.70 (0.51–0.84) | 0.49 (0.39–0.60) | 1.39 (1.01–1.92) | 0.60 (0.32–1.11) |
Knee extension | * | * | * | * | * | * | * | * | * | * | * | * |
Ankle dorsiflexion | 0.33 (0.06–0.79) | 0.68 (0.59–0.76) | 1.05 (0.20–5.30) | 0.98 (0.44–2.20) | 0.40 (0.25–0.58) | 0.71 (0.61–0.79) | 1.38 (0.80–2.38) | 0.85 (0.61–1.17) | 0.26 (0.13–0.45) | 0.66 (0.56–0.75) | 0.77 (0.38–1.55) | 1.12 (0.85–1.46) |
Ankle plantarflexion | 0.67 (0.21–0.94) | 0.62 (0.53–0.70) | 1.75 (0.76–4.03) | 0.54 (0.11–2.68) | 0.27 (0.14–0.44) | 0.57 (0.46–0.67) | 0.62 (0.33–1.18) | 1.29 (0.97–1.71) | 0.44 (0.27–0.63) | 0.63 (0.52–0.72) | 1.20 (0.73–1.98) | 0.88 (0.61–1.28) |
Ankle eversion | 0.67 (0.21–0.94) | 0.31 (0.23–0.40) | 0.97 (0.43–2.17) | 1.08 (0.21–5.46) | 0.45 (0.27–0.65) | 0.28 (0.19–0.38) | 0.63 (0.39–1.01) | 1.96 (1.17–3.26) | 0.70 (0.51–0.84) | 0.31 (0.23–0.42) | 1.03 (0.77–1.36) | 0.94 (0.49–1.82) |
Big toe extension | * | * | * | * | 0.33 (0.19–0.51) | 0.83 (0.73–0.89) | 1.91 (0.97–3.79) | 0.81 (0.62–1.06) | 0.15 (0.06–0.32) | 0.76 (0.67–0.84) | 0.63 (0.24–1.67) | 1.11 (0.49–1.82) |