Sensibility testing in patients with a lumbosacral radicular syndrome.
OBJECTIVE: To examine whether there is a significant difference in gnostic sensibility between affected and unaffected legs of patients suffering from lumbosacral radicular syndrome (LRS) resulting from a disc herniation and to determine the validity of the sensibility test for detecting a disc hern...
| Publicado en: | Journal of Manipulative & Physiological Therapeutics Vol. 21; no. 2; pp. 81 - 89 |
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| Autores principales: | , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Elsevier B.V.
Feb98
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=107255863&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 107255863 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01614754 8GE jtl: Journal of Manipulative & Physiological Therapeutics issn: 01614754 maglogo: N pubinfo: dt: Feb98 vid: 21 iid: 2 pid: 1265 pub: Elsevier B.V. place: Philadelphia, Pennsylvania artinfo: ui: 107255863 107255863 1998028564 NLM9502062 107255863 ppf: 81 ppct: 8 formats: fmt: @attributes: type: T tig: atl: Sensibility testing in patients with a lumbosacral radicular syndrome. aug: au: Peeters GG Aufdemkampe G Oostendorp RA affil: BackCenter and Care- and Prevention Center Uden, Runmolen 94, 5404 KT Uden, the Netherlands sug: subj: Intervertebral Disk Displacement Diagnosis Sensory Stimulation Leg Sensitivity and Specificity Validation Studies Tomography, X-Ray Computed Data Analysis, Statistical Wilcoxon Signed Rank Test Data Analysis Software P-Value False Negative Results Predictive Value of Tests Criterion-Related Validity Adult Middle Age Aged Male Female Human Adult: 19-44 years Middle Aged: 45-64 years Aged: 65+ years Male Female ab: OBJECTIVE: To examine whether there is a significant difference in gnostic sensibility between affected and unaffected legs of patients suffering from lumbosacral radicular syndrome (LRS) resulting from a disc herniation and to determine the validity of the sensibility test for detecting a disc herniation. DESIGN: Observer blind study of sensibility testing. SETTING: Four general hospitals (neurology department) and one practice of physical and manual therapy. SUBJECTS: Fifty-one patients with radicular pain in the lumbosacral nerve roots for at least 4 wk and/or neurological deficits. METHODS: The gnostic sensibility of 51 patients with a unilateral LRS was tested using Semmes-Weinstein monofilaments for the L4, L5 and S1 dermatomes. RESULTS: Gnostic hypoesthetic impairments in the L4, L5 and S1 dermatomes were found in 84.6% of the 43 patients in which the presence of disc herniation was confirmed by CT. There was significant difference in gnostic sensibility between the affected and unaffected legs in the L4, L5, and S1 dermatomes for disc herniation at the L4-L5 level and for the L5 and S1 dermatomes for a disc herniation at the L5-S1 level. There was no significant difference in gnostic sensibility in the L4 dermatome for a disc herniation at the L5-S1 level. CONCLUSION: The gnostic sensibility of the affected leg is hypoesthetic compared with the unaffected leg. The specificity of the sensibility test using monofilaments is acceptable, but the sensitivity is not. The monofilament test is a useful and practical tool for excluding the presence of a disc herniation at dermatomes L4, L5 and S1 and disc herniations at the L4-L5, L5-S1 level. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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