Relation Between Subjective and Objective Scores on the Active Straight Leg Raising Test

Cross sectional. To fill a gap in the validation of the active straight leg raising (ASLR) test concerning the relation between a patient's subjective score on the ASLR test and the objective measured force. The ASLR test is used to classify patients presenting with pain in the low back and/or...

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Veröffentlicht in:Spine (Philadelphia, Pa. 1976) Pa. 1976), 2010-02, Vol.35 (3), p.336-339
Hauptverfasser: MENS, Jan M. A, POOL-GOUDZWAARD, Annelies, BEEKMANS, Rikie E. P. M, TIJHUIS, Marijke T. F
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container_end_page 339
container_issue 3
container_start_page 336
container_title Spine (Philadelphia, Pa. 1976)
container_volume 35
creator MENS, Jan M. A
POOL-GOUDZWAARD, Annelies
BEEKMANS, Rikie E. P. M
TIJHUIS, Marijke T. F
description Cross sectional. To fill a gap in the validation of the active straight leg raising (ASLR) test concerning the relation between a patient's subjective score on the ASLR test and the objective measured force. The ASLR test is used to classify patients presenting with pain in the low back and/or pelvic girdle. Although its reliability and validity have been demonstrated, some details are still lacking. The ASLR test was performed by 21 parous women with various ASLR scores. Subjective weakness was scored by the patient both with and without a pelvic belt; moreover the isometric forces of leg raising were measured. The correlation coefficients between the subjective ASLR score and objective measured force at 0 and 20 cm elevation were -0.58 (P < 0.01) and -0.52 (P < 0.05), respectively, at the left side; and -0.45 (P < 0.05) and -0.63 (P < 0.01), respectively, at the right side. When measured with a pelvic belt the correlations were, respectively, -0.51 and -0.48 at the left side, and -0.47 and -0.50 at the right side (all P < 0.05). After applying a pelvic belt the mean subjective ASLR score decreased with 0.38 point at the left side and 0.48 point at the right side (both P < 0.05). With the belt, the measured force at 0 cm elevation increased by 11.6% (P < 0.001) at the left side and by 8.6% (P < 0.05) at the right side; at 20 cm elevation the changes in measured force were negligible. No significant correlation was found between the subjective and the objective changes elicited by the pelvic belt. The subjective scores on the ASLR test correlate well with the objective measured forces; this supports the reliability of the ASLR test. The subjective influence of a pelvic belt on the ASLR score could not be objectified.
doi_str_mv 10.1097/brs.0b013e3181b86d4c
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The correlation coefficients between the subjective ASLR score and objective measured force at 0 and 20 cm elevation were -0.58 (P < 0.01) and -0.52 (P < 0.05), respectively, at the left side; and -0.45 (P < 0.05) and -0.63 (P < 0.01), respectively, at the right side. When measured with a pelvic belt the correlations were, respectively, -0.51 and -0.48 at the left side, and -0.47 and -0.50 at the right side (all P < 0.05). After applying a pelvic belt the mean subjective ASLR score decreased with 0.38 point at the left side and 0.48 point at the right side (both P < 0.05). With the belt, the measured force at 0 cm elevation increased by 11.6% (P < 0.001) at the left side and by 8.6% (P < 0.05) at the right side; at 20 cm elevation the changes in measured force were negligible. No significant correlation was found between the subjective and the objective changes elicited by the pelvic belt. 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Subjective weakness was scored by the patient both with and without a pelvic belt; moreover the isometric forces of leg raising were measured. The correlation coefficients between the subjective ASLR score and objective measured force at 0 and 20 cm elevation were -0.58 (P < 0.01) and -0.52 (P < 0.05), respectively, at the left side; and -0.45 (P < 0.05) and -0.63 (P < 0.01), respectively, at the right side. When measured with a pelvic belt the correlations were, respectively, -0.51 and -0.48 at the left side, and -0.47 and -0.50 at the right side (all P < 0.05). After applying a pelvic belt the mean subjective ASLR score decreased with 0.38 point at the left side and 0.48 point at the right side (both P < 0.05). With the belt, the measured force at 0 cm elevation increased by 11.6% (P < 0.001) at the left side and by 8.6% (P < 0.05) at the right side; at 20 cm elevation the changes in measured force were negligible. 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Spinal cord</topic><topic>Cross-Sectional Studies</topic><topic>Exercise Test - methods</topic><topic>Exercise Test - standards</topic><topic>Female</topic><topic>Humans</topic><topic>Investigative techniques of ocular function and vision</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Leg - physiology</topic><topic>Low Back Pain - diagnosis</topic><topic>Low Back Pain - physiopathology</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Movement - physiology</topic><topic>Nervous system (semeiology, syndromes)</topic><topic>Neurology</topic><topic>Pain Measurement - methods</topic><topic>Pain Measurement - standards</topic><topic>Pelvic Pain - diagnosis</topic><topic>Pelvic Pain - physiopathology</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>MENS, Jan M. 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Subjective weakness was scored by the patient both with and without a pelvic belt; moreover the isometric forces of leg raising were measured. The correlation coefficients between the subjective ASLR score and objective measured force at 0 and 20 cm elevation were -0.58 (P < 0.01) and -0.52 (P < 0.05), respectively, at the left side; and -0.45 (P < 0.05) and -0.63 (P < 0.01), respectively, at the right side. When measured with a pelvic belt the correlations were, respectively, -0.51 and -0.48 at the left side, and -0.47 and -0.50 at the right side (all P < 0.05). After applying a pelvic belt the mean subjective ASLR score decreased with 0.38 point at the left side and 0.48 point at the right side (both P < 0.05). With the belt, the measured force at 0 cm elevation increased by 11.6% (P < 0.001) at the left side and by 8.6% (P < 0.05) at the right side; at 20 cm elevation the changes in measured force were negligible. No significant correlation was found between the subjective and the objective changes elicited by the pelvic belt. The subjective scores on the ASLR test correlate well with the objective measured forces; this supports the reliability of the ASLR test. The subjective influence of a pelvic belt on the ASLR score could not be objectified.]]></abstract><cop>Hagerstown, MD</cop><pub>Lippincott Williams &amp; Wilkins</pub><pmid>20075777</pmid><doi>10.1097/brs.0b013e3181b86d4c</doi><tpages>4</tpages></addata></record>
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subjects Adult
Biological and medical sciences
Cerebrospinal fluid. Meninges. Spinal cord
Cross-Sectional Studies
Exercise Test - methods
Exercise Test - standards
Female
Humans
Investigative techniques of ocular function and vision
Investigative techniques, diagnostic techniques (general aspects)
Leg - physiology
Low Back Pain - diagnosis
Low Back Pain - physiopathology
Medical sciences
Middle Aged
Movement - physiology
Nervous system (semeiology, syndromes)
Neurology
Pain Measurement - methods
Pain Measurement - standards
Pelvic Pain - diagnosis
Pelvic Pain - physiopathology
Young Adult
title Relation Between Subjective and Objective Scores on the Active Straight Leg Raising Test
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