Diagnostic value of the lumbar extension-loading test in patients with lumbar spinal stenosis: A cross-sectional study

BMC Musculoskeletal Disorders

Volumn 15, Issue 1, 2014, Pages

  Takahashi, Naoto ^a   Kikuchi, Shin Ichi ^a   Yabuki, Shoji ^a   Otani, Koji ^a   Konno, Shin Ichi ^a  

^a FUKUSHIMA MEDICAL UNIVERSITY   (Japan)

Author keywords

Diagnostic value; Gait loading test; Lumbar extension loading test; Lumbar spinal stenosis; Neurogenic intermittent claudication; Objective neurological findings; Pathology; Prospective cohort study; Provocation test; Subjective symptoms

Indexed keywords

ADULT; AGED; ARTICLE; DIAGNOSTIC ACCURACY; DIAGNOSTIC TEST; DIAGNOSTIC TEST ACCURACY STUDY; DIAGNOSTIC VALUE; FEMALE; GAIT LOADING TEST; HUMAN; INTERMETHOD COMPARISON; LOADING TEST; LUMBAR EXTENSION LOADING TEST; LUMBAR SPINAL STENOSIS; MAJOR CLINICAL STUDY; MALE; SYMPTOMATOLOGY; BIOMECHANICS; COMPARATIVE STUDY; COMPLICATION; CROSS-SECTIONAL STUDY; GAIT; LUMBAR VERTEBRA; MIDDLE AGED; MOTOR ACTIVITY; PAIN THRESHOLD; PATHOPHYSIOLOGY; PHYSICAL EXAMINATION; PREDICTIVE VALUE; PROCEDURES; REFLEX; SPINAL STENOSIS; VERY ELDERLY; WALKING; WEIGHT BEARING;

AGED; AGED, 80 AND OVER; BIOMECHANICAL PHENOMENA; CROSS-SECTIONAL STUDIES; FEMALE; GAIT; HUMANS; LUMBAR VERTEBRAE; MALE; MIDDLE AGED; MOTOR ACTIVITY; PAIN THRESHOLD; PHYSICAL EXAMINATION; PREDICTIVE VALUE OF TESTS; REFLEX; SPINAL STENOSIS; WALKING; WEIGHT-BEARING;

EID: 84908031394     PISSN: None     EISSN: 14712474     Source Type: Journal    
DOI: 10.1186/1471-2474-15-259     Document Type: Article

References (30)

1. A radicular syndrome from developmental narrowing of the lumbar vertebral canal. Verbiest H, J Bone Joint Surg 1954 36B 230 237
2. Further experience on the pathological influence of a developmental narrowness of the bony lumbar vertebral canal. Verbiest H, J Bone Joint Surg 1955 37B 576 583
3. A study of computer-assisted tomography. 1. The incidence of positive CAT scans in an asymptomatic group of patients. Wiesel SW, Tsourmas N, Feffer HL, Citrin CM, Patronas N, Spine 1984 9 6 549 551 10.1097/00007632-198409000-00003 6495024
4. Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation. Boden SD, David DO, Dina TS, Patronas NJ, Wiesel SW, J Bone Joint Surg Am 1990 72 3 403 408 2312537
5. Magnetic resonance imaging of the lumbar spine in people without back pain. Jensen MC, Brant-Zawadzki MN, Obuchowski N, Modic MT, Malkasian D, Ross JS, N Engl J Med 1994 331 2 69 73 10.1056/NEJM199407143310201 8208267
6. A histologic and functional study on cauda equina adhesion induced by multiple level laminectomy. Takahashi N, Konno S, Kikuchi S, Spine 2003 28 1 4 8 10.1097/00007632-200301010-00003 12544946
7. Diagnosis of lumbar spinal stenosis: a systematic review of the accuracy of diagnostic tests. de Graaf I, Prak AP, Bierma-Zeinstra S, Thomas S, Peul W, Koes B, Spine 2006 31 10 1168 1176 10.1097/01.brs.0000216463.32136.7b 16648755
8. The diagnostic value of a treadmill test in predicting lumbar spinal stenosis. Barz T, Melloh M, Staub L, Roeder C, Lange J, Smiszek FG, Theis JC, Merk HR, Eur Spine J 2008 17 686 690 10.1007/s00586-008-0593-1 18259784
9. Clinical analyses of neurogenic intermittent claudication in lumbar spine diseases [abstract]. Kikuchi S, Masue M, Orthopaedic Trans 1985 9 514
10. Treatment of neurogenic intermittent claudication in degenerative stenosis [abstract]. Kikuchi S, Hasue M, Orthopaedic Trans 1988 12 106
11. Diagnostic value of the gait-loading test in patients with lumbar canal stenosis-A prospective cohort study. Takayama B, Kikuchi S, Konno S, Sekiguch M, Proceeding of the 32nd Annual Meeting: 10-14 May 2005 New York: International Society for the Study of the Lumbar Spine, Nordin M, 2005 51
12. The clinical effect of gait load test in two level spinal stenosis. Kim YS, Park SJ, Oh IS, Kwan JY, Asian Spinal J 2009 3 2 96 100 10.4184/asj.2009.3.2.96
13. Combined contrast studies in lumbar spine diseases. Myelography (peridurography) and nerve root infiltration. Kikuchi S, Hasue M, Spine 1988 13 11 1327 1331 10.1097/00007632-198811000-00020 3206292
14. Clinical analysis of two-level compression of the cauda equina and the nerve roots in lumbar spinal canal stenosis. Sato K, Kikuchi S, Spine 1997 22 1898 1903 10.1097/00007632-199708150-00018 9280027
15. Degenerative lumbar spinal stenosis. Diagnostic value of the history and physical examination. Katz JN, Dalgas M, Stucki GS, Katz NP, Bayley J, Fossei AH, Chang LC, Lipson SJ, Arthritis Rheum 1995 38 1236 1241 10.1002/art.1780380910 7575718
16. An evidence-based approach to human dermatomes. Lee MW, McPee RW, Stringer MD, Clin Anat 2008 21 5 363 373 10.1002/ca.20636 18470936
17. Nerve root infiltration in the diagnosis of radicular pain. Dooley JF, McBroom RJ, Taguchi T, Macnab I, Spine 1988 13 79 83 10.1097/00007632-198801000-00019 2967996
18. Diagnostic lumbosacral segmental nerve blocks with local anesthetics: a prospective double-blind study on the variability and interpretation of segmental effects. Wolff AP, Groen GJ, Crul BJP, Reg Anesth Pain Med 2001 26 2 147 155 11251139
19. Outcome after surgery treatment for lumbar spinal stenosis. The lumbar extension test is not a predictive factor. Westergaard L, Hauerberg J, Springborg JB, Spine 2009 34 25 930 E935 10.1097/BRS.0b013e3181ac9166 19940724
20. A diagnostic support tool for lumbar spinal stenosis: a self-administered, self-reported history questionnaire. Konno S, Kikuchi S, Tanaka Y, Yamazaki K, Shimada Y, Takei H, Yokoyama T, Okada M, Kokubun S, BMC Musculoskelet Disord 2007 8 102 10.1186/1471-2474-8-102 17967201
21. Production of chronic compression of the cauda equina in rats for use in studies of lumbar spinal canal stenosis. Iwamoto H, Kuwahara H, Matsuda H, Spine 1995 20 24 2750 2757 10.1097/00007632-199512150-00018 8747255
22. Lumbar spinal canal stenosis examined electrophysiologically in a rat model of chronic cauda equina compression. Iwamoto H, Matsuda H, Noriage A, Spine 1997 22 22 2636 2640 10.1097/00007632-199711150-00011 9399449
23. Vasogenic edema induced by compression injury to the spinal nerve root: distribution of intravenously injected protein tracers and gadolinium-enhanced magnetic resonance imaging. Kobayashi S, Yoshizawa H, Hachiya Y, Spine 1993 18 11 1410 1424 10.1097/00007632-199309010-00004 8235811
24. Myeloscopic study on lumbar spinal canal stenosis with special reference to intermittent claudication. Ooi Y, Mita F, Satoh Y, Spine 1990 15 6 544 549 10.1097/00007632-199006000-00021 2402694
25. Epidural pressure measurements: relationship between epidural pressure and posture in patients with lumbar spinal stenosis. Takahashi K, Miyazaki T, Takino T, Matsui T, Tomita K, Spine 1995 20 6 650 653 10.1097/00007632-199503150-00003 7604339
26. The natural history of intermittent claudication of the cauda equina, a long term follow-up study. Blau JN, Logue V, Brain 1978 101 211 222 10.1093/brain/101.2.211 667598
27. Experimental nerve root compression. A model of acute, graded compression of the porcine cauda equina and an analyses of neural and vascular anatomy. Olmarker K, Holm S, Rosenqvist AL, Rydevik B, Spine 1991 16 61 69 10.1097/00007632-199101000-00012 2003239
28. Double-level cauda equina compression: an experimental study with continuous monitoring of intraneural blood flow in the porcine cauda equina. Takahashi K, Olmarker K, Holm S, Porter RW, Rydevik B, J Orthop Res 1993 11 104 109 10.1002/jor.1100110112 8423512
29. Vascular and neural pathology of lumbosacral spinal stenosis. Watanabe R, Parke WW, J Neurosurg 1986 64 64 70 10.3171/jns.1986.64.1.0064 3941352
30. Intermittent cauda equina compression. An experimental study of the porcine cauda equina with analyses of nerve impulse conduction properties. Konno S, Olmarker K, Byröd G, Nordborg C, Strömqvist B, Rydevik B, Spine 1995 20 11 1223 1226 7660228