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To perform a femoral nerve stretch test, a patient lies prone, the knee is passively flexed to the thigh and the hip is passively extended (reverse Lasègues). [2] The test is positive if the patient experiences anterior thigh pain .
Positive sign is any kind of sciatic pain (radiating, sharp, shooting pain) or reproduction of other neurological symptoms. This indicates impingement of the sciatic nerve, dural lining, spinal cord, or nerve roots. [1] This test can have a lot of false-positives and should be used with other orthopedic test to make the final diagnosis.
The straight leg raise is a test that can be performed during a physical examination, with the leg being lifted actively by the patient or passively by the clinician. If the straight leg raise is done actively by the patient, it is a test of functional leg strength, particularly the rectus femoris element of the quadriceps (checking both hip flexion and knee extension strength simultaneously).
In the context of a positive Hoover's sign, functional weakness (or "conversion disorder") is much more likely than malingering or factitious disorder. [3] Strong hip muscles can make the test difficult to interpret. [4] Efforts have been made to use the theory behind the sign to report a quantitative result. [5]
NC should therefore be distinguished from vascular claudication, which stems from a circulatory problem rather than a neural one. The term neurogenic claudication is sometimes used interchangeably with spinal stenosis. However, the former is a clinical term, while the latter more specifically describes the condition of spinal narrowing. [4]
A neurological examination is the assessment of sensory neuron and motor responses, especially reflexes, to determine whether the nervous system is impaired. This typically includes a physical examination and a review of the patient's medical history, [1] but not deeper investigation such as neuroimaging.
Distraction tests: positive tests are rechecked when the patient's attention is distracted, such as a straight leg raise test; Regional disturbances: regional weakness or sensory changes which deviate from accepted neuroanatomy; Overreaction: subjective signs regarding the patient's demeanor and reaction to testing
In both tests, a positive sign is indicated by numbness, tingling or pain in the thumb, index and half of the middle finger. The presence of positive Tinel's sign, Phalen sign, Flick sign, or Upper limb neural tension test independently have weak evidence for diagnosing CTS. [ 5 ]