dc.contributor.author | Coppieters, Michel W | |
dc.contributor.author | Crooke, Jennifer L | |
dc.contributor.author | Lawrenson, Peter R | |
dc.contributor.author | Khoo, Shin Jiun | |
dc.contributor.author | Skulstad, Terje | |
dc.contributor.author | Bet-Or, Yaheli | |
dc.date.accessioned | 2017-06-13T02:36:46Z | |
dc.date.available | 2017-06-13T02:36:46Z | |
dc.date.issued | 2015 | |
dc.identifier.issn | 1356-689X | |
dc.identifier.doi | 10.1016/j.math.2015.01.013 | |
dc.identifier.uri | http://hdl.handle.net/10072/339744 | |
dc.description.abstract | Background: A modified straight leg raise test for the sural nerve (SLRSURAL) has been proposed to assist
in the differential diagnosis of sural nerve pathology in people with posterior calf or ankle pain, or lateral
foot pain. The biomechanical rationale is that strain in the dorsolateral ankle and foot structures
following dorsiflexion-inversion can be selectively increased in the sural nerve with hip flexion. There
are however no studies which have investigated whether hip flexion can increase strain in the sural
nerve at the ankle.
Objectives: To measure strain and longitudinal excursion of the sural nerve and Achilles tendon during a
modified SLR.
Design: Cross-sectional cadaver study, with a repeated-measures design.
Method: Strain and excursion were measured unilaterally in seven embalmed cadavers using differential
transducers and a digital calliper. Data were analysed with repeated-measures ANOVAs (p < 0.05).
Results: With hip flexion (mean (SD): 54.6 (10.6) degrees), strain increased in the sural nerve (0.9 (0.5)%;
p ¼ 0.008), but not in the Achilles tendon (0.3 (0.3)%; p ¼ 0.16). The sural nerve moved 1.0 (0.5) mm
proximally with hip flexion (p ¼ 0.02).
Conclusions: The load placed on the sciatic nerve following hip flexion is transmitted distally to the sural
nerve. These findings provide biomechanical support for the SLRSURAL. The relatively small changes in
strain and excursion were most likely due to limited available ankle mobility in the tested cadavers.
Further research is required to establish the diagnostic accuracy of SLRSURAL in a clinical setting. | |
dc.description.peerreviewed | Yes | |
dc.language | English | |
dc.language.iso | eng | |
dc.publisher | Churchill Livingstone | |
dc.relation.ispartofpagefrom | 587 | |
dc.relation.ispartofpageto | 591 | |
dc.relation.ispartofissue | 4 | |
dc.relation.ispartofjournal | Manual Therapy | |
dc.relation.ispartofvolume | 20 | |
dc.subject.fieldofresearch | Clinical sciences | |
dc.subject.fieldofresearch | Clinical sciences not elsewhere classified | |
dc.subject.fieldofresearch | Sports science and exercise | |
dc.subject.fieldofresearch | Sports science and exercise not elsewhere classified | |
dc.subject.fieldofresearchcode | 3202 | |
dc.subject.fieldofresearchcode | 320299 | |
dc.subject.fieldofresearchcode | 4207 | |
dc.subject.fieldofresearchcode | 420799 | |
dc.title | A modified straight leg raise test to differentiate between sural nerve pathology and Achilles tendinopathy. A cross-sectional cadaver study | |
dc.type | Journal article | |
dc.type.description | C1 - Articles | |
dc.type.code | C - Journal Articles | |
gro.hasfulltext | No Full Text | |
gro.griffith.author | Coppieters, Michel | |