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Sciatica examination8/30/2023 1-4 Radicular/sciatic tests, like many orthopedic and neurological tests, are not the most dependable diagnostic tools. ![]() These inconsistencies are compounded in the trenches of clinical practice. Studies that are available are often skewed by inconsistencies in test performance, definitions of positive findings, and interpretations of results among participants. Examiners must consider these facts when performing and interpreting orthopedic and neurological tests.Īccuracy (sensitivity/specificity and intraexaminer/interexaminer reliability) of the maneuvers and tests described is not stressed, as most of the tests have not been the subject of accuracy studies. This leads to multiple tests that share a mechanism of performance, yet have different names and interpretations. The reactions vary depending upon which tissue is pathological. A single maneuver can produce multiple reactions. Most orthopedic and neurological tests stress multiple tissues, including nerves, muscles, tendons, ligaments, cartilage, bones, blood vessels, etc. ![]() In fact, it is naive to think that any orthopedic or neurological test only affects a single tissue or structure. It is naive to think that the maneuvers discussed below only affect the lumbosacral nerve roots or the sciatic nerve.
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