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Bicycle Test of Van Gelderen

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Demonstration of the Bicycle Test from 1977 with an apparently positive corresponding vascular study[1]
  • Bicycle Test of Van Gelderen
  • Bicycle Test

Purpose

  • Used to help differentiate between vascular and neurogenic causes of leg pain (intermittent claudication)

Description

  • The patient is seated on the bicycle, peddling in an upright position
  • They then can alternate to the forward leaning position
  • Positive for vascular etiology
    • Claudication in both positions
  • Positive for spinal etiology
    • Reproduced while upright, relieved while leaning forward
  • Both submaximal and maximal effort may be used

Pathology

  • Neurogenic Leg Pain
  • Vascular Leg Pain

Evidence

  • Unknown

See Also

References

  1. ↑ Dyck, Peter, and John B. Doyle. "“Bicycle test” of van Gelderen in diagnosis of intermittent cauda equina compression syndrome: case report." Journal of neurosurgery 46.5 (1977): 667-670.
Created by:
John Kiel on 25 June 2025 12:59:56
Authors:
Last edited:
30 October 2025 14:44:23
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