Crossed Straight Leg Raise Test

Other Names

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• Crossed Straight Leg Raise Test
• Contralateral Straight Leg Raise Test
• Crossed-over Lasegue test
• Fajersztajn’s test
• Contralateral SLR

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Purpose

• Evaluate patients with lower back pain with radicular features
• This is the straight leg raise test performed on the non-radicular limb

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Description

• The patient is supine
• The examiner passively flexes the contralateral hip, keeping the knee in full extension
• Positive test
  • Pain reproduced radiating down the ipsilateral limb

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Pathology

• Lumbar Radiculopathy
• Herniated Nucleus Pulposus
• Spinal Stenosis
• Piriformis Syndrome

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Evidence

Herniated Nucleus Pulposus

• Ropper et al
  • Sensitivity: 28%
  • Specificity: 90%

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See Also

• Back Pain Main
• Physical Exam Back
• Back Anatomy Main

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