Two Stage Treadmill Test
Other Names
- Walking test
- Two-Stage Treadmill Test
- Deen Two-Stage Treadmill Test
- Provocative Walking Test
Purpose
- Distinguish etiologies of back pain
Description
- Have patient walk up constantly until onset of symptoms in buttock and leg
- Once symptomatic, have them stop
- If symptoms resolve while standing, this suggest a vascular etiology of claudication
- If symptoms resolve when patient sits, this suggests neurogenic claudication
Pathology
- Spondylolisthesis
- Lumbar Spinal Stenosis
- Neurogenic Claudication
- Peripheral Artery Disease
Evidence
Peripheral Artery Disease or Lumbar Spinal Stenosis
- Houle et al[1]
- Sensitivity: 61%
- Specificity: 79-89%
- Fritz et al[2]
- Sensitivity: 76.9%
- Specificity: 94.7%
See Also
References
- ↑ Houle, Mariève, et al. "Comparison of walking variations during treadmill walking test between neurogenic and vascular claudication: a crossover study." Chiropractic & Manual Therapies 29.1 (2021): 24.
- ↑ Fritz, Julie M., et al. "Preliminary results of the use of a two-stage treadmill test as a clinical diagnostic tool in the differential diagnosis of lumbar spinal stenosis." Clinical Spine Surgery 10.5 (1997): 410-416.
Created by:
John Kiel on 19 June 2020 19:42:28
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Last edited:
23 June 2026 10:37:58
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