Study on Diagnostic Value of Straight Leg Raising Test between Traffic Accident Patients Group and Non-Traffic Accident Patients Group in Diagnosing Herniated Lumbar Intervertebral Disc

요추간판탈출증 진단에 있어 교통사고 환자와 비교통사고 환자의 하지직거상 검사상 진단적 가치 비교 연구

  • Song, Mi-Young (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dong-Guk University) ;
  • Lee, Kang-Su (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dong-Guk University) ;
  • Lee, Myung-Jong (Dept. of Oriental Rehabilitation Medicine, College of Oriental Medicine, Dong-Guk University)
  • 송미영 (동국대학교 한의과대학 한방재활의학과교실) ;
  • 이강수 (동국대학교 한의과대학 한방재활의학과교실) ;
  • 이명종 (동국대학교 한의과대학 한방재활의학과교실)
  • Received : 2005.03.24
  • Accepted : 2005.04.25
  • Published : 2005.04.30

Abstract

Objectives : Straight leg raising test(SLR) is useful clinical test to diagnose herniated lumbar intervertebral disc. The purpose of this study is to analyse diagnostic value of straight leg raising test between traffic accident patients group and non-traffic accident patients group. Methods : The study involved 26 traffic accident patients group and 45 non-traffic accident patients group with low back pain or radiating pain into the leg. All had a result of straight leg raising test and lumbar computed tomography(CT) or magnetic resonance imaging(MRI). The associations between straight leg raising test and herniated lumbar intervertebral disc were analysed. Results and Conclusions : 1. There is not significant associations between straight leg raising test and herniated lumbar intervertebral disc in traffic accident patients group. 2. There is significant associations between straight leg raising test and herniated lumbar intervertebral disc in non-traffic accident patients group. 3. In traffic accident patients group, and negative predictive value are higher than non-traffic accident patients group. 4. In non-traffic accident patients group, sensitivity, positive predictive value and odds ratios are higher than traffic accident patients-group.

Keywords

References

  1. 한방재활의학과학회지 v.12 no.1 한방병원에 입원한 교통사고 입원환자에 대한 통계적 고찰 김봉찬;한을주;이영준;이명종
  2. 대한침구학회지 v.21 no.3 요추부염좌로 진단된 교통사고 환자 27례와 비교통사고환자 33례에 대한 임상적 비교고찰 신정철;박은주;나건호;이동현;류충일;윤여충;채우석;조명래
  3. 가정의학회지 v.18 no.2 요통환자의 진단과 치료 김기택
  4. 한방재활의학 한방재활의학과학회
  5. Spine v.13 The clinical significance of straight-leg raising in the diagnosis of prolapsede lumbar disc Kosteljanetz, M.;Bang, F.;Olsen, S.S.
  6. Acta Orthp. Comparative value of electromy-ographic, myelographic and clinical neurological examination in diagnosis of lumbar root compression syndrome Knutsson, B.
  7. Acta Orthp. The lumbar disc herniation Spangfort, E.V.
  8. 대한정형외과학회지 v.19 no.1 요추 추간판 탈출증의 수술적 치료에 대한 임상적 연구 박병문;김남현;권순원;양규현
  9. Journal of neurology neurosurgery and psychiatry v.72 Diagnostic value of history and physical examination in patients suspected of lumbosacral nerve root compression Vroomen, P.C.A.J.;de Korm, M.C.T.F.M.;Wilmink, J.T.;Kester, A.D.M.;Knottnerus, J.A.
  10. Journal Neurol. Diagnostic value of history and physical examination in patients suspected of sciatica due to disc herniation:a systematic review Vroomen, P.C.A.J.;de Korm, M.C.T.F.M.;Knottnerus, J.A.
  11. 대한침구학회지 v.20 no.6 교통사고 환자의 요통후유증에 대한 고찰 조원영;이경윤;박쾌환
  12. 대한침구학회지 v.21 no.3 요추부염좌로 진단된 교통사고 환자 27례와 비교통사고환자 33례에 대한 임상적 비교고찰 신정철;박은주;나건호;이동현;류충열;윤여충;채우석;조명래
  13. Spine v.21 History and physical examination in patients with herniated lumbar disc Andersson, G.B.J.;Deyo, R.A.
  14. 대한척추외과학회지 60세 이상 노년기 요추간판 탈출증의 수술적 치료 이환모;강용호;김형규
  15. 대한정형외과학회지 v.27 소년층에서 발생한 추간판 탈출증 이석현;임홍철;홍성수;채동주
  16. Contributiona l'etude clinique de la sciaique Forst, J.J.
  17. Wien Klin Wochenschr v.14 Uber das gekreuzte ischaphanomen Fajersztajn, J.
  18. Lancet. Orthopedic signs in the diagnosis of disc protrusion with special reference to the straight-leg raising test Charnley, J.
  19. 관절생리학 Kapandji, I.A.
  20. Spine v.25 no.9 The test of laseque:Systematic review of the accuracy in diagnosing herniated discs Denille;Walter, L.J.M.
  21. 대한재활의학회지 v.20 no.2 요통 환자의 하지직거상 검사와 근전도 및 방사선학적 소견의 비교 이일훈
  22. The CIBA collection of medical illustrations v.8 Frank, H.
  23. Arch Phys Med Rehabil. v.82 Extensibility and stiffness of hamstrings in patients with nonspecific low back pain Halbertsma, J.P.K.;Ludwig, N.H.;Johan W. Groothoff;Willem H. Eisma
  24. N Z Med J. v.81 no.542 The straight leg raising test - its relevance to possible disc pathology Fisk, J.W.
  25. 예방의학 예방의학과 공증보건 편집위원회
  26. 대한척추외과학회지 v.8 no.3 요추 추간판 탈출증의 자연 경과와 임상 소견 장호근;이영건
  27. 한방재활의학과학회지 v.8 no.1 교통사고 후유증환자 112례에 대한 임상분석 윤일지;오민석;송태원