Diagnostic value of the lumbar extension-loading test in patients with lumbar spinal stenosis: a cross-sectional study

BackgroundThe gait-loading test is a well known, important test with which to assess the involved spinal level in patients with lumbar spinal stenosis. The lumbar extension-loading test also functions as a diagnostic loading test in patients with lumbar spinal stenosis; however, its efficacy remains uncertain. The purpose of this study was to compare the diagnostic value of the lumbar extension-loading test with that of the gait-loading test in patients with lumbar spinal stenosis.MethodsA total of 116 consecutive patients (62 men and 54 women) diagnosed with lumbar spinal stenosis were included in this cross-sectional study of the lumbar extension-loading test. Subjective symptoms and objective neurological findings (motor, sensory, and reflex) were examined before and after the lumbar extension-loading and gait-loading tests. The efficacy of the lumbar extension-loading test for establishment of a correct diagnosis of the involved spinal level was assessed and compared with that of the gait-loading test.ResultsThere were no significant differences between the lumbar extension-loading test and the gait-loading test in terms of subjective symptoms, objective neurological findings, or changes in the involved spinal level before and after each loading test.ConclusionsThe lumbar extension-loading test is useful for assessment of lumbar spinal stenosis pathology and is capable of accurately determining the involved spinal level.

• Publication year

  2014

• Venue

  BMC Musculoskeletal Disorders

• Publication date

  2014-07-31

• Fields of study

  Medicine

• Identifiers
  DOI 10.1186/1471-2474-15-259PMID 25080292PMCID 4236630
• External record

  Open on Semantic Scholar

• Source metadata

  Semantic Scholar, PubMed

• No claims are published for this paper.

• No concepts are published for this paper.

• Magnetic Resonance Imaging of the lumbar spine in people without back pain

  2017cited by this paper
• Abnormal Magnetic-Resonance Scans of the Lumbar Spine in Asymptomatic Subjects. A Prospective Investigation

  2014cited by this paper
• Outcome After Surgical Treatment for Lumbar Spinal Stenosis: The Lumbar Extension Test Is Not a Predictive Factor

  2009cited by this paper
• The Clinical Effect of Gait Load Test in Two Level Lumbar Spinal Stenosis

  2009cited by this paper
• An evidence‐based approach to human dermatomes

  2008influential reference
• BMC Musculoskeletal Disorders BioMed Central

  2008influential reference
• The diagnostic value of a treadmill test in predicting lumbar spinal stenosis

  2008cited by this paper
• A diagnostic support tool for lumbar spinal stenosis: a self-administered, self-reported history questionnaire

  2007cited by this paper
• Diagnosis of Lumbar Spinal Stenosis: A Systematic Review of the Accuracy of Diagnostic Tests

  2006cited by this paper
• A Histologic and Functional Study on Cauda Equina Adhesion Induced by Multiple Level Laminectomy

  2003cited by this paper
• Diagnostic Lumbosacral Segmental Nerve Blocks With Local Anesthetics: A Prospective Double-Blind Study on the Variability and Interpretation of Segmental Effects

  2000cited by this paper
• Lumbar Spinal Canal Stenosis Examined Electrophysiologically in a Rat Model of Chronic Cauda Equina Compression

  1997cited by this paper
• Clinical Analysis of Two‐Level Compression of the Cauda Equina and the Nerve Roots in Lumbar Spinal Canal Stenosis

  1997cited by this paper
• Degenerative lumbar spinal stenosis. Diagnostic value of the history and physical examination.

  1995cited by this paper
• Production of Chronic Compression of the Cauda Equina in Rats for Use in Studies of Lumbar Spinal Canal Stenosis

  1995influential reference
• Experimental Spinal Fusion With Recombinant Human Bone Morphogenetic Protein‐2

  1995cited by this paper
• Epidural Pressure Measurements: Relationship Between Epidural Pressure and Posture in Patients with Lumbar Spinal Stenosis

  1995cited by this paper
• Intermittent Cauda Equina Compression An Experimental Study of the Porcine Cauda Equina With Analyses of Nerve Impulse Conduction Properties

  1995cited by this paper
• Magnetic resonance imaging of the lumbar spine in people without back pain.

  1994cited by this paper
• Vasogenic edema induced by compression injury to the spinal nerve root. Distribution of intravenously injected protein tracers and gadolinium-enhanced magnetic resonance imaging.

  1993cited by this paper
• Double‐level cauda equina compression: An experimental study with continuous monitoring of intraneural blood flow in the porcine cauda equina

  1993cited by this paper
• Experimental Nerve Root Compression: A Model of Acute, Graded Compression of the Porcine Cauda Equina and an Analysis of Neural and Vascular Anatomy

  1991cited by this paper
• Myeloscopic study on lumbar spinal canal stenosis with special reference to intermittent claudication.

  1990cited by this paper
• Abnormal magnetic-resonance scans of the lumbar spine in asymptomatic subjects. A prospective investigation.

  1990cited by this paper
• Combined Contrast Studies in Lumbar Spine Diseases: Myelography (Peridurography) and Nerve Root Infiltration

  1988cited by this paper
• Nerve Root Infiltration in the Diagnosis of Radicular Pain

  1988cited by this paper
• Vascular and neural pathology of lumbosacral spinal stenosis.

  1986cited by this paper
• A study of computer-assisted tomography. I. The incidence of positive CAT scans in an asymptomatic group of patients.

  1984cited by this paper
• The natural history of intermittent claudication of the cauda equina. A long term follow-up study.

  1978influential reference
• Further experiences on the pathological influence of a developmental narrowness of the bony lumbar vertebral canal.

  1955cited by this paper
• A radicular syndrome from developmental narrowing of the lumbar vertebral canal.

  1954cited by this paper
• Bmc Musculoskeletal Disorders a Diagnostic Support Tool for Lumbar Spinal Stenosis: a Self-administered, Self-reported History Questionnaire

  year unknowncited by this paper

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  2025cites this paper
• Effectiveness of physiotherapy in lumbar canal stenosis with scoliosis: Case study

  2025cites this paper
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  2024cites this paper
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  2024cites this paper
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  2024cites this paper
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  2023cites this paper
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  2023cites this paper
• The Essence of Clinical Practice Guidelines for Lumbar Spinal Stenosis, 2021: 2. Diagnosis and Evaluation

  2023cites this paper
• Japanese Orthopaedic Association (JOA) clinical practice guidelines on the management of lumbar spinal stenosis, 2021 - Secondary publication.

  2022cites this paper
• Generalization of a clinical diagnosis support tool for lumbar spinal stenosis: Can the ankle brachial pressure index be replaced by palpation of the posterior tibial artery in the lumbar spinal stenosis diagnostic support tool? (DISTO project).

  2022cites this paper
• Relationship Between Magnetic Resonance Imaging Findings and Clinical Symptoms in Patients with Suspected Lumbar Spinal Canal Stenosis: a Case-control Study

  2019cites this paper
• A Review of Hip-Spine Syndrome

  2019cites this paper
• Diagnostic modalities and nonoperative treatment of lumbar spinal stenosis

  2019cites this paper
• Validation of the inter-individual variability of the lateral offset of the acromion

  2019cites this paper
• Magnitude of dural tube compression does not show a predictive value for symptomatic lumbar spinal stenosis for 1-year follow-up: a prospective cohort study in the community

  2018cites this paper
• Magnitude of dural tube compression does not show a predictive value for symptomatic lumbar spinal stenosis for 1-year follow-up: a prospective cohort study in the community

  2018cites this paper
• Lumbar Spinal Stenosis in Older Adults.

  2018cites this paper
• Magnitude of dural tube compression does not show a predictive value for symptomatic lumbar spinal stenosis for 1-year follow-up: a prospective cohort study in the community

  2018cites this paper
• Magnitude of dural tube compression does not show a predictive value for symptomatic lumbar spinal stenosis for 1-year follow-up: a prospective cohort study in the community

  2018cites this paper
• Clinical classification criteria for neurogenic claudication caused by lumbar spinal stenosis. The N-CLASS criteria.

  2017cites this paper
• Psychiatric disorders in lumbar stenosis with chronic pain and their effects on lumbar stenosis surgery

  2016cites this paper
• Management of lumbar spinal stenosis

  2016cites this paper
• Over-expression of CXCR4 on mesenchymal stem cells protect against experimental colitis via immunomodulatory functions in impaired tissue

  2014cites this paper
• Mesenchymal stem cells for the treatment of cartilage lesions: from preclinical findings to clinical application in orthopaedics

  2013cites this paper