{"id":9642,"date":"2022-01-20T16:14:46","date_gmt":"2022-01-20T15:14:46","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=9642"},"modified":"2022-01-20T16:14:46","modified_gmt":"2022-01-20T15:14:46","slug":"crossed-straight-leg-raise-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/crossed-straight-leg-raise-test\/","title":{"rendered":"Crossed Straight Leg Raise Test"},"featured_media":0,"template":"","class_list":["post-9642","wiki","type-wiki","status-publish","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":9643,"background_image_alt_text":"Crossed Straight Leg Raise Test"},"heading":"Crossed Straight Leg Raise Test | Crossed Over Las\u00e8gue | Radicular Pain","subheading":"Lumbar Spine Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Crossed Straight Leg Raise Test | Crossed Over Las\u00e8gue | Radicular Pain<\/h2>\nWhile the SLR has high sensitivity and low specificity and is great to exclude lumbar radicular syndrome, the crossed straight leg raise test has been found to have a low pooled sensitivity of 28% and a high pooled specificity of 90% according to a review done by van der Windt et al. (2010)<\/a>. It can therefore ideally be used to confirm the hypothesis of intervertebral disc protrusion leading to lumbosacral radicular syndrome with a positive likelihood ratio of 2.8.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=Yp7es4deo0Q[\/embed]\n\n<\/div>\nTo perform the test, have your patient in supine lying position. Then flex your patient\u2019s uninvolved leg at the hip up until about 60-70\u00b0. This test is positive if your patient experiences shooting pain in the extended leg along the axonal contribution of the leg.\n\nLike with the normal SLR, flexing the uninvolved leg which will pull the dura into caudal direction and stresses the nerve roots of L4-S2. This can cause indirect compression of the uninvolved side, especially in large axillary protrusions (see image).\n\n\"Crossed\n\n[cta]\n\n \n\nOther common orthopedic tests to assess for lumbosacral radicular pain are:\n