Abstract
Establish the positive predictive value of clinical examination predicted radicular level to MRI.
To identify the value of the Leeds Assessment of Neuropathic Symptoms and Signs (LANSS) assessment tool in the assessment of patients presenting with radicular symptoms of lumbar spine source.
8 patients attending the ESP Orthopaedic triage service, presenting with radicular pain in which MRI is clinically indicated.
Prospective study on patients attending ESP Orthopaedic triage service
Patients were clinically examined, both parts LANSS score was completed.
Following the assessment a radicular level was selected.
Following MRI the results were compared.
Positive predicted values (PPV) for clinical examination and sensitivity and specificity of a LANSS score>12 was calculated.
LANSS score
MRI report.
PPV of 75% of therapist predicted level being same level or adjacent level to MRI stated level.
66% specificity and 100% sensitivity of patients in study with LANNS>12 having MRI evaluated radicular nerve root compression.
This pilot suggests that clinical examination and the LANSS score is useful in establishing the presence of radicular nerve root compression. This evidence supports the need for further research.
