Skip to main content
padlock icon - secure page this page is secure

Open Access The tibial nerve compression test for the diagnosis of lumbar spinal canal stenosis—A simple and reliable physical examination for use by primary care physicians

Download Article:

The full text article is available externally.

The article you have requested is supplied via the DOAJ. View from original source.

Objectives: In the present study, we aimed to evaluate the diagnostic accuracy and suitability of the ‘Tibial Nerve Compression Test (TNCT)’ as a screening tool for lumbar spinal canal stenosis (LSS). Methods: A total of 108 consecutive patients admitted to our hospital for surgical treatment or diagnosis of LSS were included in this study. Fifty healthy volunteers were examined as a control group. The severity of tenderness was scored (tenderness score) and measured on a visual analogue scale (P-VAS score). These scores were compared between the LSS and control groups. Moreover, they were compared before and after the operation among operated patients. Results: The positive tenderness rate was significantly higher (92.6% [100/108]) in the LSS group than in the control group (30% [15/50]). The sensitivity and specificity of TNCT (95% confidence interval) were 0.93 (0.88–0.96) and 0.70 (0.61–0.77), respectively. Positive tenderness rates and P-VAS scores were significantly higher in the LSS group (p < 0.0001). Scores on all measures significantly improved post-operatively in operated patients (p < 0.0001). Conclusion: The Tibial Nerve Compression Test is a useful screening tool for LSS diagnosis in a primary care setting. Level of evidence: Level II, diagnostic study
No References
No Citations
No Supplementary Data
No Article Media
No Metrics

Document Type: Research Article

Affiliations: 1: Department of Orthopedic Surgery, Nishinomiyakyoritsu Neurosurgical Hospital, Hyogo, Japan 2: Department of Orthopedic Surgery, Osaka Medical College, Osaka, Japan 3: Department of Orthopedic Surgery, Osaka Medical College Mishima-Minami Hospital, Osaka, Japan 4: Department of Orthopedic Surgery, Sato Hospital, Osaka, Japan

Publication date: January 1, 2018

  • Access Key
  • Free content
  • Partial Free content
  • New content
  • Open access content
  • Partial Open access content
  • Subscribed content
  • Partial Subscribed content
  • Free trial content
Cookie Policy
Cookie Policy
Ingenta Connect website makes use of cookies so as to keep track of data that you have filled in. I am Happy with this Find out more