title: Physical assessment of lower extremity radiculopathy and sciatica.
abstract: OBJECTIVE
  The purpose is to describe active and passive physical maneuvers that provoke or alleviate lumbosacral radiculopathy and/or sciatica to demonstrate how these maneuvers function in common orthopedic and neurological tests/signs.
  
  
  METHODS
  Descriptions of the maneuvers and their countermaneuvers are provided to establish an understanding of their mechanisms and influence on lumbosacral nerve roots and the sciatic nerve. Common tests and signs for lower extremity radiculopathy and sciatica are described to demonstrate the clinical application of the maneuvers. Combinations of common tests are also offered to improve examination efficiency.
  
  
  RESULTS
  Understanding how each maneuver contributes individually or in combination with standard tests will enhance the reader's examination skills.
  
  
  CONCLUSIONS
  Improved examination skills lead to improved diagnosis and differential diagnosis of lower extremity radiculopathy and sciatica.
authors.affiliation: Chairperson, Department of Clinical Sciences, Cleveland Chiropractic College, Kansas City, MO 64131.
authors.forename: Kenneth Jeffrey
authors.initials: KJ
authors.lastname: Miller
references.citation: Spine (Phila Pa 1976). 1999 Oct 1;24(19):2003-6
references.pmid: 10528375
references.citation: Spine (Phila Pa 1976). 2000 May 1;25(9):1140-7
references.pmid: 10788860
references.citation: Spine (Phila Pa 1976). 1981 Jul-Aug;6(4):388-97
references.pmid: 7280828
references.citation: Spine (Phila Pa 1976). 1997 Apr 1;22(7):814-20
references.pmid: 9106324
references.citation: Spine (Phila Pa 1976). 2001 Dec 15;26(24):2714-8
references.pmid: 11740361
references.citation: J Bone Joint Surg Am. 1964 Jul;46:1077-92
references.pmid: 14193834
references.citation: Am J Phys Med Rehabil. 2006 Mar;85(3):222-7
references.pmid: 16505638
references.citation: Acta Radiol Diagn (Stockh). 1963 Nov;1:1141-60
references.pmid: 14086403
references.citation: Spine (Phila Pa 1976). 2006 Aug 15;31(18):E664-6
references.pmid: 16915082
references.citation: Aust J Physiother. 1985;31(6):215-9
references.pmid: 25026106
references.citation: Spine (Phila Pa 1976). 2005 Feb 1;30(3):342-5
references.pmid: 15682017
references.citation: Spine (Phila Pa 1976). 2000 Jan;25(1):91-6; discussion 97
references.pmid: 10647166
references.citation: Spine (Phila Pa 1976). 1979 May-Jun;4(3):242-50
references.pmid: 157532
references.citation: Spine (Phila Pa 1976). 2005 Mar 1;30(5):E115-7
references.pmid: 15738773
references.citation: J Orthop Sports Phys Ther. 2002 Aug;32(8):391-8
references.pmid: 12168957
references.citation: Spine (Phila Pa 1976). 2002 Sep 1;27(17):E388-95
references.pmid: 12221373
references.citation: Man Ther. 2006 Nov;11(4):279-86
references.pmid: 16380286