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Objectives: SLRT (Straight Leg Raising Test) is a useful test to lumbar HNP (Herniated Nucleus Pulposus). We tried to know 1) the correlation between SLRT and anatomical lesion, and 2) the correlation between SLRT and electrodiagnostic study. Methods: Among the patients who have lumbar pain, those who have 1) lower extremity radiating pain, 2) SLRT positive sign, and 3) abnormal MRI finding were selected as the object of this study. By the degree of HNP, it was classified as 1) bulging, protrusion, and 2) extrusion, sequestration group. By the direction of HNP, it was classified as 1)central, lateral, and 2) laterocentral, centrolateral group. By the site of HNP, it was classified as 1) L2-3, L3-4, and 2) L4-5, L5-S1. We checked nerve conduction study and needle electromyography on back and lower extremity. The results of radiologic measurements and electrodiagnostic studies were compared with SLRT. Results: The presence of 1) L4-5, L5-S1 HNP, 2) posterolateral HNP, 3) Abnormal spontaneous activities in needle EMG and 4) delayed latency of gastrocnemius H-Reflex were associated with decreasing SLRT (p<0.05). Conclusion: This study suggested that SLRT seems to be a useful adjunctive method to diagnosis of lumbosacral HNP and radiculopathy.

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