Which distraction tests are performed in the evaluation of mechanical low back pain?

Updated: Mar 30, 2020
  • Author: Everett C Hills, MD, MS; Chief Editor: Stephen Kishner, MD, MHA  more...
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Distraction tests indicate a positive finding when the patient's attention is distracted.

  • SLR - Observing an improvement of 30-40° when the patient is distracted, compared with formal testing.

  • Flip test - The patient is seated with the legs dangling over the examination table. Instruct the patient to steady himself or herself by holding the edge of the table. When the affected leg is flipped up quickly, the patient falls back and lets go, placing both hands behind him or her on the table.

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