To evaluate a new examination technique that can quantitatively measure plantar flexion in L5-S1 disc herniation.
Materials and methods
In this study only subjects with L5-S1 disc herniations were included total number of patients was 32 and 18 had left sided herniations while 14 had right sided herniations. The patient to be tested stands next to a table on which they can lean with their hands. The leg closer to the table is fully flexed at the knee and the other foot is brought to maximum plantar flexion on the toes. At this point a stopwatch is started to measure the time that passes until the muscles fatigue and the heel falls. During the application of the test, the differences between the right and left plantar flexion times were noted. At the same time, three different physicians graded muscle strength with the classical "The Medical Research Council of the United Kingdom" method. All findings were recorded.
Yilmaz-Ilbay plantar flexion test gave the correct classification for all cases. In our series, the average age was 49.4 years (range: 23 to 78). In all patients, the time until fatigue in right and left plantar flexion was measured with the method we described, and video recording of each test was taken with the permission of the patients. Data gathered from the patients were analyzed.
We suggest our novel method ‘’Yilmaz-Ilbay plantar flexion test’’ as a useful, practical and effective test to detect quantitative evaluation of plantar flexion in L5-S1 herniation.