Two-Stage Treadmill Test

Execution:

  1. The patient walks on a treadmill on a level plane for 10 minutes
  2. After a 10 minute break, the patient walks on an inclined treadmill raised to a 15° angle for 10 minutes

 

Positive Outcome: Earlier onset of symptoms with level walking or prolonged recovery time after level walking or an increased total walking time on an inclined treadmill

Study Reliability Sn Sp LR+ LR-
Cook et al. (2019) NA 50 92.3 6.49 0.54
Comment: This test seems good to confirm, but not to exclude lumbar spinal stenosis. However, the study used imaging as the reference standard, whereas stenosis is a clinical diagnosis