S1: Plantarflexion/Gastrocnemius+Soleus

Execution:

  1. Patient is in standing next to the wall or bench to hold on to for balance
  2. The patient is asked to stand on the toes of one leg and to hold this position briefly

 

Positive Outcome: Decreased strength rated with the MRC scale compared to the other side

Study Reliability Sn Sp LR+ LR-
Iversen et al. (2013) NA 44 63 1.2 0.88
Hancock et al. (2011): L5/S1 Disc Herniation NA 30 63 0.81 1.11
Comment: Calf weakness does not seem to be able to identify a specific level of lumbar disc herniation