[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100654397":3},{"organization":4,"outcomesModule":7,"designInfo":28,"detailedDescription":27,"studyPopulation":31,"armGroups":32,"interventions":27,"overallOfficials":27,"centralContacts":42,"locations":48,"responsibleParty":64,"collaborators":27,"id":68,"slug":69,"hasResults":70,"nctId":71,"briefTitle":72,"officialTitle":73,"acronym":27,"eligibilityCriteria":74,"healthyVolunteers":70,"sex":75,"minAge":76,"maxAge":27,"enrollmentInfo":77,"targetDuration":27,"studyType":80,"phases":27,"briefSummary":81,"conditions":82,"keywords":84,"overallStatus":51,"whyStopped":27,"lastUpdateSubmitDate":87,"lastUpdatePostDateStruct":88,"startDateStruct":91,"completionDateStruct":93,"leadSponsor":95,"locationsCount":96},{"fullName":5,"class":6},"Marmara University","OTHER",{"primaryOutcomes":8,"secondaryOutcomes":13,"otherOutcomes":27},[9],{"measure":10,"description":11,"timeFrame":12},"Root-Level Sensitivity of the Femoral Stretch Test for L2, L3, and L4 Nerve Root Compression","The sensitivity of the femoral stretch test will be calculated separately in patients with unilateral, Magnetic Resonance Imaging-confirmed single-root L2, L3, and L4 nerve root compression. Root-level sensitivities will be compared to determine whether the diagnostic sensitivity of the test differs according to the affected nerve root.","Baseline",[14,18,21,24],{"measure":15,"description":16,"timeFrame":17},"Change in Femoral Stretch Test Positivity Following Transforaminal Epidural Steroid Injection","Femoral stretch test results will be recorded as positive or negative immediately before and after transforaminal epidural steroid injection. The proportion of patients with a change from a positive to a negative test following the procedure will be evaluated overall and according to the affected nerve root (L2, L3, and L4).","Baseline and 1 hour post-procedure",{"measure":19,"description":20,"timeFrame":17},"Change in Pain Intensity Following Transforaminal Epidural Steroid Injection","Pain intensity will be assessed using the Numeric Rating Scale, ranging from 0 (no pain) to 10 (worst imaginable pain), immediately before and after transforaminal epidural steroid injection. The change in Numeric Rating Scale score following the procedure will be evaluated.",{"measure":22,"description":23,"timeFrame":12},"Association Between Femoral Stretch Test Positivity and Magnetic Resonance Imaging Nerve Root Compression Severity","The association between pre-procedural femoral stretch test positivity and the severity of nerve root compression on lumbar magnetic resonance imaging will be evaluated in patients with unilateral, single-root L2, L3, or L4 nerve root compression.",{"measure":25,"description":26,"timeFrame":12},"Association Between Femoral Stretch Test Positivity and Neuropathic Pain Characteristics","Neuropathic pain characteristics will be assessed using the 10-item DN4 neuropathic pain questionnaire, a validated screening tool for neuropathic pain. The total score ranges from 0 to 10, with higher scores indicating a greater likelihood of neuropathic pain. The association between the pre-procedural DN4 score and femoral stretch test positivity will be evaluated in patients with unilateral, single-root L2, L3, or L4 nerve root compression.",null,{"allocation":27,"interventionModel":27,"interventionModelDescription":27,"primaryPurpose":27,"observationalModel":29,"timePerspective":30,"maskingInfo":27},"COHORT","PROSPECTIVE","Adult patients with lumbar radicular pain who are evaluated at a tertiary pain medicine clinic and are scheduled to undergo clinically indicated single-level, unilateral transforaminal epidural steroid injection targeting the L2, L3, or L4 nerve root will be prospectively enrolled.",[33,36,39],{"label":34,"type":27,"description":35,"interventionNames":27},"L2 Nerve Root Compression Cohort","Patients with unilateral, magnetic resonance imaging-confirmed single-root L2 nerve root compression and clinically concordant radicular symptoms who are scheduled to undergo transforaminal epidural steroid injection as part of routine clinical care. Femoral stretch test findings and pain intensity will be recorded before and after the procedure.",{"label":37,"type":27,"description":38,"interventionNames":27},"L3 Nerve Root Compression Cohort","Patients with unilateral, magnetic resonance imaging-confirmed single-root L3 nerve root compression and clinically concordant radicular symptoms who are scheduled to undergo transforaminal epidural steroid injection as part of routine clinical care. Femoral stretch test findings and pain intensity will be recorded before and after the procedure.",{"label":40,"type":27,"description":41,"interventionNames":27},"L4 Nerve Root Compression Cohort","Patients with unilateral, magnetic resonance imaging-confirmed single-root L4 nerve root compression and clinically concordant radicular symptoms who are scheduled to undergo transforaminal epidural steroid injection as part of routine clinical care. Femoral stretch test findings and pain intensity will be recorded before and after the procedure.",[43],{"name":44,"role":45,"phone":46,"phoneExt":27,"email":47},"Nurbanu Hindioglu Dogan, MD","CONTACT","+902166254545","nurbanuhindioglu@gmail.com",[49],{"facility":50,"status":51,"city":52,"state":53,"zip":54,"country":55,"countryCode":27,"cosmosGeoPoint":56,"geoPoint":61,"contacts":62},"Marmara University Pendik Training and Research Hospital","RECRUITING","Istanbul","Pendik","34899","Turkey (Türkiye)",{"type":57,"coordinates":58},"Point",[59,60],28.94966,41.01384,{"lat":60,"lon":59},[63],{"name":44,"role":45,"phone":46,"phoneExt":27,"email":47},{"type":65,"investigatorFullName":66,"investigatorTitle":67,"investigatorAffiliation":5,"oldNameTitle":27,"oldOrganization":27},"PRINCIPAL_INVESTIGATOR","Nurbanu Hindioglu Dogan","Principal Investigator","100654397","femoral-stretch-test-in-l2-l4-lumbar-radiculopathy-100654397",false,"NCT07799142","Femoral Stretch Test in L2-L4 Lumbar Radiculopathy","Root-Level Diagnostic Sensitivity of the Femoral Stretch Test in Patients With L2, L3, or L4 Nerve Root Compression: A Prospective Observational Study","Inclusion Criteria:\n\n* Patients with a diagnosis of lumbar radicular pain based on medical history, physical examination, and imaging findings.\n* Patients with unilateral L2, L3, or L4 nerve root involvement who are scheduled to undergo single-level, unilateral transforaminal epidural steroid injection targeting the corresponding nerve root.\n\nExclusion Criteria:\n\n* Presence of diabetes mellitus or other medical conditions that may cause polyneuropathy.\n* Presence of active radicular pain originating from lumbosacral nerve roots other than L2, L3, or L4.\n* Unavailability of relevant radiological imaging.\n* Cognitive impairment that may interfere with clinical assessment.\n* Pregnancy.\n* Presence of local or systemic infection.","ALL","18 Months",{"count":78,"type":79},120,"ESTIMATED","OBSERVATIONAL","This prospective observational study aims to evaluate the sensitivity of the femoral stretch test in patients with unilateral, single-root L2, L3, or L4 nerve root compression and to determine whether test positivity differs according to the affected nerve root.\n\nPatients with unilateral radicular symptoms and magnetic resonance imaging-confirmed single-root compression involving the L2, L3, or L4 nerve root who are scheduled to undergo transforaminal epidural steroid injection as part of routine clinical care will be included. The decision to perform transforaminal epidural steroid injection will be made independently of participation in the study.\n\nBefore the procedure, the femoral stretch test, pain intensity, neuropathic pain characteristics, dermatomal concordance of symptoms, and relevant magnetic resonance imaging findings will be recorded. The femoral stretch test and pain intensity will be reassessed 1 hour after the procedure. The study will primarily evaluate the sensitivity of the femoral stretch test for L2, L3, and L4 nerve root involvement and will also assess changes in test findings following transforaminal epidural steroid injection.",[83],"Lumbar Radiculopathy",[85,86],"transforaminal epidural injection","femoral strecth test","2026-09-08",{"date":89,"type":90},"2026-09-11","ACTUAL",{"date":92,"type":90},"2026-09-07",{"date":94,"type":79},"2027-04",{"name":5,"class":6},1]