What indicates a positive finding during a double leg raise?

• A. Report of pain higher than during SLR
• B. Report of pain lower than during SLR
• C. No pain reported
• D. Increased pain in the hip region

Answer: (B)

In the context of a double leg raise test, a positive indication is typically associated with the report of pain lower than during a straight leg raise (SLR). This is significant because the double leg raise test can reveal issues related to the lumbar spine or sacroiliac joint. When a patient experiences pain in a lower area during this test compared to the SLR, it may suggest that the source of the pain could be different or exacerbated by the different position and movement mechanics involved in a double leg raise.

The switch from pain in a higher to a lower location indicates that positioning or the additional load of both legs may be affecting the lumbar region differently, possibly uncovering an underlying condition that wasn't observable during an isolated single leg raise. Understanding this pattern helps clinicians to interpret the results correctly for further assessment and potential diagnosis.