{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,4]],"date-time":"2026-05-04T07:49:08Z","timestamp":1777880948501,"version":"3.51.4"},"reference-count":27,"publisher":"SAGE Publications","issue":"2","license":[{"start":{"date-parts":[[2019,5,1]],"date-time":"2019-05-01T00:00:00Z","timestamp":1556668800000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/journals.sagepub.com\/page\/policies\/text-and-data-mining-license"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["J Orthop Surg (Hong Kong)"],"published-print":{"date-parts":[[2019,5,1]]},"abstract":"<jats:sec>\n                    <jats:title>Purpose:<\/jats:title>\n                    <jats:p>To propose a novel, accurate, and easy to perform test replacing the manual muscle testing. Our target is to develop a valuable tool for identification of patients with neurological motor impairment precisely, rapidly, and easily.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods:<\/jats:title>\n                    <jats:p>We have randomly selected patients presenting to the clinic complaining of back pain with or without lower limb symptoms. These patients were asked to walk on their heels and on their toes. Being unable to walk on heels and\/or toes, the patient is considered to have positive test result (abnormal finding). After that, a full and thorough neurological examination was performed on every patient by an orthopedic resident doctor. We looked specifically to the correlation between the ability to do toe\u2013heel walking with the results of the detailed neurological examination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results:<\/jats:title>\n                    <jats:p>Toe\u2013heel walking test was able to detect all patients with weakness in their lower limb musculature. The results from the current investigation indicate a very high Pearson correlation of 0.95 ( p = 0.001) between the toe\u2013heel test and manual muscle testing.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion:<\/jats:title>\n                    <jats:p>Toe\u2013heel walking test is superior to detailed neurological examination in identification of patients with weakness, sphincter problem, and\/or positive straight leg raising test. This test is both simple and rapidly performed test, which can be easily done by any health-care provider. Owing to its ease, this test is not restricted to medical doctors, but it could be accurately performed by any health-care provider such as nurses and physiotherapists. This will enable us to decrease the referral to the specialty clinic and to decrease the overall cost.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1177\/2309499019849956","type":"journal-article","created":{"date-parts":[[2019,5,26]],"date-time":"2019-05-26T23:00:30Z","timestamp":1558911630000},"update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["A novel method in assessing lower limb motor function"],"prefix":"10.1177","volume":"27","author":[{"given":"Aws","family":"Khanfar","sequence":"first","affiliation":[{"name":"Faculty of Medicine, Special Surgery Department, University of Jordan, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bashar","family":"Al Qaroot","sequence":"additional","affiliation":[{"name":"Faculty of Rehabilitation Sciences, Prosthetics and Orthotics Department, University of Jordan, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Alsousi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Special Surgery Department, University of Jordan, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Basheer","family":"Zughoul","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Special Surgery Department, University of Jordan, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmad","family":"Al Elaumi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Special Surgery Department, University of Jordan, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mohammad","family":"Hamdan","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Special Surgery Department, University of Jordan, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rami","family":"Safi","sequence":"additional","affiliation":[{"name":"Faculty of Medicine, Special Surgery Department, University of Jordan, Amman, Jordan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2019,5,26]]},"reference":[{"key":"bibr1-2309499019849956","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2010.10.002"},{"key":"bibr2-2309499019849956","doi-asserted-by":"publisher","DOI":"10.1016\/j.jmpt.2016.07.004"},{"key":"bibr3-2309499019849956","doi-asserted-by":"publisher","DOI":"10.1186\/s12891-017-1511-7"},{"key":"bibr4-2309499019849956","volume-title":"A snapshot of health care in Canada as demonstrated by top 10 lists","author":"Information, C.I.f.H","year":"2011"},{"key":"bibr5-2309499019849956","doi-asserted-by":"publisher","DOI":"10.1016\/j.annemergmed.2011.05.020"},{"issue":"2","key":"bibr6-2309499019849956","first-page":"CD001351","author":"Tulder VM","year":"2000","journal-title":"Acupuncture"},{"key":"bibr7-2309499019849956","doi-asserted-by":"publisher","DOI":"10.1097\/00007632-200203010-00017"},{"key":"bibr8-2309499019849956","doi-asserted-by":"publisher","DOI":"10.1136\/bmj.322.7301.1511"},{"key":"bibr9-2309499019849956","first-page":"217","volume":"41","author":"Frymoyer J","year":"1992","journal-title":"Lumbar Disk Disease Epidemiol"},{"key":"bibr10-2309499019849956","doi-asserted-by":"publisher","DOI":"10.1016\/j.berh.2017.07.001"},{"issue":"2","key":"bibr11-2309499019849956","first-page":"CD007431","author":"Van Der Windt DA","year":"2010","journal-title":"Cochrane Database Syst Rev"},{"issue":"18","key":"bibr12-2309499019849956","first-page":"1512","volume":"65","author":"Martin E","year":"1915","journal-title":"J Bone Joint Surg Am"},{"key":"bibr13-2309499019849956","doi-asserted-by":"publisher","DOI":"10.1097\/00002060-200108000-00005"},{"key":"bibr14-2309499019849956","doi-asserted-by":"publisher","DOI":"10.1186\/1746-1340-15-4"},{"key":"bibr15-2309499019849956","doi-asserted-by":"publisher","DOI":"10.1097\/01241398-199211000-00023"},{"key":"bibr16-2309499019849956","doi-asserted-by":"publisher","DOI":"10.1186\/1743-0003-9-60"},{"key":"bibr17-2309499019849956","doi-asserted-by":"crossref","unstructured":"Perry J. 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