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one of the tests described by Gordon Waddell in his classic paper entitled non-organic physical findings in low back pain is comparing passive knee extension with the examinee sitting with the standard supine straight leg raising the former is typically accomplished while the examinee is distracted the examiner might for instance say he wants to check the knee while extending the joint or needs to lift the leg to check the foot since the latter involves passive hip flexion with the knee extended the examinees final position in both is essentially identical and symptomatic results should be similar docHub inconsistency between sitting and supine straight leg raising represents a non-organic finding standings previous problems with your knees just to check that just raise that out have any more problems with your knees at all no those cases already settled ok lets have you lie down just right on your back ok ok just raise that up no more no more no more ok sorry ok just over there