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Hello Claire, To avoid future misunderstanding, you might want to change the terminology. Both vascular and neurogenic claudication usually are intermittent. The original latin term "claudicatio intermittens" has indeed always been a synonym of vascular claudication, but in fact it only says that it is an 'on-and-off claudication'. In practice, what helps me most (if one takes available time into account) is the history question: "do you have to sit down or bend forward to alleviate the pain, or is just standing still sufficient?". Furthermore, the pattern of pain usually says quite a lot: in neurogenic claudication it is a downward radiating dermatomal pain, and in vascular claudication it usually is a direct calf pain. R., Frank Conijn, PT Editor, Physical Therapist's Literature Update The Internet Journal of Updates for Clinicians in Non-Operative Orthopaedic Medicine www.ptlitup.com ----- Oorspronkelijk bericht ----- Van: Claire Stapleton Aan: [log in to unmask] Verzonden: dinsdag 16 juli 2002 15:27 Onderwerp: Cycle-walk test Hello! I am looking into the differential diagnosis for neurogenic claudication and intermittent claudication. A commonly used tool in our practice is the cycle-walk test - despite it's use i am having difficulty locating any literature describing/researching it. Any ideas where it originated or where any literarure could be found would be appreciated. Claire _________________________________________________________________ Chat with friends online, try MSN Messenger: http://messenger.msn.com