Windlass Test: Difference between revisions

(New page: Windlass Test Performance of the test Non-weight bearing: With the patient sitting, the clinician performs forceful great toe extension while stabilizing the ankle. Weight bearing: With...)
 
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Windlass Test
<div class="editorbox">
'''Original Editor '''- [[User:Alesha Walker|Alesha Walker]]


Performance of the test
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page.&nbsp; [[Physiopedia:Editors|Read more.]]


Non-weight bearing: With the patient sitting, the clinician performs forceful great toe extension while stabilizing the ankle.
== Performance of the test  ==
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Non-weight bearing: With the patient sitting, the clinician performs forceful great toe extension while stabilizing the ankle.  


Weight bearing: With the patient in a weight bearing position, the clinician performs forceful great toe extension.
Weight bearing: With the patient in a weight bearing position, the clinician performs forceful great toe extension.  


Purpose of the test
== Purpose of the test ==


The Windlass test is designed to detect presence of plantar fasciitis.
The Windlass test is designed to detect presence of plantar fasciitis.  


Positive test
Positive test:&nbsp;A positive test is defined as reproduction of pain at the medical calcaneal tubercle.


A positive test is defined as reproduction of pain at the medical calcaneal tubercle.
== Diagnostic properties  ==


Diagnostic properties
Non-weight bearing:


Non-weight bearing:  
Sensitivity: 0.18<br>Specificity: 0.99<br>Positive likelihood ratio: 16.21<br>Negative likelihood ratio: 0.82
 
Weight bearing:  
 
Sensitivity: 0.33<br>Specificity: 0.99<br>Positive Likelihood Ratio: 28.70<br>Negative Likelihood Ratio: 0.68
 
== Resources  ==


Sensitivity: 0.18<br>Specificity: 0.99<br>Positive likelihood ratio: 16.21<br>Negative likelihood ratio: 0.82
Brown C. A review of subcalcaneal heel pain and plantar fasciitis. Aust Fam Physician. 1996;25:875–885.  


Weight bearing:
De Garceau D, Dean D, Requejo SM, Thordarson DB. The association between diagnosis of plantar fasciitis and Windlass test results. Foot Ankle Int. 2003;24:251–255.


Sensitivity: 0.33<br>Specificity: 0.99<br>Positive Likelihood Ratio: 28.70<br>Negative Likelihood Ratio: 0.68
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
<div class="researchbox">
<rss>http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1hm_zfT8jMJmIS4n9SaVoimNsNe93kco6bKSaSaxYd5kl63kKK|charset=UTF-8|short|max=10</rss>  
</div>  
== References  ==


References
References will automatically be added here, see [[Adding References|adding references tutorial]].


Brown C. A review of subcalcaneal heel pain and plantar fasciitis. Aust<br>Fam Physician. 1996;25:875–885.
<references />  


<br>De Garceau D, Dean D, Requejo SM, Thordarson DB. The association<br>between diagnosis of plantar fasciitis and Windlass test results. Foot Ankle<br>Int. 2003;24:251–255.
[[Category:Articles]] [[Category:Assessment]] [[Category:EIM_Student_Project_2]] [[Category:Foot]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Special_Tests]]

Revision as of 12:26, 17 December 2009

Original Editor - Alesha Walker

Lead Editors - Your name will be added here if you are a lead editor on this page.  Read more.

Performance of the test[edit | edit source]

Non-weight bearing: With the patient sitting, the clinician performs forceful great toe extension while stabilizing the ankle.

Weight bearing: With the patient in a weight bearing position, the clinician performs forceful great toe extension.

Purpose of the test[edit | edit source]

The Windlass test is designed to detect presence of plantar fasciitis.

Positive test: A positive test is defined as reproduction of pain at the medical calcaneal tubercle.

Diagnostic properties[edit | edit source]

Non-weight bearing:

Sensitivity: 0.18
Specificity: 0.99
Positive likelihood ratio: 16.21
Negative likelihood ratio: 0.82

Weight bearing:

Sensitivity: 0.33
Specificity: 0.99
Positive Likelihood Ratio: 28.70
Negative Likelihood Ratio: 0.68

Resources[edit | edit source]

Brown C. A review of subcalcaneal heel pain and plantar fasciitis. Aust Fam Physician. 1996;25:875–885.

De Garceau D, Dean D, Requejo SM, Thordarson DB. The association between diagnosis of plantar fasciitis and Windlass test results. Foot Ankle Int. 2003;24:251–255.

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

References will automatically be added here, see adding references tutorial.