Piriformis Test: Difference between revisions

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<div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox">
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== Search Strategy  ==
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== Definition/Description  ==
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== Clinically Relevant Anatomy  ==
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== Epidemiology /Etiology  ==
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== Characteristics/Clinical Presentation  ==
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== Differential Diagnosis  ==
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== Outcome Measures ==
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== Examination  ==
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== Medical Management <br>  ==
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== Key Research  ==
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== Purpose<br>  ==
== Purpose<br>  ==



Revision as of 12:31, 9 November 2010

Original Editor - Anquain Sullivan

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

Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editors

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

Search Strategy[edit | edit source]

add text here related to databases searched, keywords, and search timeline

Definition/Description[edit | edit source]

add text here

Clinically Relevant Anatomy[edit | edit source]

add text here

Epidemiology /Etiology[edit | edit source]

add text here

Characteristics/Clinical Presentation[edit | edit source]

add text here

Differential Diagnosis[edit | edit source]

add text here

Diagnostic Procedures[edit | edit source]

add text here related to medical diagnostic procedures

Outcome Measures[edit | edit source]

add links to outcome measures here (also see Outcome Measures Database)

Examination[edit | edit source]

add text here related to physical examination and assessment

Medical Management
[edit | edit source]

add text here

Physical Therapy Management
[edit | edit source]

add text here

Key Research[edit | edit source]

add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)

Resources
[edit | edit source]

add appropriate resources here

Clinical Bottom Line[edit | edit source]

add text here

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

see tutorial on Adding PubMed Feed

Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10

References[edit | edit source]

see adding references tutorial.


Purpose
[edit | edit source]

To detect the compression and/or irritation of the sciatic nerve by the piriformis muscle.

Technique
[edit | edit source]

 


With the patient in side-lying with the involved side up the patient's involved leg is passively flexed, adducted, and internally rotated.

Positive test is when the patient reports pain reproduced at the region of the piriformis.

Evidence[edit | edit source]

Provide the evidence for this technique here

A study was performed by Fishman et al. that determine the sensitivity and specificity of the piriformis test.

Sensitivity = .882     -LR = .14

Specificity = .832    +LR = 5.2

Resources[edit | edit source]

add any relevant resources here

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

Failed to load RSS feed from http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=1rOqyznlnfDtR32tUMzI_WyxQ9EgbnlJncvQKNCh2-JediwkL|charset=UTF-8|short|max=10: Error parsing XML for RSS

References
[edit | edit source]


  1. Flynn, T, Cleland, J, Whitman, J. Users' Guide to the Musculoskeletal Examination. (2008) pg 238
  2. Fishman, L, Dombi, G, Michaelson, C, Ringel, S. Piriformis syndrome: Diagnosis, treatment and outcome- a 10 year study. Arch Phys Med Rehabil 2002; 83:295-301.
  3. Fishman, L, Zybert, P. Electrophysiologic evidence of piriformis syndrome. Arch Phys Med Rehabil 1992; 73:359-364.