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">
<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">
'''Original Editor '''- [[User:Anquain Sullivan|Anquain Sullivan]], [[User:Frederik Topke |Frederik Topke ]]<br>  
'''Original Editor '''- [[User:Anquain Sullivan|Anquain Sullivan]], [[User:Frederik Topke|Frederik Topke ]]<br>  


'''Lead Editors''' - Your name will be added here if you are a lead editor on this page.&nbsp; [[Physiopedia:Editors|Read more.]]  
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page.&nbsp; [[Physiopedia:Editors|Read more.]]  
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== Epidemiology /Etiology  ==
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== Characteristics/Clinical Presentation  ==
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== Differential Diagnosis  ==
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== Diagnostic Procedures  ==
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== Outcome Measures  ==
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== Examination  ==
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== Medical Management <br>  ==
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== Physical Therapy Management <br>  ==
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== Key Research  ==
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== Resources <br>  ==
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== Clinical Bottom Line  ==
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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== References  ==
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== Search Strategy  ==
== Search Strategy  ==

Revision as of 12:34, 9 November 2010

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 Editor - Anquain Sullivan, Frederik Topke

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]

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Clinically Relevant Anatomy[edit | edit source]

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

Technique
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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.

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)

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
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add appropriate resources here

Clinical Bottom Line[edit | edit source]

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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
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  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.