Windlass 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">
'''Original Editor '''- [[User:Alesha Walker|Alesha Walker]], [[User:Bilitis Crokaert|Bilitis Crokaert]]  
'''Original Editor '''- [[User:Alesha Walker|Alesha Walker]], [[User:Bilitis Crokaert|Bilitis Crokaert]]  
'''Lead Editors''' - Your name will be added here if you are a lead editor on this page.&nbsp; [[Physiopedia:Editors|Read more.]]
</div>
<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 Editors '''


'''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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== Clinically Relevant Anatomy ==
== Purpose of the test ==


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


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


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== Clinically Relevant Anatomy ==
 
== 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  ==
add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br>
== Resources <br>  ==
add appropriate resources here <br>
== Clinical Bottom Line  ==
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
see tutorial on [[Adding PubMed Feed|Adding PubMed Feed]]
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== References  ==
see [[Adding References|adding references tutorial]].
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== Performance of the test  ==
== Performance of the test  ==


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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  ==
The Windlass test is designed to detect presence of plantar fasciitis.
Positive test:&nbsp;A positive test is defined as reproduction of pain at the medical calcaneal tubercle.


== Diagnostic properties  ==
== Diagnostic properties  ==
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Sensitivity: 0.33<br>Specificity: 0.99<br>Positive Likelihood Ratio: 28.70<br>Negative Likelihood Ratio: 0.68  
Sensitivity: 0.33<br>Specificity: 0.99<br>Positive Likelihood Ratio: 28.70<br>Negative Likelihood Ratio: 0.68  


== Resources  ==
== Key Research  ==
 
add links and reviews of high quality evidence here (case studies should be added on new pages using the [[Template:Case Study|case study template]])<br>
 
== Resources <br> ==


Brown C. A review of subcalcaneal heel pain and plantar fasciitis. Aust Fam Physician. 1996;25:875–885.  
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.  
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.  
== Clinical Bottom Line  ==
add text here <br>


== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed])  ==
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[[Category:Articles]] [[Category:Assessment]] [[Category:EIM_Student_Project_2]] [[Category:Foot]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Special_Tests]]
[[Category:Vrije_Universiteit_Brussel_Project|Template:VUB]] [[Category:Articles]] [[Category:Assessment]] [[Category:EIM_Student_Project_2]] [[Category:Foot]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Special_Tests]]

Revision as of 12:02, 11 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 - Alesha Walker, Bilitis Crokaert

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

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.

Clinically Relevant Anatomy[edit | edit source]

add text here

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.

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

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]

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.

Clinical Bottom Line[edit | edit source]

add text 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=1hm_zfT8jMJmIS4n9SaVoimNsNe93kco6bKSaSaxYd5kl63kKK|charset=UTF-8|short|max=10: Error parsing XML for RSS

References[edit | edit source]

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