Prone Instability Test: Difference between revisions
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== Purpose<ref>1. | == Purpose<ref>1. Flynn T, Cleland J, Whitman J. User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion; 2008.</ref><br> == | ||
To test for the likelihood of a patient with low back pain responding to a stabilization exercise program. <br> | To test for the likelihood of a patient with low back pain responding to a stabilization exercise program. <br> | ||
== Technique<br> == | == Technique<ref>1. Flynn T, Cleland J, Whitman J. User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion; 2008.</ref><br> == | ||
The patient lies prone with the body on the examining table and legs over the edge and feet resting on the floor. While the patient rests in this position with the trunk muscles relaxed, the examiner applies posterior to anterior pressure to an individual spinous process of the lumbar spine. Any provocation of pain is reported. Then the patient lifts the legs off the floor (the patient may hold table to maintain position) and posterior to anterior compression is applied again to the lumbar spine while the trunk musculature is contracted. | |||
<br>The test is considered positive if pain is present in the resting position but subsides in the second position, suggesting the muscle activation is capable of stabilizing the spinal segment. | |||
== Evidence<ref>1. Flynn T, Cleland J, Whitman J. User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion; 2008.</ref> == | |||
Reference standard success with stabilization exercise program. | |||
<br>Sensitivity = .72 - LR = .48 | |||
Specificity = .58 + LR = 1.7 | |||
== Resources == | == Resources == | ||
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== References<br> == | == References<br> == | ||
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Revision as of 14:58, 2 June 2009
Purpose[1]
[edit | edit source]
To test for the likelihood of a patient with low back pain responding to a stabilization exercise program.
Technique[2]
[edit | edit source]
The patient lies prone with the body on the examining table and legs over the edge and feet resting on the floor. While the patient rests in this position with the trunk muscles relaxed, the examiner applies posterior to anterior pressure to an individual spinous process of the lumbar spine. Any provocation of pain is reported. Then the patient lifts the legs off the floor (the patient may hold table to maintain position) and posterior to anterior compression is applied again to the lumbar spine while the trunk musculature is contracted.
The test is considered positive if pain is present in the resting position but subsides in the second position, suggesting the muscle activation is capable of stabilizing the spinal segment.
Evidence[3][edit | edit source]
Reference standard success with stabilization exercise program.
Sensitivity = .72 - LR = .48
Specificity = .58 + LR = 1.7
Resources[edit | edit source]
add any relevant resources here
References
[edit | edit source]
- ↑ 1. Flynn T, Cleland J, Whitman J. User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion; 2008.
- ↑ 1. Flynn T, Cleland J, Whitman J. User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion; 2008.
- ↑ 1. Flynn T, Cleland J, Whitman J. User's guide to the musculoskeletal examination: Fundamentals for the evidence-based clinician. Buckner, Kentucky: Evidence in Motion; 2008.
