Piriformis Test
Original Editor - Anquain Sullivan
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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.
Evidence[edit | edit source]
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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]
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Recent Related Research (from Pubmed)[edit | edit source]
References
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- Flynn, T, Cleland, J, Whitman, J. Users' Guide to the Musculoskeletal Examination. (2008) pg 238
- 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.
- Fishman, L, Zybert, P. Electrophysiologic evidence of piriformis syndrome. Arch Phys Med Rehabil 1992; 73:359-364.