Prone Instability Test: Difference between revisions
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'''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | '''Lead Editors''' - Your name will be added here if you are a lead editor on this page. [[Physiopedia:Editors|Read more.]] | ||
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== Purpose<ref name="Flynn et al">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> == | |||
== Purpose< | |||
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> | ||
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== Technique<sup> | == Technique<sup></sup><ref>Dutton, M. Orthopaedic Examination, Evaluation, and Intervention. New York: The McGraw-Hill Companies, Inc.; 2008.</ref><ref name="Flynn et al" /><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. | 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. | ||
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[[Image:DSC01197.JPG|center|300px|Test Position 2]] | [[Image:DSC01197.JPG|center|300px|Test Position 2]] | ||
== Evidence<sup> | == Evidence<ref>Hicks G, FritzJ, Delitto A, McGill S. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil 2005;86:1753-1762.</ref><sup></sup> == | ||
Reference standard success with stabilization exercise program. | Reference standard success with stabilization exercise program. | ||
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[http://www.ncbi.nlm.nih.gov/pubmed/18722203?ordinalpos=7&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum Spinal palpation for lumbar segmental mobility and pain provocation: an interexaminer reliability study.]<br> | [http://www.ncbi.nlm.nih.gov/pubmed/18722203?ordinalpos=7&itool=EntrezSystem2.PEntrez.Pubmed.Pubmed_ResultsPanel.Pubmed_DefaultReportPanel.Pubmed_RVDocSum Spinal palpation for lumbar segmental mobility and pain provocation: an interexaminer reliability study.]<br> | ||
<div class="researchbox"> | <div class="researchbox"> | ||
== 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:Lumbo-Pelvic]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Special_Tests]] [[Category:Videos]] | [[Category:Articles]] [[Category:Assessment]] [[Category:Lumbo-Pelvic]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Special_Tests]] [[Category:Videos]] | ||
Revision as of 21:50, 4 June 2009
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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][1]
[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 lumbo-pelvic instability. 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]
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=1rA3jDUv55FvQVFQ_Lz7hOir8StOUX4JlQ3__XP-P3C7nO3Qt|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.
- ↑ 1.0 1.1 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.
- ↑ Dutton, M. Orthopaedic Examination, Evaluation, and Intervention. New York: The McGraw-Hill Companies, Inc.; 2008.
- ↑ Hicks G, FritzJ, Delitto A, McGill S. Preliminary development of a clinical prediction rule for determining which patients with low back pain will respond to a stabilization exercise program. Arch Phys Med Rehabil 2005;86:1753-1762.
