Yeoman's Test: Difference between revisions
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'''Starting Position''' | '''Starting Position''' | ||
The patient lies prone. | The patient lies prone<ref name=":1">Nejati P, Sartaj E, Imani F, Moeineddin R, Nejati L, Safavi M. [https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7646135/ Accuracy of the diagnostic tests of sacroiliac joint dysfunction.] Journal of Chiropractic Medicine. 2020 Mar 1;19(1):28-37.</ref>. | ||
'''Procedure''' | '''Procedure''' | ||
The examiner stands at the painful side | The examiner stands at the painful side, flexes the patient's knee to 90° and extends the hip<ref name=":1" />. | ||
{{#ev:youtube|10PYwdKhdT4|300}} | {{#ev:youtube|10PYwdKhdT4|300}} | ||
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'''Positive Test''' | '''Positive Test''' | ||
Pain localized to the sacroiliac joint indicates | Pain localized to the sacroiliac joint indicates a positive test<ref name=":1" />. | ||
Anterior thigh paresthesia may indicate a femoral nerve stretch<ref name=":0" /><ref>Magee, D. Orthopedic physical assessment. 4th ed. St. Louis, Missouri: Saunders Elsevier, p.603.</ref> | Anterior thigh paresthesia may indicate a femoral nerve stretch<ref name=":0" /><ref>Magee, D. Orthopedic physical assessment. 4th ed. St. Louis, Missouri: Saunders Elsevier, p.603.</ref> | ||
== Evidence == | == Evidence<ref name=":1" /> == | ||
{| class="wikitable sortable" | |||
!Sensitivity | |||
!64.1% | |||
|- | |||
|Specificity | |||
|33.3% | |||
|- | |||
|Positive predictive value | |||
|80.6% | |||
|- | |||
|Negative predictive value | |||
|17.6% | |||
|} | |||
== References == | == References == | ||
Revision as of 16:15, 28 May 2023
Original Editor - Ahmed Nassef
Top Contributors - Ahmed Nassef, Wendy Snyders, Kim Jackson, George Prudden, Claire Knott and Wanda van Niekerk
Purpose[edit | edit source]
The Yeoman test is used to determine sacroiliac joint involvement. More specifically, if the pain is in the sacroiliac region it may be related to anterior sacroiliac ligament pathology. If it is in the thigh, it may be related to hip musculature tightness or femoral nerve tension and if it is in the lumbar region, it may be due to lumbar involvement[1]
Technique[edit | edit source]
Starting Position
The patient lies prone[2].
Procedure
The examiner stands at the painful side, flexes the patient's knee to 90° and extends the hip[2].
Positive Test
Pain localized to the sacroiliac joint indicates a positive test[2].
Anterior thigh paresthesia may indicate a femoral nerve stretch[1][3]
Evidence[2][edit | edit source]
Sensitivity | 64.1% |
---|---|
Specificity | 33.3% |
Positive predictive value | 80.6% |
Negative predictive value | 17.6% |
References[edit | edit source]
- ↑ 1.0 1.1 Konin JG, Wiksten DL, Isear Jr. JA, Brader H. Special Test for Orthopedic Examination 3rd ed. Thorofare, NJ: SLACK incorporated; 2006.
- ↑ 2.0 2.1 2.2 2.3 Nejati P, Sartaj E, Imani F, Moeineddin R, Nejati L, Safavi M. Accuracy of the diagnostic tests of sacroiliac joint dysfunction. Journal of Chiropractic Medicine. 2020 Mar 1;19(1):28-37.
- ↑ Magee, D. Orthopedic physical assessment. 4th ed. St. Louis, Missouri: Saunders Elsevier, p.603.