Posterior Pelvic Pain Provocation Test: Difference between revisions
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<div class="editorbox"> | '''Original Editor '''- [[User:Kevin Savage|Kevin Savage]] | ||
'''Original Editor '''- | |||
'''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<br> == | == Purpose<br> == | ||
The Posterior Shear Test (POSH Test) is a provication test used to determine if a patient's pain is coming from the sacral iliac joint.<br> | The Posterior Shear Test (POSH Test) is a provication test used to determine if a patient's pain is coming from the sacral iliac joint.<br> | ||
== Technique<br> == | == Technique<br> == | ||
With the patient supine, flex the patient's hip to 90 degrees. Then the examiner applies an axial force posteriorly through the femur at varying angles of hip abduction and adduction. The test is considered positive if it reproduces the patients buttock pain. | With the patient supine, flex the patient's hip to 90 degrees. Then the examiner applies an axial force posteriorly through the femur at varying angles of hip abduction and adduction. The test is considered positive if it reproduces the patients buttock pain. | ||
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== 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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== References == | == References == | ||
References will automatically be added here, see [[Adding References|adding references tutorial]]. | References will automatically be added here, see [[Adding References|adding references tutorial]]. | ||
<references /> | <references /> | ||
[[Category:Articles]] [[Category:Assessment]] [[Category:EIM Student Project]] [[Category:Exercise Therapy]] [[Category:Extended Scope 2]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Pelvis]] [[Category:Special Tests]] |
Revision as of 14:36, 13 December 2009
Original Editor - Kevin Savage
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Purpose
[edit | edit source]
The Posterior Shear Test (POSH Test) is a provication test used to determine if a patient's pain is coming from the sacral iliac joint.
Technique
[edit | edit source]
With the patient supine, flex the patient's hip to 90 degrees. Then the examiner applies an axial force posteriorly through the femur at varying angles of hip abduction and adduction. The test is considered positive if it reproduces the patients buttock pain.
Evidence[edit | edit source]
Laslet, et al, report the specificity as high as 100% ([1],[2]) and Broadhurst, et al, report the sensitivity as high as 80% ([3]), demonstrating good positive and negative predictive values. The POSH test was only on of a few sacral-iliac joint tests that had both positive and negative predictive capabilities ([4]).
Resources[edit | edit source]
Wikipedia and AAOS
Recent Related Research (from Pubmed)[edit | edit source]
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References[edit | edit source]
References will automatically be added here, see adding references tutorial.
- ↑ Laslett M, April CN, McDonald B, Young SB. Diagnosing Painful SI joints: A validation study of Mckenzie and SI provocation tests. Aust J Physiotherapy. 2003; 49:89-97.
- ↑ Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of SI joint pain: validity of individual provocation test and composites of tests. Manual Therapy 2005; 10:207-218.
- ↑ Broadhurst NA, Bond MJ. Pain Provocation tests for the assessment of SI joint dysfunction. Jrnl of Spine Disorders 1998; 11(4):341-345.
- ↑ Mousaui SJ, Mousaui L, Alavizadeli A, Kamal S. Jrnl of Research in Rehabilitation Sciences; Vol 3, No.1(86).