Prone Instability Test: Difference between revisions
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<br>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. | <br>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. | ||
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== 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> == | == 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> == |
Revision as of 12:43, 18 June 2019
Original Editor - Jennifer Babb and Valerie Ross
Top Contributors - Valerie Ross, Admin, Jennifer Babb, Rachael Lowe, Ahmed Essam, Kim Jackson, WikiSysop, Tony Lowe, Evan Thomas, Kai A. Sigel and Wanda van Niekerk
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]
References[edit | edit source]
- ↑ 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.