Piriformis Test: Difference between revisions
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<div class="noeditbox">Welcome to [[Vrije Universiteit Brussel Evidence-based Practice Project|Vrije Universiteit Brussel's Evidence-based Practice project]]. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!</div> <div class="editorbox"> | |||
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== Search Strategy == | |||
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== Definition/Description == | |||
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== Clinically Relevant Anatomy == | |||
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== Epidemiology /Etiology == | |||
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== Characteristics/Clinical Presentation == | |||
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== Differential Diagnosis == | |||
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== Diagnostic Procedures == | |||
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== Outcome Measures == | |||
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== Examination == | |||
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== Medical Management <br> == | |||
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== Physical Therapy Management <br> == | |||
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== Key Research == | |||
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== Recent Related Research (from [http://www.ncbi.nlm.nih.gov/pubmed/ Pubmed]) == | |||
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== References == | |||
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== Purpose<br> == | == Purpose<br> == | ||
Revision as of 12:31, 9 November 2010
Original Editor - Anquain Sullivan
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Original Editors
Lead Editors - Your name will be added here if you are a lead editor on this page. Read more.
Search Strategy[edit | edit source]
add text here related to databases searched, keywords, and search timeline
Definition/Description[edit | edit source]
add text here
Clinically Relevant Anatomy[edit | edit source]
add text here
Epidemiology /Etiology[edit | edit source]
add text here
Characteristics/Clinical Presentation[edit | edit source]
add text here
Differential Diagnosis[edit | edit source]
add text here
Diagnostic Procedures[edit | edit source]
add text here related to medical diagnostic procedures
Outcome Measures[edit | edit source]
add links to outcome measures here (also see Outcome Measures Database)
Examination[edit | edit source]
add text here related to physical examination and assessment
Medical Management
[edit | edit source]
add text here
Physical Therapy Management
[edit | edit source]
add text here
Key Research[edit | edit source]
add links and reviews of high quality evidence here (case studies should be added on new pages using the case study template)
Resources
[edit | edit source]
add appropriate resources here
Clinical Bottom Line[edit | edit source]
add text here
Recent Related Research (from Pubmed)[edit | edit source]
see tutorial on Adding PubMed Feed
Extension:RSS -- Error: Not a valid URL: Feed goes here!!|charset=UTF-8|short|max=10
References[edit | edit source]
see adding references tutorial.
Purpose
[edit | edit source]
To detect the compression and/or irritation of the sciatic nerve by the piriformis muscle.
Technique
[edit | edit source]
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]
Provide the evidence for this technique here
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]
add any relevant resources here
Recent Related Research (from Pubmed)[edit | edit source]
References
[edit | edit source]
- 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.