Yeoman's Test: Difference between revisions
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== Purpose == | == Purpose == | ||
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<ref name=":0">Konin JG, Wiksten DL, Isear Jr. JA, Brader H. ''Special Test for Orthopedic Examination'' 3<sup>rd</sup> ed. Thorofare, NJ: SLACK incorporated; 2006. </ref> | |||
== Technique == | == Technique == | ||
'''Starting Position''' | '''Starting Position''' | ||
The patient lies prone | The patient lies prone. | ||
'''Procedure''' | '''Procedure''' | ||
The examiner stands at the painful side and flexes the patient's knee to 90° and extends the hip | The examiner stands at the painful side and flexes the patient's knee to 90° and extends the hip. | ||
{{#ev:youtube|10PYwdKhdT4|300}} | {{#ev:youtube|10PYwdKhdT4|300}} | ||
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'''Positive Test''' | '''Positive Test''' | ||
Pain localized to the sacroiliac joint indicates pathology in the anterior sacroiliac ligament | Pain localized to the sacroiliac joint indicates pathology in the anterior sacroiliac ligament. | ||
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> | ||
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== Evidence == | == Evidence == | ||
The thigh thrust test is the most sensitive and the distraction test is the most specific. Only the thigh thrust test reaches more than 80% sensitivity and specificity. In the absence of centralization, if three provocative tests are positive then the sensitivity, specificity and positive likelihood ratio are 93%, 89% and 6.97%, respectively. It is sufficient to do the thigh thrust test, sacroiliac distraction test and the FABER test to arrive at a diagnosis.<ref>Laslett M, Young SB, Aprill CN, McDonald B. [https://pdf.sciencedirectassets.com/280586/1-s2.0-S0004951414X60113/1-s2.0-S0004951414601252/main.pdf?X-Amz-Security-Token=IQoJb3JpZ2luX2VjECUaCXVzLWVhc3QtMSJIMEYCIQDf8juckVnNkFsKmzvBGKot31kwf64h4kZK8ipFOeUSswIhAOeKRY9NoULGmsQoUaYvxgYfRL13MgZWsCtTQWLW%2FjsJKrIFCF4QBRoMMDU5MDAzNTQ2ODY1Igze5l0Yl5ipzwaoRxsqjwXwDdsKcV9HfhLa%2BkDM9Q056DBVJTMFNNO1draEq2Rm%2FSShau0W4DmSE1FAI749cUnU2Y7GtWEpJsemNLBEOv7pxZMZ6qBcPjMO207hgUNPJK1Rr0AjtI9J5Ai9Qun1dTesRxpdajp61ZnPG1Zbv7QAbD%2BIdOTD43ovByW8uDy5cc%2BTWP5mEoREJG4YgdM8BmKGVz95bzVvBxscvLMXmgjd8YKh6%2Brc0Y57GdrMtdemhmDQr6DDvQrx9qTj809fxDJYYiAUDjTaMJxOUELiSN9i2n4W0fWgt19ZhFopWVxOMvGWDhokybRucmlaWomq2qQeOQOXKWhSooJs6BzTc3AmHQNsdg60a7OyTSok2SG3jt244W6jS9Zu1h6WCoNEkTKSmr4wLypDKyRoChng9C6iMop53I2lcbt0v9esgJAC0LEw6qeYQOluugAuKBtzREdhTDVEB9HJgm%2BAGRy0NACpxCwNOVFo0DBldcdc4hLAIZuikZySrGbmoYTRLlTJJsGY3KgEeaydt0vH9aKPQOdw4zjg7dyzhKbfVX0FO9x%2FQ0sh8DTWXeRGxMXgLPgln2i3y3NMw3%2Fm%2BKRCskM02YvSoxAdkd%2F0BXD5IEJIk3VjJzvM3w2y5tdqw6jnJZGRL%2FiJV6agqUiiUYhOIJXsXpdy1dop8DA21QMfsQf58B1UZb79MRwTgTddgIim0TrxG5FZzPTwGePMlv8pHJEIRempD0GqZMgfCSxvEVRI7SbZoCd%2FmgBVJRPC21slXvIGgfNdU5iP1gtRGZUSSuzd1P4%2B4oBjDx6KAt1eUrZDd%2FEGmZ%2FRPt%2FnyLL5pYAlFFvjD%2B%2B3tPtJk%2B5ZU8LBiNCSlvumxz0%2BUGFhmKjcfcuUr%2FrlMPabzaMGOrAB1TKnLHCxKBGwv6MXSR2F7W18sCtRRX7QVb%2FUuXPU%2BKi8RPtKI8mtvtRUo9hB6rztA4ZEfm%2BzXoBOblyGJBMnF2Ka7Hn2D%2Fg2aRW75OpEHUfm1fGpQ7c9laVDkUAsre8wa74L9a6sgRWt1H7LP83KpREcFCdaElEuXo8shB9e5w2UAw4hiA72yF3Tgc6jNcslxzRtWEOZFBcDMwcOMkSKMAjXlCcPFyLXkVB5rTYGrwM%3D&X-Amz-Algorithm=AWS4-HMAC-SHA256&X-Amz-Date=20230528T135137Z&X-Amz-SignedHeaders=host&X-Amz-Expires=300&X-Amz-Credential=ASIAQ3PHCVTYUUL2ZTW4%2F20230528%2Fus-east-1%2Fs3%2Faws4_request&X-Amz-Signature=ac750d6f6e5c36c0ee6bc0ec7b096cfcac01a0fcd2aec1d422a41f2b69b63028&hash=4d0849dd3666bc1c27d51bcf74b61ed528719822d8f1cf49256aaa4e354fd880&host=68042c943591013ac2b2430a89b270f6af2c76d8dfd086a07176afe7c76c2c61&pii=S0004951414601252&tid=spdf-1b2d2336-12ae-430a-b0ba-b4dd9ccaf6cc&sid=e3116a9b6c698049634875f2e84737af5924gxrqb&type=client&tsoh=d3d3LnNjaWVuY2VkaXJlY3QuY29t&ua=000457070a55065c&rr=7ce6f933fbef0704&cc=za Diagnosing painful sacroiliac joints: a validity study of a McKenzie evaluation and sacroiliac joint provocation tests.] Australian Journal of Physiotherapy 2003;49:89–97.</ref><ref>Mark Lasletta, Charles N. Aprill, Barry McDonald, Sharon B. Young. [https://vompti.com/wp-content/uploads/2014/04/Diagnosis-of-SIJ-Pain.pdf Diagnosis of Sacroiliac Joint Pain: Validity of individual provocation tests and composites of tests.] Manual Therapy 10 (2005) 207–218.</ref> | |||
== References == | == References == | ||
Revision as of 16:01, 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.
Procedure
The examiner stands at the painful side and flexes the patient's knee to 90° and extends the hip.
Positive Test
Pain localized to the sacroiliac joint indicates pathology in the anterior sacroiliac ligament.
Anterior thigh paresthesia may indicate a femoral nerve stretch[1][2]
Evidence[edit | edit source]
The thigh thrust test is the most sensitive and the distraction test is the most specific. Only the thigh thrust test reaches more than 80% sensitivity and specificity. In the absence of centralization, if three provocative tests are positive then the sensitivity, specificity and positive likelihood ratio are 93%, 89% and 6.97%, respectively. It is sufficient to do the thigh thrust test, sacroiliac distraction test and the FABER test to arrive at a diagnosis.[3][4]
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.
- ↑ Magee, D. Orthopedic physical assessment. 4th ed. St. Louis, Missouri: Saunders Elsevier, p.603.
- ↑ Laslett M, Young SB, Aprill CN, McDonald B. Diagnosing painful sacroiliac joints: a validity study of a McKenzie evaluation and sacroiliac joint provocation tests. Australian Journal of Physiotherapy 2003;49:89–97.
- ↑ Mark Lasletta, Charles N. Aprill, Barry McDonald, Sharon B. Young. Diagnosis of Sacroiliac Joint Pain: Validity of individual provocation tests and composites of tests. Manual Therapy 10 (2005) 207–218.
