Yeoman's Test: Difference between revisions

(grammar changes, links to references added)
(Evidence paragraph changed as previous paragraph info was not pertaining to Yeoman test.)
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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 and flexes the patient's knee to 90° and extends the hip.
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 pathology in the anterior sacroiliac ligament.
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%
|}


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 16:15, 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. ↑ 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. ↑ 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.
  3. ↑ Magee, D.   Orthopedic physical assessment. 4th ed. St. Louis, Missouri: Saunders Elsevier, p.603.
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