Posterior Pelvic Pain Provocation Test: Difference between revisions
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'''Original Editor '''- [[User:Kevin Savage|Kevin Savage]]
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== Purpose<br>  ==
== Purpose<br>  ==


The Posterior Shear Test (POSH Test) is a provocation test used to determine if a patient's pain is coming from the sacral iliac joint. &nbsp;The actual name of this test as written in all of Laslett's work as the "Thigh Thrust Test".<ref name="Laslett 2003" /><ref name="Laslett 2005" /><br>  
add the purpose of this assessment technique here<br>  


== Technique<br>  ==
== Technique<br>  ==


With the patient supine, flex the patient's hip to 90 degrees.&nbsp; Then the examiner applies an axial force posteriorly through the femur at varying angles of hip abduction and adduction.&nbsp; The test is considered positive if it reproduces the patients buttock pain.
Describe how to carry out this assessment technique here
 
{{#ev:youtube|tabgNzqhTUQ|300}}<ref>Clinically Relevant Technologies http://www.youtube.com/watch?v=tabgNzqhTUQ; accessed May 2011</ref>


== Evidence  ==
== Evidence  ==


Laslet, et al, report the specificity as high as 100% (<ref name="Laslett 2003">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.</ref>,<ref name="Laslett 2005">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.</ref>) and Broadhurst, et al, report the sensitivity as high as 80% (<ref>Broadhurst NA, Bond MJ. Pain Provocation tests for the assessment of SI joint dysfunction. Jrnl of Spine Disorders 1998; 11(4):341-345.</ref>), demonstrating good positive and negative predictive values.&nbsp; The POSH test was only on of a few sacral-iliac joint tests that had both positive and negative predictive capabilities (<ref>Mousaui SJ, Mousaui L, Alavizadeli A, Kamal S. Jrnl of Research in Rehabilitation Sciences; Vol 3, No.1(86).</ref>).
Provide the evidence for this technique here


== Resources  ==
== Resources  ==


Wikipedia and AAOS
add any relevant resources here


== 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  ==
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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_Residency_Project]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Pelvis]] [[Category:Special_Tests]] [[Category:Videos]]

Revision as of 17:28, 16 November 2011

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Purpose
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add the purpose of this assessment technique here

Technique
[edit | edit source]

Describe how to carry out this assessment technique here

Evidence[edit | edit source]

Provide the evidence for this technique here

Resources[edit | edit source]

add any relevant resources here

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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