Posterior Pelvic Pain Provocation Test

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Purpose
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The Posterior Shear Test (POSH Test) is a provication test used to determine if a patient's pain is coming from the sacral iliac joint.

Technique
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With the patient supine, flex the patient's hip to 90 degrees.  Then the examiner applies an axial force posteriorly through the femur at varying angles of hip abduction and adduction.  The test is considered positive if it reproduces the patients buttock pain.

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