Posterior Pelvic Pain Provocation Test

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Original Editors -  Els Van haver

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Search Strategy

Search engines         PubMed, Web of Knowledge, Pedro
Keywords                 Posterior pelvic pain/Provocation tests + Reliability/Sensitivity/Specificity/Validity

Searches have been performed between 28/10/2011 and 01/12/2011

Purpose

The posterior pelvic pain provocation test is also known as:

• PPPP test
• P4 test
• Thigh trust test
• Posterior shear test
  
• POSH test

It is a pain provocation test used to determine the presence of sacroiliac dysfunction. It is oftenly used in pregnant women to distinguish between sacroiliac pain (posterior pelvic pain) and low back pain.

Technique

With the patient supine, the hip is flexed to 90° (with bended knee) to stretch the posterior structures and the femur is adducted towards the midline. By applying axial pressure along the length of the femur, the femur is used as a lever to push the ilium posteriorly. One hand is placed beneath the sacrum to fixate its position while the other hand is used to push the femur downwards.

Evidence

Provide the evidence for this technique here

References

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