The predictive value of provocative sacroiliac joint stress maneuvers in the diagnosis of sacroiliac joint syndrome

Archives of Physical Medicine and Rehabilitation
C W SlipmanE Vresilovic

Abstract

To determine the clinical validity of provocative sacroiliac joint (SIJ) maneuvers in making the diagnosis of sacroiliac joint syndrome (SIJS). Prospective constructive cohort study using sacroiliac joint block (SIJB) as the diagnostic gold standard. Tertiary care center. Consecutive patients describing low back pain including the region of the sacral sulcus. Physical examination revealed a positive response to three provocative SIJ maneuvers, two of which had to be Patrick's test and pain with palpation over the ipsilateral sacral sulcus. All subjects underwent fluoroscopically guided SIJB. Response to SIJB was assessed with visual analog scale (VAS) ratings before and after the block. A reduction of the VAS rating by at least 80% was considered a positive response to SIJB. Fifty consecutive patients met our criteria and underwent SIJB. Thirty patients had positive response to SIJB, making up the positive SIJS group. Twenty patients had less than 80% pain reduction with SIJB and thus comprised the negative SIJS group. The positive predictive value of provocative SIJ maneuvers in determining the presence of SIJS is therefore 60%. Our results do not support the use of provocative SIJ maneuvers to confirm a diagnosis of SIJS. Rat...Continue Reading

References

Apr 1, 1984·Annals of the Rheumatic Diseases·P W Blower, A J Griffin
Apr 1, 1981·The American Journal of Medicine·H L Fields, J D Levine
Jan 1, 1995·Spine·A C SchwarzerN Bogduk

❮ Previous
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Citations

May 15, 2012·European Spine Journal : Official Publication of the European Spine Society, the European Spinal Deformity Society, and the European Section of the Cervical Spine Research Society·Hiroyuki Yoshihara
Oct 7, 2003·Clinical Biomechanics·Ulla Levin, Christina H Stenström
Jun 12, 2001·Journal of Orthopaedic Research : Official Publication of the Orthopaedic Research Society·Y MurataH Moriya
Nov 12, 2003·The Spine Journal : Official Journal of the North American Spine Society·Sharon YoungMark Laslett
Feb 10, 2000·Academic Medicine : Journal of the Association of American Medical Colleges·I K Todd
Jul 10, 2009·Regional Anesthesia and Pain Medicine·Steven P CohenMatthew Marcuson
Dec 6, 2008·Journal of Spinal Disorders & Techniques·Christopher L Wise, Bruce E Dall
Aug 13, 2008·Chiropractic & Osteopathy·Donald R MurphyCraig F Nelson
Nov 21, 2008·AJR. American Journal of Roentgenology·Jan FritzPhilippe L Pereira
Jun 5, 2012·Journal of Neurosurgery. Pediatrics·Ivan StoevJeffrey R Leonard
Jan 5, 2002·The Journal of Orthopaedic and Sports Physical Therapy·M T Cibulka, K Aslin
May 14, 1999·The Journal of Orthopaedic and Sports Physical Therapy·M T Cibulka, R Koldehoff
Feb 13, 2014·Clinical Orthopaedics and Related Research·Charles G T LedonioMarc F Swiontkowski
Mar 21, 2000·Archives of Physical Medicine and Rehabilitation·C W SlipmanE J Vresilovic
Apr 12, 2011·Acta neurochirurgica·Haktan KaramanOrhan Tokgöz
Mar 3, 2015·Acta Orthopaedica. Supplementum·Thomas Johan Kibsgård
Feb 6, 2016·Clinical Rheumatology·Gleb SlobodinMajed Odeh
Apr 6, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Po-Chou LiliangHan-Jung Chen
Jul 17, 2015·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·David J KennedyJohn MacVicar
Mar 20, 2015·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Po-Chou LiliangShih-Hsun Shen
Apr 6, 2011·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Chin-wern Chan, Philip Peng
Jan 25, 2011·PM & R : the Journal of Injury, Function, and Rehabilitation·Michael J DepalmaCurtis W Slipman
Jul 25, 2009·PM & R : the Journal of Injury, Function, and Rehabilitation·Heidi PratherDevyani Hunt
Dec 23, 2008·The Journal of Pain : Official Journal of the American Pain Society·Karolina M SzadekRoberto S G M Perez
Oct 11, 2008·Pain Practice : the Official Journal of World Institute of Pain·Leonardo KapuralNagy Mekhail
Feb 8, 2006·Joint, Bone, Spine : Revue Du Rhumatisme·Jean-Marie BerthelotYves Maugars
Jul 18, 2006·Manual Therapy·Hilde Stendal RobinsonTrym Telje
Feb 2, 2012·The Journal of Manual & Manipulative Therapy·Amir Massoud ArabAli Mohammadifar
May 31, 2003·The Australian Journal of Physiotherapy·Mark LaslettBarry McDonald
May 15, 2016·PM & R : the Journal of Injury, Function, and Rehabilitation·Jason M PerryRuben A Tresgallo
Jan 13, 2006·Archives of Physical Medicine and Rehabilitation·Peter van der WurffGerbrand J Groen
Oct 3, 2007·Archives of Physical Medicine and Rehabilitation·Meenakshi Bindal, Brian Krabak
Sep 16, 2014·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·David StolzenbergYakov Vorobeychik
Jun 3, 2008·The Journal of Orthopaedic and Sports Physical Therapy·Stephanie J WoodleySusan R Mercer
Mar 5, 2004·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Larry H ChouDavid A Lenrow
Oct 18, 2008·Physical Therapy·H Todd Vaughn, Wanda Nitsch
Sep 1, 2010·Geriatric Orthopaedic Surgery & Rehabilitation·Jeffery EricksenVincent Hoogstad
Jun 4, 2018·PM & R : the Journal of Injury, Function, and Rehabilitation·Jesse LouJeremy I Simon
Mar 1, 2006·Clinical Anatomy : Official Journal of the American Association of Clinical Anatomists & the British Association of Clinical Anatomists·Yasuaki MurataHideshige Moriya
May 21, 2019·Pain Medicine : the Official Journal of the American Academy of Pain Medicine·Byron J SchneiderDavid J Kennedy
May 30, 2019·Pain Management·Carlos J RoldanSiddarth Thakur

❮ Previous
Next ❯

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