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dc.contributor.authorLaslett, M
dc.contributor.authorYoung, SB
dc.contributor.authorAprill, CN
dc.contributor.authorMcDonald, B
dc.date.accessioned2011-06-29T23:04:07Z
dc.date.available2011-06-29T23:04:07Z
dc.date.copyright2003
dc.date.issued2011-06-30
dc.identifier.citationAustralian Journal of Physiotherapy, vol.49(2), pp.89 - 97
dc.identifier.issn0004-9514
dc.identifier.urihttp://hdl.handle.net/10292/1368
dc.description.abstractResearch suggests that clinical examination of the lumbar spine and pelvis is unable to predict the results of diagnostic injections used as reference standards. The purpose of this study was to assess the diagnostic accuracy of a clinical examination in identifying symptomatic and asymptomatic sacroiliac joints using double diagnostic injections as the reference standard. In a blinded concurrent criterion-related validity design study, 48 patients with chronic lumbopelvic pain referred for diagnostic spinal injection procedures were examined using a specific clinical examination and received diagnostic intraarticular sacroiliac joint injections. The centralisation and peripheralisation phenomena were used to identify possible discogenic pain and the results from provocation sacroiliac joint tests were used as part of the clinical reasoning process. Eleven patients had sacroiliac joint pain confirmed by double diagnostic injection. Ten of the 11 sacroiliac joint patients met clinical examination criteria for having sacroiliac joint pain. In the primary subset analysis of 34 patients, sensitivity, specificity and positive likelihood ratio (95% confidence intervals) of the clinical evaluation were 91% (62 to 98), 83% (68 to 96) and 6.97 (2.70 to 20.27) respectively. The diagnostic accuracy of the clinical examination and clinical reasoning process was superior to the sacroiliac joint pain provocation tests alone. A specific clinical examination and reasoning process can differentiate between symptomatic and asymptomatic sacroiliac joints.
dc.languageEN
dc.publisherAustralian Physiotherapy Association
dc.relation.urihttp://www.ncbi.nlm.nih.gov/pubmed/12775204#
dc.rights© Australian Physiotherapy Association 2003. The definitive version was published in (see Citation). The original publication is available at (see Publisher's Version).
dc.subjectPhysical Examination
dc.subjectReproducibility of Results
dc.subjectSacroiliac Joint
dc.subjectSensitivity and Specificity
dc.titleDiagnosing painful sacroiliac joints: a validity study of a McKenzie evaluation and sacroiliac provocation tests
dc.typeJournal Article
dc.rights.accessrightsOpenAccess


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