Orthopedics Book

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Seated Piriformis Stretch Test

Aka: Seated Piriformis Stretch Test
  1. See Also
    1. Hip Pain
    2. Hip Pain Causes
    3. Hip Exam
    4. Deep Gluteal Syndrome (includes Piriformis Syndrome)
  2. Technique
    1. Patient sits with hips flexed at 90 degrees (neutral sitting position)
    2. Examiner extends the knee, adducts and internally rotates the hip
    3. Examiner also palpates buttock region just lateral to the ischium
  3. Interpretation
    1. Positive Test if pain is reproduced on ischial palpation and passive hip internal rotation and adduction
    2. Positive in Deep Gluteal Syndrome including Piriformis Syndrome
  4. Efficacy: Piriformis Syndrome
    1. Test Sensitivity: 91%
    2. Test Specificity: 80%
  5. References
    1. Chamberlain (2021) Am Fam Physician 103(2): 81-9 [PubMed]

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