Can hip abduction and external rotation discriminate sacroiliac joint pain?

Adhia, Divya Bharatkumar; Tumilty, Steve; Mani, Ramakrishnan; Milosavljevic, Stephan; Bussey, Melanie D.

doi:10.1016/j.math.2015.08.002

Cited by 8 publications

(7 citation statements)

References 55 publications

(49 reference statements)

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“…The high level of sensitivity (80%) of the HABER test shown in this study differs from previous study findings [ 27 ]. The test has also previously been proven to be effective in evaluating the innominate bone in patients with LBP associated with SIJ syndrome [ 23 , 26 , 27 ]. Most pain-causing tests of the SIJ structures focus on the compression of the structures through multiple tests.…”

Section: Discussioncontrasting

confidence: 99%

“…The moderate level of specificity (53%) of the HABER test shown in this study is consistent with previous study findings [ 27 ]. The moderate specificity of the HABER test may have been influenced by the complex anatomical structure of the SIJ.…”

Section: Discussionsupporting

confidence: 93%

“…The HABER test, however, was hypothesized to effectively reflect the complex anatomical structures of the SIJ and to help diagnose SIJ syndrome with only 1 test. The single-test design of the pain provocation test can also be viewed as a test constraint that could affect the accuracy of the diagnosis, and it requires further examination [ 4 , 9 , 27 ].…”

Section: Discussionmentioning

confidence: 99%

“…The test is intended to transmit the force applied to the hip joint to the SIJ through the abduction and external rotation of the hip joint. The applied force is, however, not limited to the SIJ and can be distributed to the lumbar spine through the lumbosacral junction [ 27 ]. This can influence the outcome of the test.…”

Section: Discussionmentioning

confidence: 99%

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Comparative Analysis of the Pain Provocation Test and the HABER Test to Diagnose Nonspecific Low-Back Pain Associated with the Sacroiliac Joint

Park

2020

Med Sci Monit

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Background This study aimed to investigate the correlation between the pain provocation test and the hip abduction-external rotation (HABER) test for diagnosing low-back pain (LBP)-related sacroiliac joint (SIJ) syndrome, and to determine the efficacy of the HABER test as a potential diagnostic tool for SIJ syndrome. Material/Methods One hundred patients with LBP participated. The first and second examiner examined the patients using the pain provocation test and the HABER test, respectively. Positive and negative findings were analyzed to determine the correlation and reliability. Results The HABER test showed similar pain reproduction in groups that were positive or negative for SIJ syndrome ( P <0.05). Based on the analysis of the receiver-operating characteristic curve, the cutoff values from the HABER test were found to be 29° and 32° of external rotation in the left and right hip joints, respectively. Conclusions The HABER test can reproduce similar level of pain in patients with chronic LBP associated with SIJ syndrome, and it can be used as a diagnostic tool in patients presenting with chronic LBP.

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Section: Discussioncontrasting

confidence: 99%

Section: Discussionsupporting

confidence: 93%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Comparative Analysis of the Pain Provocation Test and the HABER Test to Diagnose Nonspecific Low-Back Pain Associated with the Sacroiliac Joint

Park

2020

Med Sci Monit

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“…To determine the overall diagnostic accuracy of each test, a 2 × 2 contingency table was created and the sensitivity and specificity along with their 95% confidence interval were calculated for each 1)-3) LBP group [11–13]. In the clinic, the rapid diagnosis of LBP is the next task following simple epidemiological investigation.…”

Section: Methodsmentioning

confidence: 99%

Diagnosis and Characters of Non-Specific Low Back Pain in Japan: The Yamaguchi Low Back Pain Study

et al. 2016

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Study DesignCross sectional data from the Yamaguchi low back pain study conducted in Yamaguchi prefecture, Japan, was used for this analysis.MethodsA total of 320 patients were recruited from walk-in orthopedic clinics in Yamaguchi Prefecture, Japan. Patients visited the clinics primarily for low back pain (LBP) and sought treatment between April and May 2015. A self-questionnaire was completed by patients, while radiographic testing and neurological and physical examination was performed by the orthopedist in each hospital. The cause and characters of LBP was determined following examination of the data, regional anesthesia and block injection.Results‘Specific LBP’ was diagnosed in 250 (78%) patients and non-diagnosable, ‘non-specific LBP’ in 70 (22%) patients. The VAS scores of patients were: LBP, 5.8±0.18; leg pain, 2.9±0.18 and the intensity of leg numbness was 1.9±0.16. Item scores for SF-8 were: general health, 46.6±0.40; physical function, 43.5±0.51; physical limitations, 42.8±0.53; body pain, 42.1±0.52; vitality, 48.4±0.37; social function, 46.9±0.53; emotional problems, 48.9±0.43; mental health, 46.9±0.43.ConclusionsThe incidence of non-specific LBP in Japan was lower than previous reports from western countries, presumably because of variation in the diagnosis of LBP between different health care systems. In Japan, 78% of cases were classified as ‘specific LBP’ by orthopedists. Identification of the definitive cause of LBP should help to improve the quality of LBP treatment.

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Double threshold receiver operating characteristic plot for three-modal continuous predictors

2021

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Can hip abduction and external rotation discriminate sacroiliac joint pain?

Cited by 8 publications

References 55 publications

Comparative Analysis of the Pain Provocation Test and the HABER Test to Diagnose Nonspecific Low-Back Pain Associated with the Sacroiliac Joint

Comparative Analysis of the Pain Provocation Test and the HABER Test to Diagnose Nonspecific Low-Back Pain Associated with the Sacroiliac Joint

Diagnosis and Characters of Non-Specific Low Back Pain in Japan: The Yamaguchi Low Back Pain Study

Double threshold receiver operating characteristic plot for three-modal continuous predictors

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