Pelvis and SIJ Diagnostic CPR

Check out below for CPR Information and More!

SIJ Cluster

This is a graphic made to represent the information contained within: Laslett, Mark et al. “Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests.” Manual therapy vol. 10,3 (2005): 207-18. doi:10.1016/j.math.2005.01.003

There are further studies included

The relocation test showed...moderate diagnostic accuracy when positive (LR+=5.48) and low diagnostic accuracy when negative (LR−=0.55) in predicting a positive and negative arthroscopic examination, respectively (very low quality of evidence).

Rotator Cuff Pathology

Graphic is a representation of: Liaghat B, Pedersen JR, Husted RS, et alDiagnosis, prevention and treatment of common shoulder injuries in sport: grading the evidence – a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF)British Journal of Sports Medicine 2023;57:408-416.

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It looks like no special tests should be used in isolation, and the majority have small likelihood ratios.

Check out another study below that also assesses special tests for shoulder pathology.

Subacromial Impingement

Graphic is a representation of data in: Liaghat B, Pedersen JR, Husted RS, et alDiagnosis, prevention and treatment of common shoulder injuries in sport: grading the evidence – a statement paper commissioned by the Danish Society of Sports Physical Therapy (DSSF)British Journal of Sports Medicine 2023;57:408-416.

Main takeaway: There does not seem to be robut evidence that special tests available for SIS can effectively rule it in.

A discussion on Shoulder Special Tests

Taken from: Pecos-Martín, D., Patiño-Núñez, S., Quintero-Pérez, J., Cruz-Riesco, G., Quevedo-Socas, C., Gallego-Izquierdo, T., Beltran-Alacreu, H., & Fernández-Carnero, J. (2022). Mechanical Hyperalgesia but Not Forward Shoulder Posture Is Associated with Shoulder Pain in Volleyball Players: A Cross-Sectional Study. Journal of clinical medicine, 11(6), 1472. https://doi.org/10.3390/jcm11061472

Choice quote from this study: "Shoulder antepulsion, altered scapular kinematics and imbalance of muscle activity are commonly associated with shoulder pain... No association was found between the forward shoulder angle and the pectoralis minor index in volleyball players with and without shoulder pain."

Though the study sample is composed of volleyball players, interesting conclusion nonetheless.