Diagnostic accuracy of clusters of pain provocation tests for detecting sacroiliac joint pain: systematic review with meta-analysis

Review written by Shruti Nambiar info

Key Points

  1. The cluster of sacroiliac joint (SIJ) pain provocation tests provide better diagnostic accuracy to rule out than to rule in the SIJ as the cause of pain.
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BACKGROUND & OBJECTIVE

Symptomatic SIJ pathology could be associated with the irritation of peri-articular tissues (1). Pain-provocation tests are used to produce the patient's specific pain complaint by stressing these SIJ peri-articular structures (2). The use of a cluster of SIJ provocation tests increases the inter-rater agreement to a clinically useful range (3). However, the diagnostic accuracy of using a cluster of tests is unclear. Therefore, this paper aimed to investigate!

The use of a cluster of SIJ provocation tests increases the inter-rater agreement to a clinically useful range.
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Results of a cluster of SIJ pain provocation tests in isolation cannot be used to establish a diagnosis of SIJ pathology.

METHODS

The systematic review was reported according to PRISMA-DTA guidelines and followed the PIRT framework (P = Participant, I = Index test, R = Reference standard, T = Target condition). Study participants were adults with low back pain with or without

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