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- Issue 46
- Diagnostic accuracy of clusters of pain…
Diagnostic accuracy of clusters of pain provocation tests for detecting sacroiliac joint pain: systematic review with meta-analysis
- 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.
Results of a cluster of SIJ pain provocation tests in isolation cannot be used to establish a diagnosis of SIJ pathology.
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