Special Test
Yeoman Test – Sacroiliac Joint Examination
Last updated on:
February 22, 2024
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Yeoman Test is a provocative test used to evaluate the sacroiliac joint dysfunction or inflammation (sacroiliitis).
How it’s Performed?
The patient is prone with the knee flexed 90°. The examiner raises the flexed leg on the examining table, hyperextending the hip.
What does a positive Yeoman Test mean?
- The first part of this test initially places stress on the posterior structures of the sacroiliac joint; later the stress shifts to the anterior portions, primarily affecting the anterior sacroiliac ligaments.
- Pain in the lumbar spine suggests the presence of pathologic processes at that site.
- Anterior thigh paresthesia may indicate a femoral nerve stretch.
Sensitivity & Specificity
Another study 3 by Parisa Nejati to assess the reliability and validity of motion palpation and pain provocation compared with sacroiliac joint (SIJ) block as the gold-standard assessment method of patients with sacroiliac joint dysfunction (SIJD), he found the sensitivity was (64.1%) and specificity was (33.3 %) for Yeoman Test.
Notes
Other structures that are stressed with this maneuver include the lumbar spine, the hip joint, and the iliopsoas muscle.
Reference
- Laslett M, Young SB, Aprill CN, McDonald B. Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests. Aust J Physiother. 2003;49(2):89-97. doi: 10.1016/s0004-9514(14)60125-2. PMID: 12775204.
- Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther. 2005 Aug;10(3):207-18. doi: 10.1016/j.math.2005.01.003. PMID: 16038856.
- Nejati P, Sartaj E, Imani F, Moeineddin R, Nejati L, Safavi M. Accuracy of the Diagnostic Tests of Sacroiliac Joint Dysfunction. J Chiropr Med. 2020 Mar;19(1):28-37. doi: 10.1016/j.jcm.2019.12.002. Epub 2020 Sep 12. PMID: 33192189; PMCID: PMC7646135.
- Clinical Tests for the Musculoskeletal System 3rd Edition.
- Dutton’s Orthopaedic Examination, Evaluation, And Intervention 3rd Edition.
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