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Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests.
Previous research indicates that physical examination cannot diagnose sacroiliac joint (SIJ) pathology. Earlier studies have not reported sensitivities and specificities of composites of provocationExpand
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Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain
Clinical practice guidelines state that the tissue source of low back pain cannot be specified in the majority of patients. However, there has been no systematic review of the accuracy of diagnosticExpand
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Correlation of clinical examination characteristics with three sources of chronic low back pain.
BACKGROUND CONTEXT Research has demonstrated some progress in using a clinical examination to predict discogenic or sacroiliac (SI) joint sources of pain. No clear predictors of symptomatic lumbarExpand
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Diagnostic classification of non-specific low back pain. A new system integrating patho-anatomic and clinical categories
Identifying relevant subgroups of nonspecific low back pain patients may improve research efficiency and clinical outcomes. This article presents available data supporting the rationale behind a newExpand
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The Reliability of Selected Pain Provocation Tests for Sacroiliac Joint Pathology
Objective. To assess the inter‐rater reliability of seven pain provocation tests for pain of sacroiliac origin in low back pain patients. Summary of Background Data. Previous studies on theExpand
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Physical examination for lumbar radiculopathy due to disc herniation in patients with low-back pain.
BACKGROUND Low-back pain with leg pain (sciatica) may be caused by a herniated intervertebral disc exerting pressure on the nerve root. Most patients will respond to conservative treatment, but inExpand
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Zygapophysial joint blocks in chronic low back pain: a test of Revel's model as a screening test
BackgroundOnly controlled blocks are capable of confirming the zygapophysial joints (ZJ) as the pain generator in LBP patients. However, previous workers have found that a cluster of clinical signsExpand
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Clinical predictors of screening lumbar zygapophyseal joint blocks: development of clinical prediction rules.
BACKGROUND Only controlled intra-articular zygapophyseal joint (ZJ) injections or medial branch blocks can diagnose ZJ-mediated low back pain. The low prevalence of ZJ pain implies thatExpand
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Centralization as a predictor of provocation discography results in chronic low back pain, and the influence of disability and distress on diagnostic power.
BACKGROUND CONTEXT The "centralization phenomenon" (CP) is the progressive retreat of referred pain towards the spinal midline in response to repeated movement testing (a McKenzie evaluation). AExpand
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Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests.
Research suggests that clinical examination of the lumbar spine and pelvis is unable to predict the results of diagnostic injections used as reference standards. The purpose of this study was toExpand
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