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SPINE ASSESSMENT SERIES PART 26: SIJ PROVOCATION CLUSTER OF LASLETT In comparison with the cluster of van der Wurff, the cluster of Laslett uses only 4 tests to rule in or rule out SIJ pain. The test criteria in the RCT of Laslett were a bit stricter, while the validity is almost identical. With 2 out of 4 positive tests (Sn: 88%, Sp:78%), SIJ pain is diagnosed, with 1/4 it is unprobable and with 0/4 positive tests, it can be completely ruled out. Absence of centralization (according to McKenzie
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DETERMINING THE SI JOINT AS SOURCE OF PAIN: CLUSTER OF VAN DER WURFF In order to determine if you patients's pain is coming from the SIJ you can perform the cluster of van der Wurff. With 3 or more out of 5 positive tests, the SIJ is probably the origin of pain (Sn: 85%, Sp: 79%) and vice versa (less than 3 positive tests --> SIJ pain less probable). So 3 or more positive tests results in a LR of 4.05, while 2 or less positive tests result in a LR- of 0.19. #SIJprovocation #SIJ | Physiotutors
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