How to Trip Rapid Review

Step 1: Select articles relevant to your search (remember the system is only optimised for single intervention studies)

Step 2: press

Step 3: review the result, and maybe amend the or if you know better! If we're unsure of the overall sentiment of the trial we will display the conclusion under the article title. We then require you to tell us what the correct sentiment is.

38 results for

Gaenslens Test

by
...
Latest & greatest
Alerts

Export results

Use check boxes to select individual results below

SmartSearch available

Trip's SmartSearch engine has discovered connected searches & results. Click to show

1. Gaenslen's Test

Gaenslen's Test Gaenslens Test Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Gaenslen's Test Gaenslen's Test Aka: Gaenslen's Test II (...) . Indications: Evaluation for Sacroiliac joint disease in III. Technique: Passive Thigh Hyperextension Patient lies supine Fix against table (eliminates lordosis) Patient flexes hip and knee on affected side Patient holds knee with both hands Examiner hyperextends opposite thigh over side of table IV. Interpretation: Positive Test Pain on thigh hyperextension suggests Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Gaenslens Test." Click

2018 FP Notebook

2. Compression test (Gaenslen's squeeze test) positivity, joint tenderness, and disease activity in patients with rheumatoid arthritis. (PubMed)

Compression test (Gaenslen's squeeze test) positivity, joint tenderness, and disease activity in patients with rheumatoid arthritis. Gaenslen's test (GT) positivity is characterized by tenderness upon lateral compression (squeezing) of the metacarpophalangeal (MCP) or metatarsophalangeal (MTP) joints. We aimed to assess the factors related to a positive GT and to explore differences in disease activity between GT-positive and -negative patients.The GT was performed routinely in outpatients

2013 Arthritis care & research

3. Gaenslen's Test

Gaenslen's Test Gaenslens Test Toggle navigation Brain Head & Neck Chest Endocrine Abdomen Musculoskeletal Skin Infectious Disease Hematology & Oncology Cohorts Diagnostics Emergency Findings Procedures Prevention & Management Pharmacy Resuscitation Trauma Emergency Procedures Ultrasound Cardiovascular Emergencies Lung Emergencies Infectious Disease Pediatrics Neurologic Emergencies Skin Exposure Miscellaneous Abuse Cancer Administration 4 Gaenslen's Test Gaenslen's Test Aka: Gaenslen's Test II (...) . Indications: Evaluation for Sacroiliac joint disease in III. Technique: Passive Thigh Hyperextension Patient lies supine Fix against table (eliminates lordosis) Patient flexes hip and knee on affected side Patient holds knee with both hands Examiner hyperextends opposite thigh over side of table IV. Interpretation: Positive Test Pain on thigh hyperextension suggests Images: Related links to external sites (from Bing) These images are a random sampling from a Bing search on the term "Gaenslens Test." Click

2015 FP Notebook

4. Distraction test of the posterior superior iliac spine (PSIS) in the diagnosis of sacroiliac joint arthropathy. (PubMed)

pathology had been confirmed by an SIJ infiltration were enrolled (case group, 61 SIJs in 46 patients). Before infiltration, patients were tested for pain with PSIS distraction by a punctual force on the PSIS in medial-to-lateral direction (PSIS distraction test), pain with pelvic compression, pelvic distraction, Gaenslen test, Thigh Thrust, and Faber (or Patrick's) test. In addition, these clinical tests were applied to both SIJs of a population of individuals without history of LBP (control group, 64 (...) SIJs in 32 patients).Within the investigated cohort, the PSIS distraction test showed a sensitivity of 100% and a specificity of 89% for SIJ pathology. The accuracy of the test was 94%, the positive predictive value (PPV) was 90% and the negative predictive value (NPV) was 100%. Pelvic compression, pelvic distraction, Gaenslen test, Thigh Thrust, and Faber test were associated with a good specificity (> 90%) but a poor sensitivity (< 35%).Within our population of patients with confirmed SIJ

Full Text available with Trip Pro

2013 BMC Surgery

5. Musculoskeletal lower back pain

, gnawing, tearing, burning, or electric pain associated with muscle spasms lack of pain on flexion or relief on extension scoliosis or kyphosis negative FABER, Gaenslen's, or Schober's testing obesity family history of degenerative disc disease poor musculotendinous flexibility and abnormal posture stress and psychiatric comorbidities increasing age, up to 60-65 years female sex heavy physical and occupational activities tobacco use Diagnostic investigations clinical diagnosis lumbar spine x-ray lumbar (...) ://annals.org/article.aspx?articleid=736814 http://www.ncbi.nlm.nih.gov/pubmed/17909209?tool=bestpractice.com History and exam obesity, stress, and psychiatric comorbidities history of prior lower back pain history of prior treatment pain radiation does not extend beyond the knee absence of red-flag symptoms absence of fever, fluctuance, exquisite tenderness to palpation sensory, motor, and deep-tendon reflex examinations within normal limits negative straight- or crossed straight-leg raise test dull

2018 BMJ Best Practice

6. Musculoskeletal lower back pain

, gnawing, tearing, burning, or electric pain associated with muscle spasms lack of pain on flexion or relief on extension scoliosis or kyphosis negative FABER, Gaenslen's, or Schober's testing obesity family history of degenerative disc disease poor musculotendinous flexibility and abnormal posture stress and psychiatric comorbidities increasing age, up to 60-65 years female sex heavy physical and occupational activities tobacco use Diagnostic investigations clinical diagnosis lumbar spine x-ray lumbar (...) ://annals.org/article.aspx?articleid=736814 http://www.ncbi.nlm.nih.gov/pubmed/17909209?tool=bestpractice.com History and exam obesity, stress, and psychiatric comorbidities history of prior lower back pain history of prior treatment pain radiation does not extend beyond the knee absence of red-flag symptoms absence of fever, fluctuance, exquisite tenderness to palpation sensory, motor, and deep-tendon reflex examinations within normal limits negative straight- or crossed straight-leg raise test dull

2018 BMJ Best Practice

7. AIM Clinical Appropriateness Guidelines for Sacroiliac Joint Fusion

are pregnant or those with connective tissue disorder) ? Gaenslen’s test o Other sources of pain have been excluded as an etiology ? Diagnostic imaging studies that include all of the following: o Imaging (plain radiographs and a CT) or MRI of the SI joint that excludes the presence of destructive lesions (eg, tumor, infection) or inflammatory arthropathy that would not properly be addressed by percutaneous SI joint fusion o Imaging of pelvis (AP plain radiograph) to rule out concomitant hip pathology o (...) to perform at least two (2) age-appropriate daily activities. Tobacco Cessation – Adherence to a tobacco-cessation program resulting in abstinence from tobacco for at least six (6) weeks prior to surgery is recommended. Documentation of nicotine-free status by laboratory testing (e.g., cotinine level or carboxyhemoglobin) is recommended. After six (6) weeks of tobacco cessation, labs should be performed with ample time afforded to submit this confirmation and complete the prior authorization process

2019 AIM Specialty Health

8. AIM Clinical Appropriateness Guidelines for Interventional Pain Management

., lumbar spine, greater trochanter, hip, coccyx) ? At least one of the following provocative tests is positive: pelvic distraction test, lateral iliac compression test, sacral compression/thrust test, thigh thrust test, FABER (Patrick’s test), and Gaenslen’s test. ? There is no evidence of acute or subacute radicular pain/radiculopathy or neurogenic claudication. If there is evidence of radicular pain/radiculopathy or neurogenic claudication the condition must be fixed and stable and have been (...) phentolamine (Regitine) as a diagnostic test for CRPS ? Intravenous regional sympathetic block utilizing guanethidine ? Intrapleural analgesia for treatment of CRPS Selected References 1. Harden RN, Oaklander AL, Burton AW, Perez RS, Richardson K, Swan M, Barthel J, Costa B, Graciosa JR, Bruehl S; Reflex Sympathetic Dystrophy Syndrome Association. Complex regional pain syndrome: practical diagnostic and treatment guidelines, 4th edition. Pain Med. 2013 Feb;14(2):180-229. doi: 10.1111/pme.12033. Epub 2013

2019 AIM Specialty Health

9. Exam Series: Guide to the Back Exam

nerve root irritation. Sacroiliac Joint Pain : Position the patient in a supine figure-of-four position – Flex, Abduct, and Externally Rotate one hip – placing the foot on the opposite knee. Push down on the outstretched knee while stabilizing the opposite pelvis. Pain and decreased movement of the test leg suggests sacroiliac joint pain. Gaenslen’s: Allow the patient to hang one leg off of the bed while lying supine, then instruct them to bring the other knee to their chest. Pain in the buttock (...) and CVA tenderness may indicate renal pathology. Inspection : Examine the patient’s posture. Asymmetry in the shoulder height may indicate scoliosis, which becomes more pronounced during the Adam’s Forward Bend test where the patient bends forward at the hips with straight legs. A lateral view of the back reveals the four natural curves of the spine – cervical lordosis, thoracic kyphosis, lumbar lordosis, and coccygeal kyphosis. Examine the paraspinal muscles for swelling, atrophy, erythema, or other

2018 CandiEM

10. AIM Clinical Appropriateness Guidelines for Interventional Pain Management

shows localized tenderness with palpation over the sacral sulcus just inferior to the posterior superior iliac spine (PSIS) in the absence of tenderness of equal severity elsewhere (e.g., lumbar spine, greater trochanter, hip, coccyx) ? At least one of the following provocative tests is positive: pelvic distraction test, lateral iliac compression test, sacral compression/thrust test, thigh thrust test, FABER (Patrick’s test), and Gaenslen’s test. ? There is no evidence of acute or subacute radicular (...) , then additional blocks are not warranted. ? If there is sustained benefit after the first three (3) sympathetic blocks then up to three (3) additional blocks may be performed. Exclusions Indications other than those addressed in this guideline are considered not medically necessary, including but not limited to the following: ? Use of intravenous phentolamine (Regitine) as a diagnostic test for CRPS ? Intravenous regional sympathetic block utilizing guanethidine ? Intrapleural analgesia for treatment of CRPS

2017 AIM Specialty Health

11. Lateral Branch Cooled Radiofrequency Denervation vs. Conservative Therapy for Sacroiliac Joint Pain

Volunteers: No Criteria Inclusion Criteria: Age greater than or equal to 21 years. Able to understand the informed consent, and able to complete outcome measures. Sacroiliac joint (SIJ) pain that is refractory to standard of care treatments such as non-steroidal anti-inflammatory drugs (NSAIDS), physical therapy, etc. At least one positive SIJ pain provocation test (Distraction, Gaenslen's, FABER, Sacral Sulcus tenderness, thigh thrust, compression or sacral thrust). Back pain is predominantly below

2018 Clinical Trials

12. Sacroiliac Joint Fusion Versus Sham Operation for Treatment of Sacroiliac Joint Pain

Frame: baseline, 3, 6,12, 24 months ] Change in active straight leg raise test(ASLR) of the sacroiliac joint which is an objective clinical test. Results are recorded on a grad 0 to 5, where not difficult at all = 0; minimally difficult = 1; somewhat difficult = 2; fairly difficult = 3; very difficult = 4; unable to do = 5. Change in Gaenslens test [ Time Frame: baseline, 3, 6,12, 24 months ] Change in Gaenslens test which is an objective clinical tests for the sacroiliac joint. Outcome is recorded (...) and CT of the sacroiliac joint. Other Outcome Measures: Adverse events [ Time Frame: 3,6,12,24 months ] registration of any adverse events after procedure completed Change in Compression test of the sacroiliac joint [ Time Frame: baseline, 3, 6,12, 24 months ] Change in compression test of the sacroiliac joint which is an objective clinical test. Outcome is negative or positive test dependent on whether pain is provoked or not in the sacroiliac joint. Change in Posterior Pelvic Pain Provocation (P4

2018 Clinical Trials

13. Effect of repeated application of rigid tape on pain and mobility deficits associated with sacroiliac joint dysfunction. (PubMed)

and Gaenslen pain provocation tests were used to test pain. Variables were assessed before (PRE) and after (POST) two weeks.No group differences were observed for any variable PRE. Pain intensity and innominate rotation (p< 0.05) and number of positive mobility and pain provocation tests (p< 0.05) decreased from PRE versus POST in the experimental group. No differences were observed in the control group.Two weeks of rigid tape for anterior innominate correction successfully reduced symptoms related to SIJD. (...) with anterior innominate SIJD.Two groups (n= 37; experimental and control) diagnosed with SIJD participated in a randomized, controlled trial. Tape was applied for 2 weeks in the experimental group, whereas the control group received no treatment. 2 × 2 (group × time) GLM-MANOVA assessed effects of tape on pain; innominate rotation; and hip rotation range of motion. Chi-square and McNemar tests assessed the effect of tape on Gillet and Sitting forward flexion mobility tests; the Patrick, Posterior shear

2018 Journal of back and musculoskeletal rehabilitation

14. An Update of Comprehensive Evidence-Based Guidelines for Interventional Techniques in Chronic Spinal Pain - Part 2 - Guidance and Recommendations

in treatment modali- ties is the inherent difficulty in obtaining an accurate diagnosis. In the search of a diagnosis, an inaccurate or incorrect diagnosis, may lead not only to expen- sive diagnostic ventures, but to treatment failures resulting in wasted health care dollars, and diver- sion of essential health care resources. Fundamental to proper treatment is an accurate diagnosis which is based on the reliability of the test used to make the diagnosis. There are no universally accepted gold standards (...) that structure is anesthetized, and repeat- ing the diagnostic block can increase the diagnostic accuracy by testing for consistency of response and for the effect of different aesthetic agents. For a diagnostic block to have face validity it must be shown that the block actually does what it is supposed to do in an anatomical and a physiologi- cal sense (383,384). If a particular structure is said to be the target, it must be shown that the structure is anesthetized and either does or does not produce

2013 American Society of Interventional Pain Physicians

15. Diagnosis and pharmacological management of Parkinson’s disease

confirmation 9 4.2 Who should make the diagnosis? 11 4.3 Diagnostic tools 11 4.4 Diagnosing depression in patients with Parkinson’s disease 15 4.5 Genetic testing 16 5 Pharmacological management 17 5.1 Drug efficacy in early disease 17 5.2 Impact of age on drug efficacy 21 5.3 Impact of comorbidities on drug efficacy 22 5.4 Triggers for initiating adjunctive therapy 22 5.5 Pharmacological management of motor complications 22 5.6 Management of daytime sleepiness 25 5.7 Oral supplements 26 5.8 Treatments (...) team, which comprises several different professionals and services. This guideline provides recommendations based on current evidence for best practice in the diagnosis and pharmacological management of PD. It includes comparisons of the accuracy of diagnoses carried out by different healthcare professionals, and the value of different diagnostic tests for differentiating PD from other associated conditions. It includes a comprehensive assessment of pharmacological management of motor and non-motor

2010 SIGN

16. SI Joint Fusion and Decortication Using the SImmetry System

and candidates for SIJ fusion. Criteria Inclusion Criteria: Subjects must be indicated for the SImmetry device according to the approved SImmetry labeling Subject has two (2) positive (experiences pain) Provocative Tests for SIJ pain; for example, Compression, Thigh Thrust, FABER, Distraction or Gaenslen's Subject has documentation of failed, non-operative management of SIJ pain for ≥ 6 months prior to surgery; for example, use of medications, braces, SI belts, orthotics, physical therapy or manual

2015 Clinical Trials

17. Effectiveness of Lumbopelvic Stabilization Exercises for Pregnancy-related Low Back Pain

to L5-S1 in the buttocks) and/or symphysis pubis Pain onset during pregnancy or within 3 weeks of delivery Most recent delivery within 6-24 weeks At least 2/6 positive SIJ provocation tests (thigh thrust, sacral compression, sacral distraction, sacral thrust, Gaenslen's test) Positive active straight leg raise (ASLR) test. Exclusion Criteria: Neurological signs Systemic disease Currently pregnant Contacts and Locations Go to Information from the National Library of Medicine To learn more about

2015 Clinical Trials

18. Effects of double air-cushion biofeedback exercises in a patient with sacroiliac joint pain (PubMed)

-cushion biofeedback device, the subject was assessed using the Gaenslen, Patrick, posterior shear (POSH), and resisted abduction (REAB) tests. [Results] After performing exercise designed to strengthen subdivisions of the gluteus medius, the subject had no pain in the Gaenslen, Patrick, POSH, or REAB tests of the SI joint. The visual analog scale (VAS) score for pain on palpation of the left posterior iliac crest area decreased to 4/10 from an initial score of 7/10. [Conclusion] Exercises

Full Text available with Trip Pro

2015 Journal of physical therapy science

19. Spinal Manipulation and Dry Needling Versus Conventional Physical Therapy in Patients With Sacroiliac Dysfunction

subjects). Pain does NOT centralize with repeated movements or sustained postures A minimum of 3 positive pain provocation tests using either the Laslett et al. (2003, 2005) or van der Wurff et al (2006) multi-test regiments: 3 or more of the following 6 pain provocation tests (Laslett et al, 2003, 2005): Posterior thigh thrust Gaenslen's test (right) Gaenslen's test (left) ASIS distraction ASIS compression Sacral compression A minimum pain rating of 2/10 using the NPRS (Numeric Pain Rating Scale 0

2015 Clinical Trials

20. A modified Delphi survey on the signs and symptoms of low back pain: indicators for an interventional management approach. (PubMed)

: Approximation; gapping; Patrick's; Gaenslen's; thigh thrust; Fortin finger; and Gillet's tests. For discogenic pain, midline pain that may be provoked by pressure on the spinal processes at the affected level; for quadratus lumborum muscle, painful palpation on both the L1 level paravertebral region, referred to iliac crest, and the iliac crest, referred to greater trochanter. For iliopsoas muscle, pain elicited by thigh flexion, referred to buttock, inguinal region, and anterior thigh. For pyramidal muscle (...) with a questionnaire on 78 evidence-based indicators of 7 LBP etiologies was completed by 23 experts.98.7% of the questionnaire was consensuated. The most accepted indicators were for zygapophysial joint pain, painful ipsilateral paravertebral palpation, worsening with trunk extension, paravertebral musculature spasm on the affected articulation, and referred pain above the knee, without radicular pattern. For sacroiliac joint pain, unilateral pain when seating, with at least 3 described provoking tests

2015 Pain Practice

To help you find the content you need quickly, you can filter your results via the categories on the right-hand side >>>>