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Active Piriformis Test

From WikiSM

Other Names

Demonstration of the active piriformis test[1]
Active piriformis test[2]
  • Active Piriformis Test (APT)
  • Modified Pace Test

Purpose

  • Evaluate the Piriformis muscle as a cause of hip or buttocks pain

Description

  • The patient is placed in the lateral decubitus position on the unaffected side
  • They actively flex and then abduct, externally rotate the hip against resistance
  • Positive test
    • Reproduces the patient's typical pain

Pathology


Evidence

Piriformis Syndrome

  • Martin et al[3]
    • Sensitivity: 0.78
    • Specificity of 0.80

See Also


References

  1. Martin, Hal D., and Juan Gómez-Hoyos. "Deep gluteal syndrome." Posterior Hip Disorders. Springer, Cham, 2019. 167-187.
  2. Uchida, Soshi, et al. "Postoperative deep gluteal syndrome after hip arthroscopic surgery." Orthopaedic Journal of Sports Medicine 8.9 (2020): 2325967120951118.
  3. Martin HD, Kivlan BR, Palmer IJ, Martin RL. Diagnostic accuracy of clinical tests for sciatic nerve entrapment in the gluteal region. Knee Surg Sports Traumatol Arthrosc. 2014;22(4):882‐888.
Created by:
John Kiel on 5 August 2020 22:54:48
Authors:
Last edited:
27 October 2025 23:19:04
Category: