Active Piriformis Test
Other Names


- 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
- Martin et al[3]
- Sensitivity: 0.78
- Specificity of 0.80
See Also
References
- ↑ Martin, Hal D., and Juan Gómez-Hoyos. "Deep gluteal syndrome." Posterior Hip Disorders. Springer, Cham, 2019. 167-187.
- ↑ Uchida, Soshi, et al. "Postoperative deep gluteal syndrome after hip arthroscopic surgery." Orthopaedic Journal of Sports Medicine 8.9 (2020): 2325967120951118.
- ↑ 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
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Last edited:
27 October 2025 23:19:04
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