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Puranen Orava Test

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Other Names

  • Puranen-Orava Test
  • PO Test


Clinical demonstration of the Puranen Orava Test[1]
  • Evaluates Hamstrings as a cause of hip or thigh pain


  • Patient is standing
  • Leg is fully extended, hip is flexed to 90° and placed on the examination table
  • The patient is asked to reach out and touch their toes
  • Positive test:
    • Recreation of the patients pain



Proximal Hamstring Tendinopathy

  • Cacchio et al[2]
    • Sensitivity: 0.76
    • Specificity: 0.82
    • PPV: 0.81
    • NPV: 0.77
    • LR+: 4.2
    • LR-: 0.29

See Also


  1. Ahmad, Christopher S., et al. "Evaluation and management of hamstring injuries." The American journal of sports medicine 41.12 (2013): 2933-2947.
  2. Cacchio, Angelo, et al. "Reliability and validity of three pain provocation tests used for the diagnosis of chronic proximal hamstring tendinopathy." British journal of sports medicine 46.12 (2012): 883-887.
Created by:
John Kiel on 19 August 2020 16:16:44
Last edited:
15 May 2023 07:53:59