Piriformis Test

[MrDiggity1986]

If youre testing if the piriformis is the source of any kind of pain, why not just apply pressure in the direction of adduction, with the patient in a supine position. If you want to rule out hip pain, try a compression test on the sacrum in the anterior direction with the patient in prone position, or a separation of the pubic symphysis with the patient in supine.

Or just do a FABER test.

either way i agree with cdawng, step up your game.

[00Papyrus]

dude u sure thats a not a girl? I"m not quite sure...them soft purdy boy hands...and a purgy mouth...mmmmmmmmm

[cdawng]

All you have to do is resist its actions at the angles where it becomes an abductor, or resist external rotation with the hip flexed to around 25-30 degrees, or you can have the person in the supine position, position their non test leg crossed over their test leg and stabilize on the non tests legs pelvic area and adduct the test leg and you will get the same results if not even better results then the test that these girls are performing. Y'all students in this video need to step ur game up

[cdawng]

This is just a basic test, which I think is not the best test for the piriformis test. It is simply obvious that these students are just reading out of an orthopedic text book without any knowledge of how the piriformis muscle works or how to isolate the muscle. All you have to do is think of the muscles actions which is external rotation of the hip joint, and abduction of the hip joint when the hip joint is flexed to around 90 degrees, as well as some slight internal rotation.

[mosaicmatt]

@cdawng a couple of things/questions: I thought that piriformis changed its actions as the hip was flexed to 90 degrees, i.e when from a later rotator to a medial rotator. Also, with this test, isn't it more that it's supposed to duplicate sciatic-like pain, not so much just lateral hip pain?

[cdawng]

@mosaicmatt its more for sciatic pain, you can use the FABER test to determine lateral hip pain as well, and when the the hip is flexed the piriformis abducts the thigh. This test is used to rule out sciatic nerve dysfunction, in this video the hip is flexed to 60 degrees.

[DarkMetalize]

DOR NA ROTAÇÃO EXTERNA RESISTIDA??

DOR AO ALONGAMENTO PASSIVO DOS ROTADORES EXTERNOS???

SE HOUVER DOR SINAL POSITIVO!

[CDavisukta]

This is for Glute Mini + Medius right?

[mjbrown214]

Even if you could isolate the Piriformis muscle with this test, it still begs the question, "What is causing the Piriformis problem in the first place? Is their structural distortion at the lumbar spine, S-I joints, pelvis, disc, or hip? If so, what is the most effective way to improve the source of the problem.  Stretching does not fix a more complex source of mechanical or structural distortion.

[jmm121884]

I'm not so sure about this test. How can it single out the piriformis? you have so many muscles attaching at the nearly the same place being stretched (obturator internus/externus, sup/inferior gemellus, etc.

[hockeykid33]

isn't this also called Ober's test for tightness of IT Band and tensor fascia lata?

[jmm121884]

yep

[CDavisukta]

To test the IT Band you do it with a straight leg.

[massagetherapyrules]

@hockeykid33 the way i learned Obers was: client sidelying-unaffected side, flex hip, knee, Therapist stands behind client for support and to stabalize, then bring leg into hyperflexion(knee point to chest), then hyperabduct femur and slowly bring leg into extension. This test here is applying a stretch in the direction that the fibers of piriformis goes.