[스크랩] 패트릭 테스트

[체형연구소장]

Patrick's Test

Patrick's test is performed by a health care provider to eval‎uate people who have low back pain for sacroiliitis. The knee is flexed to ninety degrees on the affected side and the foot is rested on the unaffected knee. Holding the pelvis firm against the examination table, the affected knee is pushed towards the examination table, a maneuver which provides external rotation of the leg at the hip joint. If pain results, this is considered a positive Patrick's test and sacroiliitis is more likely. However, Patrick's test does not prove that sacroiliitis is causing the back pain, just increases the likelihood.

This test is often performed alongside Gaenslen's test.

1. Background: FABER Mnemonic
   1. Flexion
   2. ABduction
   3. External Rotation
2. Indications: Eval‎uation for Sacroiliac joint disease
   1. Sacroiliitis in Ankylosing Spondylitis
3. Technique: External Hip Rotation
   1. Patient lies supine
      1. Knee on affected side flexed to 90 degrees
      2. Foot on affected side rests on opposite knee
   2. Examiner places one hand on opposite iliac crest
      1. Stabilizes pelvis against table
   3. Examiner places one hand on knee of affected side
   4. Examiner externally rotates hip on affected side
      1. Knee pushed laterally and down
4. Interpretation: Positive Test (Patrick's Sign)
   1. Pain on external hip rotation suggests sacroiliitis