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Cluster of van der Wurff: SIJ Provocation The Cluster of van der Wurff is an almost equal alternative to the Cluster of Laslett that we presented yesterday. What is the difference then? The cluster of van der Wurff has a slightly lower sensitivity of 85% and a slightly better specificity of 79% for 3 out of 5 positive tests. However, the authors were slightly less strict in the application of the gold standard in which they considered a reduction of 50% of pain after a double nerve block confirm
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DETERMINING THE SI JOINT AS SOURCE OF PAIN: CLUSTER OF VAN DER WURFF In order to determine if you patients's pain is coming from the SIJ you can perform the cluster of van der Wurff. With 3 or more out of 5 positive tests, the SIJ is probably the origin of pain (Sn: 85%, Sp: 79%) and vice versa (less than 3 positive tests --> SIJ pain less probable). So 3 or more positive tests results in a LR of 4.05, while 2 or less positive tests result in a LR- of 0.19. #SIJprovocation #SIJ | Physiotutors
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