The Reverse Pivot Shift Test is used to assess the integrity of the PCL or posterior cruciate ligament of the knee.
How to Perform Reverse Pivot Shift Test
Position of Patient: The patient should be relaxed in a supine position with the hip and knee placed in 80-90 degrees of flexion.
Performance: The examiner will support the patient’s leg and rotate the tibia into external rotation rotation. Maintain this external rotation and apply a valgus force to the knee; posterior subluxation of the tibia may occur in this position if the patient’s PCL is compromised. The examiner continues the test by extending the knee, maintaining a valgus and external rotation force to the tibia.
How to Interpret Reverse Pivot Shift Test
Positive Finding: This test is considered positive if the tibia is subluxed posteriorly at the starting position when the knee is flexed but reduces back into place anteriorly while extending the knee through a small range, usually around 30 degrees of flexion. A ‘clunk’ may be felt by the examiner and the patient as the knee is moved into extension, however, this is usually very uncomfortable for the patient and may result in guarding or apprehension.
Test Accuracy / Reliability / Evidence:
Reverse Pivot Shift Test Sensitivity and Specificity
Sensitivity = 0.26
Specificity = 0.95
Research Source: [ Ссылка ] Rubenstein RA, Shelbourne KD, JR MC, CD VM, Rettig AC. The accuracy of the clinical examination in the setting of posterior cruciate ligament injuries. Am J Sports Med. 1994;22(4):550–557.
Gear I Use:
🎥 Canon 70D: [ Ссылка ]
💡 Neewer Lights: [ Ссылка ]
🎤 Rode NTG4+: [ Ссылка ]
🧰 Physical Therapy Tools I Use & Recommend: 🏋️♀️
✅ MedBridge Education for CEUs: [ Ссылка ]
💰 (Save $175 with Promo Code PTProgress)
💡Efficient Therapy Documentation Course ✏️ [ Ссылка ]
📝 Therapy Documentation Templates: [ Ссылка ]
😲 It’s how I save 30-60 minutes a day on documentation ⏰
📚 For PT Students 🎓
🙋🏽 PT School Interview Guide 🙋🏻♀️: [ Ссылка ]
😱Picmonic: [ Ссылка ]
💻 MedBridge Student: [ Ссылка ]
(promo code PTPstudent)
Interested in Becoming a PT? Get the Interview Guide:
📔NPTE Therapy Ed Guide: [ Ссылка ]
***Disclaimer***
The content found on this channel and any affiliated websites are not considered medical or financial advice. The information presented is for general education and entertainment purposes only. If you need medical attention, seek care from your physician or physical therapist. You agree to indemnify and hold harmless PTProgress, its employees, officers, and independent contractors for any and all injuries, losses, or damages resulting from any claims that arise from misuse of the content presented on this channel or associated websites. Some of the links above may be affiliate links, which help support the channel but does not cost you anything.
