{"id":12965,"date":"2022-11-17T16:32:01","date_gmt":"2022-11-17T15:32:01","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=12965"},"modified":"2022-11-17T16:32:01","modified_gmt":"2022-11-17T15:32:01","slug":"puranen-orava-test","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/puranen-orava-test\/","title":{"rendered":"Puranen-Orava Test"},"featured_media":12967,"template":"","class_list":["post-12965","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12967,"background_image_alt_text":"Puranen-Orava Test"},"heading":"Puranen-Orava Test | Proximal Hamstring Tendinopathy","subheading":"Hip Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Puranen-Orava Test | Proximal Hamstring Tendinopathy<\/h2>\nThe clinical assessment of chronic proximal hamstring tendinopathy in athletes is a challenge to sports medicine.\n\nFor this reason, Cacchio et al. (2012)<\/a> evaluated the reliability and validity of the Puranen-Orava test to diagnose proximal hamstring tendinopathy in athletes with the presence of symptoms for at least 6 months. They compared their findings to the clinical diagnosis of an expert physician confirmed by means of MRI and found both a high intra- and inter-rater reliability above 0.8 and moderate accuracy with a sensitivity of 76% and a specificity of 82%.\nDue to these values and the fact that this is the first and only study evaluating this test, we give it a moderate clinical value in practice.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=nIZ1NTQHEHw[\/embed]\n\n<\/div>\nTo perform the test, the patient is asked to actively stretch the hamstring muscles in standing position with the hip flexed at about 90 degrees, the knee fully extended and the foot supported on the treatment bench.\n\nThis test is rated positive if the patient\u2019s familiar symptoms are exacerbated\n\n[cta]\n\nOther\u00a0 orthopedic tests that assess for proximal hamstring tendinopathy are:\n