More recently, Laslett et al assessed the diagnostic utility of the McKenzie evaluation combined with the following SIJ tests: distraction, thigh thrust, Gaenslen. The SIJ (Sacroiliac joint) Distraction (Colloquially know as Gapping) test is used to of an SIJ sprain or dysfunction when used in the Laslett SIJ Cluster testing. (Laslett et al., ). Conceptually, it seems reasonable to propose that stress testing of the SIJ should provoke pain of SIJ origin. However, clinical stress tests .

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Assessing the Sacroiliac Joint: The Best Tests for SI Joint Pain – Mike Reinold

Pain response to sagittal end range spinal motion: Conversely, as the value of the negative likelihood ratio increases towards 1. The value of history and physical examination in diagnosing sacroiliac joint pain.

Non-invasive clinical testing for SIJ pain rests on pain provocation tests that stress the SIJ structures and provoke the usual or familiar pain of which the patient complains. The evidence in favor of these interventions is limited Hutchinson Medical Publishing Ltd; Any 2 of 4 selected tests distraction, thigh thrust, compression, and sacral thrust have the best predictive power. Study tests inter-rater reliability of multiple tests but still unclear Independent blind comparisons with Gold standard Unclear from abstract Test characteristics Unclear from abstract Reproducibility Some description of methods and analysis in abstract but not reproducible.


A vertically directed force is applied to the midline of the sacrum at the apex of the curve of the sacrum, directed anteriorly, producing a posterior shearing force at the SIJs with the sacrum nutated.

Your email address will not be published. Arch Phys Med Rehabil. This further supports the notion that three or more pain provocation tests can be used lasett a clinical prediction tool for SIJ pain. It seems like performing a series of provactive SI joint tests is better than one true test in isolation, though I would specifically emphasize the thigh thrust test.

Are multiple injections more beneficial?

Those tests were chosen due to its acceptable inter-rater reliability. Studies also differ in the application of the reference standard of the nerve blocks. Those who regard structural and biomechanical aspects of the SIJ and spine as the key determinants in the problem of back pain.

Diagnosis of sacroiliac joint pain: National Center for Biotechnology InformationU. An alternate method of radiofrequency neurotomy of the sacroiliac joint: Little, Brown and Company; The problem is that there is no widely accepted reference standard for SIJ dysfunction.

Sacroiliac Distraction Test – Physiopedia

The full article is well worth the read. Thank you for your thoughtful reply. Laslett et al report that the accuracy of detecting SI joint dysfunction is increased with at least 3 of the 5 tests are positive.


How many adjustments will make the bone bump on SI joint going away? In addition, fruitful directions for future research laslert discussed in some detail.

Kris, Thank you for your thoughtful reply.

Sacroiliac Distraction Test

Positive sacroiliac screening tests in asymptomatic adults. Development of clinical prediction rules. These researchers found that the sensitivity and specificity of the Gillet, standing flexion, and motion demand spring tests were poor. He was a type of guy who was hesitant to agree initially but wound up getting much better through conservative laseltt. With these factors in mind finding a method which is both cost-effective and has strong enough predictive values to accurately diagnose pathologies, thereby avoiding unnecessary cost and invasive procedures, and aiding in the correct treatment of patients.

Sacroiliac Joint Special Test Cluster

Leave a Reply Want to join the discussion? Am J Phys Anthropol. Reproduction of buttock pain. My SIJ pain has taken away my ability to sit, stand and walk.

Principles of Manual Medicine.