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    Sacroiliac Joint SPECIAL TESTS

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    Sacroiliac Joint SPECIAL TESTS

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    b02278770
    1 views13 pages

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    Download as pptx, pdf, or txt
    1 views13 pages

    Sacroiliac Joint SPECIAL TESTS

    Uploaded by

    b02278770

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
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    Delta university, Faculty of physical therapy

    Orthopedic Department
    SACROILIAC JOINT SPECIAL
    TESTS
    1- The posterior pelvic pain provocation test (P4
    test)

    Patient starting position


     Supine, hip at 90° flexion, knee flexed.
    Therapist starting position
     Standing on the side to be tested, holding on to the patient’s knee,
    stabilizing through the contralateral innominate by pressing down on the
    anterior superior iliac spine or stabilizing the sacrum posteriorly with the
    other hand.
    Application of forces
     A posterior force is applied through the femur. This test is interpreted as
    being positive when pain is provoked in the SIJ area on the ipsilateral side.
    2- Distraction test (anterior distraction and
    posterior compression test)

    Patient starting position


     Supine, a small pillow under the knees to keep the lumbar spine more
    neutral.
    Therapist starting position
     Standing at the level of the patient’s thighs, facing the patient’s head; heel
    of the hands on the medial aspect of the ASIS with hands crossed, forearms
    parallel.
    Application of forces
     A slow, steady, posterolateral force is applied through the ASIS thus
    distracting the anterior part of the SIJ and compressing the posterior part.
     The force should be maintained as the patient is asked about reproduction
    and localization of pain.
     It is important to apply enough force gradually during this test.
    3- Compression test (anterior compression and
    posterior distraction)

    Patient starting position


     Sidelying, hips and knees flexed.
    Therapist starting position
     Standing behind the patient at the level of the patient’s pelvis, both hands
    over the anterolateral iliac crest.
    Application of forces
     A slow, steady, medial force is applied through the innominate thus
    compressing the anterior part of the SIJ and distracting the posterior part.
     The force should be maintained as the patient is asked about reproduction
    and localization of pain.
     The test should be done on both sides. It is also important to apply
    enough force when doing this test.
     Variations: this test can also be done in supine as per the distraction test.
     The therapist places her hands on the lateral aspect of both iliac crests
    and a medial force is applied to both innominates.
    4- Gaenslen’s test

    Patient starting position


     Supine, near the edge of the bed, flexion of the hip and knee on the side
    to be tested.
    Therapist starting position
     Standing on the side where the hip is extended.
    Application of forces
     The patient’s hip is fully flexed onto their abdomen and held there by the
    patient as the therapist adds overpressure while the opposite thigh is
    slowly hyperextended by the examiner over the edge of the bed with
    overpressure over the knee.
     This test is positive when it reproduces pain on the tested side (the
    flexed side).
    5- Sacral thrust test

    Patient starting position


     prone.
    Therapist starting position
     Standing, both hands over the dorsal aspect of the sacrum.
    Application of forces
     A pure posteroanterior pressure is applied to the sacrum.
     The force should be maintained as the patient is asked about
    reproduction and localization of pain.

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