Lumbar/Sacroliac Special Tests

Question 1

What are 6 Lumbar/Sacroiliac special tests?

Answer 1

1. Gapping test
2. Sacroiliac joint stress test
3. Sitting Flexion Test
4. Slump Test
5. Standing Flexion test
6. Straight Leg Raise Test

Question 2

What is the gapping test? (DISTRACTION TEST)

Answer 2

pt supine, therapist crosses arms and applies pressure in downward and lateral direction to each ASIS

DISTRACTION TEST/GAPPING TEST FOR ANTERIOR SI LIGAMENTS

Positve: pain in SI, gluteus or posterior leg. Indicates sprain of anterior SI ligaments

Question 3

What is the Sacroiliac Joint Stress Test?

Answer 3

Pt in supine. Therapist crosses their arms, placing palms of hands on pts ASIS.
-PT applies downward and lateral force to pelvis

Positve: unilateral pain in SI or gluteal area may indicate SI joint dysfunction

Question 4

What is the Sitting Flexion Test?

Answer 4

Pt in sitting with knees at 90 and feet on floor. Pt hips should be abducted to allow the patient to bend forward. The PT places his/her thumb on the inferior margin of the PSIS and monitors movement of bony structure as pt bends forward.

Positive: one PSIS moving farther in cranial direction indicating articular restriction

Question 5

What is the standing flexion test?

Answer 5

Pt standing with feet 12 inches apart
-PT places hands on inferior margin of PSIS and monitors as pt bends forward

Positive: one PSIS moving farther in cranial direction indicating an articular restriction

Question 6

What is the SLR?

Answer 6

PT flexes hip while maintaining knee extension and continues until pt complains of pain or tightness in low back or posterior leg. PT lowers leg until pt feels no pain or tightness, pt then dorsiflexes ankle

Positive: neural tension or lesion within spinal cord