Sacro-Iliac

Question 1

Anterior Innominate
aka advancement
aka mazion’s pelvic maneuver

Answer 1

standing
advance uninvolved leg and flex trunk
(rear leg is the AFFECTED side)

Question 2

Belt

aka supported adam’s

Answer 2

standing
flex trunk without/with support
(pain better = S-I, worse = lumbar)

Question 3

Goldthwait’s

Answer 3

supine
flex hip while palpating low back
(level of lesion: S-I - L/S - lumbars)

Question 4

Gaenslen’s

Answer 4

supine
knee to chest, involved side hip ext. off edge of table
(BEST S-I test)

Question 5

Lewin-Gaenslen’s

Answer 5

side-lying Gaenslen’s

stabilize pelvis and extend hip

Question 6

Iliac compression

Answer 6

side-lying

press down on S-I

Question 7

Hibb’s

Answer 7

prone

flex knee and INTERNALLY rotate hip

Question 8

Double Leg Raiser

Answer 8

supine
SLR one side, then the other… note what angle pain occurs
then raise both legs, again noting angle when pain occurs

Question 9

S-I resisted abduction

Answer 9

side-lying

abduct and extend affected leg, Dr exerts downward force

Question 10

Piedallu

aka seated flexion sign

Answer 10

seated

palpate PSIS, pt flexes, low side becomes high

Question 11

Erichsen’s

Answer 11

prone

squeeze S-I joint together bilaterally

Question 12

Squish

aka distraction, gapping

Answer 12

supine

hands on ASIS, facing feet, push downward at 45 degree angle

Question 13

Yeoman’s

Answer 13

prone

extend hip with S-I STABILIZATION

Question 14

Nachlas’

Answer 14

prone

bring heel to buttock with S-I STABILIZATION

Question 15

Ely’s Sign

Answer 15

prone
bring heel to buttock (no stabilization)
(+ buttock hunch)

Question 16

Ely’s Test

Answer 16

prone
bring heel to contralateral buttock (no stabilization)
(general LBP)