Sacroiliac Joint Examination Flashcards
1
Q
What are the four provocation tests done to predict SI joint diagnosis
A
- Distraction
- Thigh Thrust
- Compression
- Sacral Thrust
2
Q
Which SI joint provocation is this?
Pt in supine with hip flexed to 90 degrees and knees bent
PT applies posterior shearing force through the femur to the SI joint
A
Thigh Thrust
3
Q
Which SI joint provocation is this?
- AKA Transverse Anterior Stress or Gapping
- Pt in supine while examiner applies pressure to ASIS pushing down and out with arms
- Positive if unilateral gluteal or posterior leg pain
A
Distraction
4
Q
Which SI joint provocation is this?
- AKA Transverse Posterior Stress
- Pt in sidelying, PT’s hands placed over upper part of iliac crease, pressing towards floor
- Positive feeling of pressure in SI joint
- Indicates SI lesion or sprain of posterior SI ligament
A
Compression
5
Q
Which SI joint provocation is this?
- AKA Prone Springing or Sacral Apex Pressure
- Pt prone while PT places base of hand at apex of sacrum, applying downward pressure causing shear of scarum on ilium
- Positive test indicative of SI joint lesion
A
Sacral Thrust
6
Q
Which Dysfunction classification is this?
- pain increases with strain
- vague
- responds well to Rx
A
Hypo-mobile
7
Q
Which Dysfunction classification is this?
- pregnancy, athletes
- standing and walking increases pain
- little effect with mobilization
- rest, supports, exercises
A
Hyper-mobile
