Sacroiliac Special Test Flashcards
Gillet’s Sacral test
(Sacral fixation Test)
Assess for hypomobility or blockage of sacroiliac joint
-client standing, therapist one thumb on inferior PSIS and the other thumb parallel on sacrum, lient to bring knee towards chest, PSIS is plpated for inferior movement. Superior movement of PSIS is positive
Tredelenberg’s Sign
Strength of glute med
Observe height of PSIS and iliac crest, instruct to stand on affected leg, observe the non weight bearing. Positive if stays level or drops for GM weakness
Modified Thomas test
Assess for Illiopsoas hypertonicity
-client seated at the edge of table thigh at the chest at 45degree off the table bring knee to the chest therapist support to roll back to the table
Piriformis test or Fair test
Assess for piriformis Syndrome
-side lying with affected side up, close to the table
Bring hip atleast on 60degree flexion then into full adduction with knee flexed. Pariating pain in gluteal region down posterior leg is positive
Pace Abduction Test
Assess Piriformis Syndrome- seated with the hips partially abducted each hand on lateral knees push knees apart against resistance
Supine to Sit test
Assess for functional leg length discrepancy
Leg length measurement Test
Assess for: evaluates the measurement of the femur and tibia for leg length differences- supine measure from inferior lip of the ASIS to the underside of the lateral of medial malleolus
Lateral pelvic tilt test
Assess for: evaluates lateral pelvic tilt -client stands barefoot. Therapist kneels down place finds highest point of iliac crest each side evaluates the the height of each.
Squish Test
Assess for Posterior ligaments of SI jt.
-hand on lateral side of ASIS apply pressure from lateral to medial then posteriorly towards SI jt at 45degree angle
Gapping Test
Assess for SI joint dysfunction-
Flat aspect of palm over the ASIS cross arms apply moderate pressure to each ASIS in a posterior and lateral direction down and out
Gaenslen’s Test
Assess for Joint irritation-
Sidelying on unaffected side close to the table into full flexion close to chest. Therapist stabilize pelvis and other hand to bring other leg into full hyperextension
FABER’s Test
(Flexion, ABduction and external rotation)
Assess for SI Joint Pathology:hip joint capsule pathology ang illiopsoas spasm
Hips on the affected side is placed into flexion, abduction and external rotation with knee flexed and foot resting to the opposite distal thigh, one hand on the medial knee and other hand on opposite side of ASIS and appky slight pressure
Anterior and Posterior Innominate rotation test
Assess for: evaluate the degree of anterior or posterior innominate rotation
Client barefoot, therapist places one finger on clients PSIS and other finger on ASIS. Evaluate the levels.
Hip Scour test
Assess for hip pathology
Positive sign and how to test hip scour test
Passively bring hip in flexion and adduction, knee to opposite shoulder until resistance is met, move into abduction, maintaining hip flexion and slight resistance, the test impinges femoral neck. Positive is pain, irregular movement and or apprehension
