SIJ Exam Flashcards
serious origins of SI pain
infection
fracture
neoplasms
inflammatory conditions
what is most common complaint with SI pain?
TTP over PSIS (Fortin Finger)
what movements are painful for SI dysfunction?
transitional mvmts
SLS
end range active SLR
prolonged sitting or standing
what 3 criteria rule in SIJ dysfunction?
no sx below knee
no neuro S&S
Fortin Finger
presence of _____ in SIJ dysfunction can decrease outcome and increase complexity
yellow flag
SIJ exam is ALWAYS performed in addition to
L spine OR hip exam
T/F: need a battery of tests to rule in SIJ dysfunction rather than only 1
T!!
which special test is statistically the best for ruling in SIJ dysfunction; reliable between and within testers?
provocation/stress tests
what are the provocation tests for SIJ? (THEY MUST ALL BE DONE)
Faber
distraction
thigh thrust
compression
sacral thrust
Gaenslen’s test
what are the positional tests for SIJ?
iliac crest heights
ASIS heights
PSIS heights
ischial tuberosity heights
what are the mobility tests for SIJ?
standing flexion test
seated flexion test
Stork/Gillet/Marching
supine to long sit
which motion is painful in SIJ arthritis?
L extension
form closure of pelvic girdle
PASSIVE stability
force closure of pelvic girdle
ACTIVE stability
what is form closure provided by?
- high friction coefficient b/t articular surfaces
- wedge-shaped sacrum
- integrity of ligamentous support
lack of passive and/or active stabilization leads to
abnormal movement pattern
treatment for form closure pelvic girdle instability
SIJ compression belt
treatment for force closure pelvic girdle instability
core stabilization exercises
in what order is stability, pain, and mobility treated?
pain
mobility
stability
T/F: L spine and/or hip dysfunction should be treated 1st before SIJ
T
T/F: if the pelvis breaks in 1 spot, there will be another fracture elsewhere
T!!!
which imaging is the best for detecting SIJ changes?
MRI
what is prolotherapy?
injection of dextrose solution into SIJ space
what is platelet-rich plasma (PRP)?
injection of autologous biological blood-derived product
what is the last resort treatment for SIJ?
SIJ fusion
only selected for pts with chronic, unresolved symptoms
____ + SIJ pain are common, especially with pregnancy or trauma
LBP
