SIJ Exam

Question 1

serious origins of SI pain

Answer 1

infection
fracture
neoplasms
inflammatory conditions

Question 2

what is most common complaint with SI pain?

Answer 2

TTP over PSIS (Fortin Finger)

Question 3

what movements are painful for SI dysfunction?

Answer 3

transitional mvmts
SLS
end range active SLR
prolonged sitting or standing

Question 4

what 3 criteria rule in SIJ dysfunction?

Answer 4

no sx below knee
no neuro S&S
Fortin Finger

Question 5

presence of _____ in SIJ dysfunction can decrease outcome and increase complexity

Answer 5

yellow flag

Question 6

SIJ exam is ALWAYS performed in addition to

Answer 6

L spine OR hip exam

Question 7

T/F: need a battery of tests to rule in SIJ dysfunction rather than only 1

Answer 7

T!!

Question 8

which special test is statistically the best for ruling in SIJ dysfunction; reliable between and within testers?

Answer 8

provocation/stress tests

Question 9

what are the provocation tests for SIJ? (THEY MUST ALL BE DONE)

Answer 9

Faber
distraction
thigh thrust
compression
sacral thrust
Gaenslen’s test

Question 10

what are the positional tests for SIJ?

Answer 10

iliac crest heights
ASIS heights
PSIS heights
ischial tuberosity heights

Question 11

what are the mobility tests for SIJ?

Answer 11

standing flexion test
seated flexion test
Stork/Gillet/Marching
supine to long sit

Question 12

which motion is painful in SIJ arthritis?

Answer 12

L extension

Question 13

form closure of pelvic girdle

Answer 13

PASSIVE stability

Question 14

force closure of pelvic girdle

Answer 14

ACTIVE stability

Question 15

what is form closure provided by?

Answer 15

• high friction coefficient b/t articular surfaces
• wedge-shaped sacrum
• integrity of ligamentous support

Question 16

lack of passive and/or active stabilization leads to

Answer 16

abnormal movement pattern

Question 17

treatment for form closure pelvic girdle instability

Answer 17

SIJ compression belt

Question 18

treatment for force closure pelvic girdle instability

Answer 18

core stabilization exercises

Question 19

in what order is stability, pain, and mobility treated?

Answer 19

pain
mobility
stability

Question 20

T/F: L spine and/or hip dysfunction should be treated 1st before SIJ

Answer 20

T

Question 21

T/F: if the pelvis breaks in 1 spot, there will be another fracture elsewhere

Answer 21

T!!!

Question 22

which imaging is the best for detecting SIJ changes?

Answer 22

MRI

Question 23

what is prolotherapy?

Answer 23

injection of dextrose solution into SIJ space

Question 24

what is platelet-rich plasma (PRP)?

Answer 24

injection of autologous biological blood-derived product

Question 25

what is the last resort treatment for SIJ?

Answer 25

SIJ fusion
only selected for pts with chronic, unresolved symptoms

Question 26

____ + SIJ pain are common, especially with pregnancy or trauma

Answer 26

LBP