SIJ Functional/Special Tests Flashcards
SIJ Provocation/Stress Tests
-statistically the best
-reproduce pain
-FABER
-Distraction
-Compression
-Thigh Thrust
-Sacral Thrust
-Gaenslen’s Test
SIJ Alignment/Positional Tests
-Questionable reliabiliy/validity
-Iliac Crest Height
-ASIS Height
-PSIS Height
-Isch Tub Height
Mobility/Functional Tests
-questionable reliability/validity
-More movement=Hypomobile segment
-Standing Flexion Test
-Seated Flexion Test
-Stork Gilet Marching
-Supine to Long Sit Test
Form/Force Closure Tests
Active SLR Test
Evaluation Order of SIJ Dysfunction
- Do Hip and/or Lumbar Exam
- Confirm Presence of SIJ dysfunction with Provocation
- Determine side of Hypomobiltiy (mobility/functional tests)
- Determine Pathology
- Determine if Form or Force are a component
- Select Intervention (treat lumbar or hip dysfunction first, then SIJ hypomobility first)
Fortin’s Sign
-pain localized with one finger over PSIS
->2 times
Primary SI Gapping (Distraction) Test
-provocation tests
-anterior SI joint stress test
-push on ASISs
(+) Reproduction of s/s
Primary SI Compression Test
-provocation tests
-in sidelying press down on hip
-painful side up
(+) Reproduction of s/s
Sacral Thrust Test (PA Glide)
-provocation tests
-Palapate sacrum
-apply force downward over S3
-repeat multiple times (<6)
(+) Reproduction of pt pain over SIJ or posterior ligs
Gaenslen’s Test
-provocation tests
-Thomas Test position, testing leg down
-flex non-testing leg and assess s/s
-PT presses top leg into flx and bottom into ext
(+) reproduction of pt pain at SIJ or pubic symphysis
FABER Test
-provocation tests
-pt supine, PT on ipsi side of leg
-hip in flx, ER, abduction
-press into contra ASIS and knee
(+) reproduction of pt pain at posterior pelvis or butt
Thigh Thrust Test
-provocation tests
-PT on contra side of testing leg
-PT hand under sacrum
-Pt hip flx and adducted
-PT pushes hip past sacrum
(+) reproduction of pt pain at SIJ
(+) SIJ Dysfunction CPR
- Compression
- Distraction
- Sacral Thrust*
- Gaeslen Test
- Thigh Thrust
3 or more/5 (+) = dysfunction
(-) SIJ Dysfunction CPR
- Compression
- Distraction
- FABER*
- Gaeslen Test
- Thigh Thrust
3 or less /5 (+) = no dysfunction
Pubic Stress Test for Anterior Pain
-provocation tests
-PT uses heel of hand 1 superior aspect of pubic ramiu and 1 hand at inferior
-slow downward opposite pressure
-switch sides
(+) reproduction of pain over pubic symphysis or anterior pelvis