SIJ Special Tests

Question 1

Gilett’s test - tests for what

Answer 1

Assessing posterior movement of ilium relative to sacrum

Question 2

Gillet’s test - how to perform

Answer 2

Pt standing
Place thumb of hand under PSIS of limb to be tested
Place other thumb at center of sacrum at same level
Ask pt to flex hip and knee of side being tested
Assess mvmnt of PSIS - should move in inferior direction
Pos if no mvmnt of PSIS compared to sacrum

Question 3

Ipsilateral anterior rotation test - tests for what

Answer 3

Anterior movement of ilium relative to sacrum

Question 4

Ipsilateral anterior rotation test - how to perform

Answer 4

Place thumb under PSIS of limb to be tested
Place other thumb on center of sacrum at same level
Ask pt to ext hip of limb being tested
Assess mvmnt of PSIS - should move superior direction

Question 5

Gaenslen’s test - tests for what

Answer 5

SIJ dysfunction

Question 6

Gaenslen’s test - how to perfrom

Answer 6

Pt sidelying at edge of table while holding bottom leg in max hip and knee flex
Standing behind pt, passively extend hip of uppermost limb

Question 7

Long sitting (supine to sit) test - tests for what

Answer 7

Dysfunction of SIJ that may be cause of functional leg length discrepancy

Question 8

Long sitting (supine to sit) test - how to perform

Answer 8

Pt supine with correct alignment of trunk, pelvis, and LEs
Stand at pt’s feet, palpating medial malleoli to assess symmetry
Have pt come into long sit position and once again assess leg length
Make comparison
Abnormal is reversal in limb lengths between supine and long sit

Question 9

Goldthwait’s test - tests for what

Answer 9

Differentiates btw dysfunction in lumbar spine vs. SIJ

Question 10

Goldthwait’s test - how to perfrom

Answer 10

Pt supine with PT figners between SP of lumbar spine
With other hand passively perform SLR
If pain prior to palpation of mvmnt of lumbar region - is SIJ

Question 11

Sidelying Iliac Compression test - tests for what

Answer 11

SIJ dysfucntion

Question 12

Sidelying iliac compression test - how to perform

Answer 12

Pt in sl position with painful side up

PT place hands on iliac crest and apply force through ilium in downward direction

Question 13

Supine iliac gapping test - tests for what

Answer 13

SIJ dysfunction

Question 14

Supine iliac gapping test - how to perform

Answer 14

Pt supine

PT cross arms and place each hand on medial aspect of pt ASIS and apply post/lat force