Thight Thrust Test

Patient/Therapist Position: Patient positioned supine resting on the table. Therapist is positioned on the opposite side of the tested SI Joint.

Procedure: Therapist flexes patients hip on the involved side to 90 degrees and applies direct downward force through the femur while stabilizing sacrum. Repeat 4-5 thrusts, 3-4 sets.

Interpretation: + with local SI Joint pain on suspected side

Statistics: Sensitivity .96, Specificity .88, +LR 2.80, -LR .18

References:

 Laslett M., et al, :Diagnosis of Sacroiliac Joint Pain: Validity of individual provocation tests and composites of tests. Manual Therapy 10 (2005) 207–218

 Stuber J., Specificity, sensitivity, and predictive values of clinical tests of the sacroiliac joint: a systematic review of the literature. J Can Chiropr Assoc 2007; 51(1)
 

Distraction Test

Patient/Therapist Position: Patient positioned supine resting on the table. Therapist is positioned on either side of the table. Therapist places hands on ASIS bilaterally in crisscrossed placement.

Procedure: Therapist applies direct downward and lateral force.

Interpretation: + with local SI Joint pain on suspected side

Statistics: Sensitivity .60, Specificity .81, +LR 3.20, -LR .49

References:

  

 Ozgocmen s. et al, : The value of sacroiliac pain provocation tests in early active sacroiliitis. Clin Rheumatol (2008) 27:1275–1282 DOI 10.1007/s10067-008 0907-z

 Laslett M., et al, :Diagnosis of Sacroiliac Joint Pain: Validity of individual provocation tests and composites of tests. Manual Therapy 10 (2005) 207–218

 

Sacral Thrust Test

Patient/Therapist Position: Patient positioned prone resting on the table. Therapist is positioned on either side of the table. Therapist places hands at approximately S3 sacral level.

Procedure: Therapist applies direct downward force to the segment, 3-5 thrusts, 4-5 sets.

Interpretation: + with local SI Joint pain on suspected side

Statistics: Sensitivity .63, Specificity .89, +LR 2.50, -LR .50

References:

  
  Ozgocmen s. et al, : The value of sacroiliac pain provocation tests in early active sacroiliitis. Clin Rheumatol (2008) 27:1275–1282 DOI 10.1007/s10067-008 0907-z
  Laslett M., et al, :Diagnosis of Sacroiliac Joint Pain: Validity of individual provocation tests and composites of tests. Manual Therapy 10 (2005) 207–218

 

Compression Test

Patient/Therapist Position: Patient positioned sideline (suspected side up), hips flexed at 60 degrees, knees flexed at 90 degrees. Therapist is positioned behind the patient and places both hands on ilium.

Procedure: Therapist applies direct force in downward and anterior direction at the same time.

Interpretation: + with local SI Joint pain on suspected side

Statistics: Sensitivity .69, Specificity .93, +LR 1.37, -LR .46  

  

References:

  

   Szadek, K et al, : Diagnostic Validity of Criteria for Sacroiliac Joint Pain: A Systematic Review. The Journal of Pain, Vol 10, No 4 (April), 2009: pp 354-368 

  Ozgocmen s. et al, : The value of sacroiliac pain provocation tests in early active sacroiliitis. Clin Rheumatol (2008) 27:1275–1282 DOI 10.1007/s10067-008 0907-z