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