How do you clinically assess a patient for sacroiliac joint pain?
 
Sacroiliac joint (SIJ) pain is a common type of mechanical low back pain that is thought to affect 15-30% of persons with chronic, non-radicular low back pain. SIJ dysfunction refers to abnormal anatomy and/or biomechanical function in the form of either hypermobility or hypomobility of the SIJ.

Assessment of the SIJ generally includes two categories of clinical tests:

1. Pain provocation tests: which have shown poor reliability and validity in systematic reviews; and
2. Dysfunction (or mobility) tests: which are designed to assess altered SIJ mobility, although these tests also have not demonstrated satisfactory reliability and validity.

Previous reviews have questioned whether SIJ mobility tests are of any value in clinical practice; however, the most recent review was published nearly 20 years ago and any recent studies were therefore not included.
 
Therefore, the objective of this study was to conduct an up-to-date systematic review to verify whether recommendations regarding the use of SIJ mobility tests should be revised regarding clinimetric properties, including reliability, validity and responsiveness, in people with non-specific low back pain, pelvic girdle pain and/or SIJ pain…enjoy!
 
THIS WEEK'S RESEARCH REVIEW: “Sacroiliac Joint Mobility Tests”
 
This paper was published in Musculoskeletal Science and Practice (2020) and this Review is posted in Recent Reviews, Sacroiliac Joint (SIJ), Clinical Testing & Procedures and the 2021 Archive.
 
 
SIJ pain