RRS Education Chiropractic BLOG - Musculoskeletal Research Reviews

What orthopedic tests do you use to assess the sacroiliac (SI) joint? Thigh thrust? Gaenslen? Patrick/FABER? Sacral distraction? Yeoman test? There are lots of possibilities!

The sacroiliac joint (SIJ) is a potential source of pain which, although relatively common, varies in prevalence from 10-64%.  Part of this variance is attributed to the difficulty in definitively identifying the SIJ as the source of a patient’s pain. Diagnosis of SIJ problems is often challenging, resulting in inconsistent recommendations regarding treatment.  There is evidence from prior literature reviews that combining provocation tests into clusters (i.e. a set of provocation tests is performed and a diagnosis is made based on a specified number of positive or negative tests) results in improved inter-tester reliability and diagnostic performance relating to the SIJ.  These reviews, however, are largely outdated and, in some cases, included multiple publications of the same cohort of patients.
As such, an updated, methodologically sound review is required. The aim of this study was to determine the diagnostic accuracy of SIJ provocation tests performed in clusters.
THIS WEEK'S RESEARCH REVIEW: “Diagnostic Accuracy of Clusters of Pain Provocation Tests for Detecting Sacroiliac Joint Pain”
This paper was published in JOSPT (2021) and this Review is posted in Recent Reviews, Sacroiliac Joint, Clinical Testing & procedures and the 2022 Archive.
Gaenslen test

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