Sacroiliac Compression Test: Difference between revisions

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== Technique<br>  ==
== Technique<br>  ==


The patient is sidelying on the edge of the examination table.&nbsp; The examiner stands facing patient and applies a vertical pressure through the pelvis by leaning their chest against the uppermost iliac crest<ref>Laslett. The presumed action is afckLRcompression force to both SIJs [http://ajp.physiotherapy.asn.au/AJP/49-2/AustJPhysiotherv49i2Laslett.pdf Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests].  Australian J of Physiotherapy, 2003</ref>.
Completion of the test should be done with the patient in side lying with the painful side uppermost, and the examiners hand on the upper iliac crest. The examiner then applies pressure downwards towards the floor causing forward pressure on the SIJ. (Cook and Hegedus; 2013)


<br>
A positive result is indicated by pain or replication of the patient’s symptoms (Magee; 2002).
 
Positive Test:&nbsp; Reproduction of the patients buttock pain
 
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Negative Test:&nbsp; No pain or pain other than patient's pain reproduction<ref>Robinson HS, Brox JI, Robinson R, Bjelland E, Solem S, Telje T. The reliability of selected motion and pain provocaion tests for the sacroiliac joint. Man Ther.2007;12:72-79.</ref>  
Negative Test:&nbsp; No pain or pain other than patient's pain reproduction<ref>Robinson HS, Brox JI, Robinson R, Bjelland E, Solem S, Telje T. The reliability of selected motion and pain provocaion tests for the sacroiliac joint. Man Ther.2007;12:72-79.</ref>  

Revision as of 20:56, 20 January 2013

Original Editor - Melissa Billy Stavrakis

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Purpose
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The Sacro-Iliac Joint (SIJ) Compression Test or “Approximation Test” is a pain provocation test which stresses the SIJ structures, in particular the posterior SIJ ligament, to attempt to replicate patient’s symptoms (Laslett and Williams; 1994).

Technique
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Completion of the test should be done with the patient in side lying with the painful side uppermost, and the examiners hand on the upper iliac crest. The examiner then applies pressure downwards towards the floor causing forward pressure on the SIJ. (Cook and Hegedus; 2013)

A positive result is indicated by pain or replication of the patient’s symptoms (Magee; 2002).

Negative Test:  No pain or pain other than patient's pain reproduction[1]


Image:SIJ_compression.gif
[2]

Evidence[edit | edit source]

Sn = .69       - LR = .46


Sp = .69       + LR = 2.2[3]

Resources[edit | edit source]

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Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

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  1. ↑ Robinson HS, Brox JI, Robinson R, Bjelland E, Solem S, Telje T. The reliability of selected motion and pain provocaion tests for the sacroiliac joint. Man Ther.2007;12:72-79.
  2. ↑ Clinically Relevant Technologies, http://www.youtube.com/watch?v=kD-s-Nyxabg, Accessed May 2011
  3. ↑ Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain; Validity of individual provocation tests and composites of tests. Man Ther. 2005;10:207-218
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