Sacroiliac Distraction Test: Difference between revisions
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== Technique<br> == | == Technique<br> == | ||
Patient is supine on the edge of a table. Bilateral anterior superior iliac spines are palpated by the examiner. The examiner crosses his or her arms, creating an x at the forearms. A lateral posterior directed force is applied to bilateral anterior superior iliac spines. The position is held for 30 seconds, then a vigorous force is applied to the ASIS in an attempt reproduce the patient’s symptoms. If pain is reproduced, the test is considered positive for SI joint dysfunction< | Patient is supine on the edge of a table. Bilateral anterior superior iliac spines are palpated by the examiner. The examiner crosses his or her arms, creating an x at the forearms. A lateral posterior directed force is applied to bilateral anterior superior iliac spines. The position is held for 30 seconds, then a vigorous force is applied to the ASIS in an attempt reproduce the patient’s symptoms. If pain is reproduced, the test is considered positive for SI joint dysfunction<ref>3. Cook, C., Cleland, J., & Huijbregts, P. (2007). Creation and Critique of Studies of Diagnostic Accuracy: Use of theS methodological Quality Assessment Tool. J Manipulative Physiol Ther, 15(2), 93-102.</ref><ref>4. Cook, C., & Hegedus, E. (2008). Orthopedic Physical Examination Test: An Evidence Based Approach. New Jersey: Prentice Hall.</ref><br> | ||
<br>[http://www.youtube.com/watch?v=lzoVoTo3r5g http://www.youtube.com/watch?v=lzoVoTo3r5g]<br> | <br>[http://www.youtube.com/watch?v=lzoVoTo3r5g http://www.youtube.com/watch?v=lzoVoTo3r5g]<br> | ||
Revision as of 03:19, 9 December 2009
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Purpose
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The Distraction test is used to rule in and rule out a sprain of the anterior sacroiliac ligaments and sacroiliac dysfunction. This test has also been described as the Gapping (Transverse Anterior Stress) Test, and Sacroiliac Joint Stress Test[1].
Technique
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Patient is supine on the edge of a table. Bilateral anterior superior iliac spines are palpated by the examiner. The examiner crosses his or her arms, creating an x at the forearms. A lateral posterior directed force is applied to bilateral anterior superior iliac spines. The position is held for 30 seconds, then a vigorous force is applied to the ASIS in an attempt reproduce the patient’s symptoms. If pain is reproduced, the test is considered positive for SI joint dysfunction[2][3]
http://www.youtube.com/watch?v=lzoVoTo3r5g
Evidence[edit | edit source]
Resources[edit | edit source]
add any relevant resources here
References
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- ↑ 2. Konin, J., Wiksten, D., Isear, J., & Brader, H. (2002). Special Test for Orthopedic Examination. New Jersey: Slack.
- ↑ 3. Cook, C., Cleland, J., & Huijbregts, P. (2007). Creation and Critique of Studies of Diagnostic Accuracy: Use of theS methodological Quality Assessment Tool. J Manipulative Physiol Ther, 15(2), 93-102.
- ↑ 4. Cook, C., & Hegedus, E. (2008). Orthopedic Physical Examination Test: An Evidence Based Approach. New Jersey: Prentice Hall.
