Sacroiliac Distraction Test: Difference between revisions
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== Resources == | == Resources == | ||
[http://www.ncbi.nlm.nih.gov/sites/entrez/18458988/ www.ncbi.nlm.nih.gov/sites/entrez/18458988/] | |||
== References<br> == | == References<br> == | ||
<references /> | <references /> | ||
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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][2].
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[3][4]
http://www.youtube.com/watch?v=lzoVoTo3r5g
Evidence[edit | edit source]
The Diagnostic Accuracy of the Distraction test is described below.
| Reliability | Sensitivity | Specificity | LR+ | LR- | |
| Russel[5] | 11 | 90 | 1.1 | .98 | |
| Laslett[6] [7] | .69 | 60 | 81 | 3.2 | .5 |
| Albert[8] | .84 | 14 | 100 |
Resources[edit | edit source]
www.ncbi.nlm.nih.gov/sites/entrez/18458988/
References
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- ↑ 2. Konin, J., Wiksten, D., Isear, J., & Brader, H. (2002). Special Test for Orthopedic Examination. New Jersey: Slack.
- ↑ 1. Dutton M. Orthopaedic Examination, Evaluation, and Intervention. 2nd ed. New York: McGraw Hill, 2008.
- ↑ 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.
- ↑ 8. Russell A, Maksymovich W, LeClerq S. Clinical examination of the sacroiliac joints: a prospective study. Arthritis Pheumatism. 1981;24:1575-1577.
- ↑ 6. Laslett M, Aprill C, McDonald B, Young S. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of test. Man Ther. 2005;10:207-218.
- ↑ 7. Laslett M, Williams M. The reliability of selected pain provocation test for sacroiliac joint pathology. Spine. 1994;19(11):1243-1249
- ↑ 5. Albert H, Godskesen M, Westergaard J. Evaluation of clinical test used in classification procedures in pregnancy related pelvic joint pain. Eur Spine J. 2000; 9(2):161-166
