Sacroiliac Distraction Test: Difference between revisions

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[[Category:Articles]] [[Category:Assessment]] [[Category:EIM_Student_Project_2]] [[Category:Musculoskeletal/Orthopaedics]] [[Category:Pelvis]] [[Category:Special_Tests]][[Category:Videos]]
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Revision as of 12:41, 7 June 2011

Original Editor - Justin Gray

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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]

[5]

Evidence[edit | edit source]

The Diagnostic Accuracy of the Distraction test is described below.

Reliability Sensitivity Specificity LR+ LR-
Russel[6] 11 90 1.1 .98
Laslett[7] [8] .69 60 81 3.2 .5
Albert[9] .84 14 100

Resources[edit | edit source]

www.ncbi.nlm.nih.gov/sites/entrez/18458988/ 

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

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References[edit | edit source]

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  1. ↑ 2. Konin, J., Wiksten, D., Isear, J., &amp;amp;amp;amp;amp;amp; Brader, H. (2002). Special Test for Orthopedic Examination. New Jersey: Slack.
  2. ↑ 1. Dutton M. Orthopaedic Examination, Evaluation, and Intervention. 2nd ed. New York: McGraw Hill, 2008.
  3. ↑ 3. Cook, C., Cleland, J., &amp;amp;amp;amp;amp; 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. ↑ 4. Cook, C., &amp;amp;amp;amp;amp; Hegedus, E. (2008). Orthopedic Physical Examination Test: An Evidence Based Approach. New Jersey: Prentice Hall.
  5. ↑ jschuber, Pelvic Distraction. Online video available at: http://www.youtube.com/watch?v=3Rlq8lH5kQE, last accessed 13 December 2009
  6. ↑ 8. Russell A, Maksymovich W, LeClerq S. Clinical examination of the sacroiliac joints: a prospective study. Arthritis Pheumatism. 1981;24:1575-1577.
  7. ↑ 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.
  8. ↑ 7. Laslett M, Williams M. The reliability of selected pain provocation test for sacroiliac joint pathology. Spine. 1994;19(11):1243-1249
  9. ↑ 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
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