Sacroiliac Distraction Test: Difference between revisions
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== Purpose<br> == | == Description and Purpose<br> == | ||
The Distraction test is used to | The SIJ (Sacroiliac Joint) Distraction (Colloquially know as Gapping) test is used to add evidence, positive or negative, to the hypotheses of an SIJ sprain or dysfunction when used in the”Laslett SIJ Cluster testing”. This test stresses the anterior sacroiliac ligaments (Cook and Hegedus 2013, Cook et al 2007, Laslett 2008, Laslett et al 2005, Laslett et al 2003). This test has also been described as the Transverse Anterior Stress Test or the Sacroiliac Joint Stress Test[1][2]. | ||
== Technique<br> == | == Technique<br> == | ||
Revision as of 17:22, 19 January 2013
Original Editor - Justin Gray
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Description and Purpose
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The SIJ (Sacroiliac Joint) Distraction (Colloquially know as Gapping) test is used to add evidence, positive or negative, to the hypotheses of an SIJ sprain or dysfunction when used in the”Laslett SIJ Cluster testing”. This test stresses the anterior sacroiliac ligaments (Cook and Hegedus 2013, Cook et al 2007, Laslett 2008, Laslett et al 2005, Laslett et al 2003). This test has also been described as the Transverse Anterior Stress Test or the 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[1][2]
Evidence[edit | edit source]
The Diagnostic Accuracy of the Distraction test is described below.
| Reliability | Sensitivity | Specificity | LR+ | LR- | |
| Russel[4] | 11 | 90 | 1.1 | .98 | |
| Laslett[5] [6] | .69 | 60 | 81 | 3.2 | .5 |
| Albert[7] | .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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- ↑ 3. Cook, C., Cleland, J., &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. Cook, C., &amp;amp;amp;amp; Hegedus, E. (2008). Orthopedic Physical Examination Test: An Evidence Based Approach. New Jersey: Prentice Hall.
- ↑ jschuber, Pelvic Distraction. Online video available at: http://www.youtube.com/watch?v=3Rlq8lH5kQE, last accessed 13 December 2009
- ↑ 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
