Friday, 11 October 2013

SI Joint Tests

There are four sacroiliac joint tests. If the first and second are positive, do not continue with the third and fourth. That would just be unnecessary, cruel pain. The work of a physioterrorist some may say.

1. Thigh Thrust
          Hip and knee flexed to 90 degrees. Apply vertical downward pressure through knee and femur

2. Anterior Gapping
          Moving ASISs apart

3. Side-lying SI Compression
          Apply vertical downward pressure through ilium --> SI compression

4. SI Compression in Prone
         Direct pressure

Progress through tests, in order. Do not need to continue with the test once two are true as this confirms SI joint origin.

Can be used in conjunction with observation of PSIS alignment in stationary postures and movements (e.g. one sided hip flexion).
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