SACROILIAC ORTHOPEDIC TESTS Sacroiliac Orthopedic Tests Page 0 of 27 Contents Sacroiliac Orthopedic Tests .................................................................................................................... 4 Reliability and Validity of Sacroiliac Joint Tests .................................................................................. 4 Performance and Interpretation of Sacroiliac Joint Tests ................................................................... 5 Test Combinations ........................................................................................................................... 6 Active Straight Leg Raise (aSLR) (aka pelvic instability test) ......................................................... 8 Mechanism ....................................................................................................................................... 8 Procedural Errors ............................................................................................................................. 8 Interpretation .................................................................................................................................... 8 Charting ............................................................................................................................................ 9 Reliability and Validity ...................................................................................................................... 9 Gaenslen’s Test (aka Pelvic rotation test) ............................................................................................ 10 Indications for Testing ........................................................................................................................ 10 Procedure........................................................................................................................................... 10 Mechanism ......................................................................................................................................... 10 Procedural Errors ............................................................................................................................... 10 Interpretation ...................................................................................................................................... 11 Charting .............................................................................................................................................. 11 Reliability and Validity ........................................................................................................................ 11 Patrick’s FABERE Test (FABERE = flexion, abduction, external rotation, extension)......................... 12 Indications for Testing ........................................................................................................................ 12 Procedure........................................................................................................................................... 12 Mechanism ..................................................................................................................................... 12 Procedural Errors ........................................................................................................................... 12 Interpretation .................................................................................................................................. 12 Charting .......................................................................................................................................... 13 Reliability and Validity .................................................................................................................... 13 Follow-up Testing ........................................................................................................................... 13 Sacral Thrust (aka Sacral Apex Test) ................................................................................................... 14 Indications for Testing ........................................................................................................................ 14 Procedure........................................................................................................................................... 14 Mechanism ......................................................................................................................................... 14 Procedural Errors ............................................................................................................................... 14 Interpretation ...................................................................................................................................... 14 Charting .............................................................................................................................................. 14 Reliability and Validity ........................................................................................................................ 15 Sacroiliac Orthopedic Tests Page 1 of 27 SI Compression (aka Approximation or Pelvic Rock test) .................................................................... 15 Indications for Testing ........................................................................................................................ 15 Procedure........................................................................................................................................... 15 Mechanism ......................................................................................................................................... 15 Procedural Errors ............................................................................................................................... 15 Interpretation ...................................................................................................................................... 15 Charting .............................................................................................................................................. 15 Reliability and Validity ........................................................................................................................ 16 Reliability ........................................................................................................................................ 16 Validity ............................................................................................................................................ 16 SI Distraction (aka SI Gapping Test, SI Stretch Test) .......................................................................... 16 Indications for Testing ........................................................................................................................ 16 Procedure........................................................................................................................................... 16 Mechanism ......................................................................................................................................... 17 Procedural Errors ............................................................................................................................... 17 Interpretation ...................................................................................................................................... 17 Charting .............................................................................................................................................. 17 Reliability and Validity ........................................................................................................................ 17 Reliability ........................................................................................................................................ 17 Validity ............................................................................................................................................ 17 SI Provocation (flexion/extension, nutation/counter nutation, inferior/superior sacral glide) ............... 18 Indications for Testing ........................................................................................................................ 18 Procedure........................................................................................................................................... 18 Mechanism ......................................................................................................................................... 20 Procedural Errors ............................................................................................................................... 20 Interpretation ...................................................................................................................................... 20 Charting .............................................................................................................................................. 20 Thigh Thrust (aka Femoral Shear test, Posterior Pelvic Pain Provocation test, P4 test) .................... 21 Indications for Testing ........................................................................................................................ 21 Procedure..........................................................................................................................................