SlideShare a Scribd company logo

Sacroiliac joint special test.pptx

Physiotherapists utilize sacroiliac joint special tests to diagnose pain or dysfunction within the joint connecting the sacrum and ilium in the pelvis. These tests focus on specific movements or palpation techniques that provoke discomfort or uncover irregularities in the joint. Common assessments like Gaenslen's, FABER, and the compression test aid in evaluating pain response, joint mobility, stability, and integrity. By identifying sacroiliac joint issues through these tests, physiotherapists can tailor treatment plans to alleviate pain and restore functionality for their patients.

1 of 13
Download to read offline
SACROILIAC
JOINT
SPECIAL TEST
● Thigh Thrust Test
● Gaenslen's Test
● Gapping test
● Knee to shoulder test
● Straight leg raise test
● Flamingo test
● Leg length test
● 90–90 Straight leg raise test
● Patrick test
● Trendelenburg test
Thigh Thrust Test
● The patient lies supine while the
examiner passively flexes the hip on
the test side to 90°. Using one hand
to palpate the sacroiliac joint, the
examiner thrusts down through the
knee and hip on the test side. Pain in
the sacroiliac joint on thrusting is a
positive test.
Gaenslen's Test
● The patient lies on the side with the
upper leg (test leg) hyperextended at
the hip. The patient holds the lower
leg flexed against the chest. The
examiner stabilizes the pelvis while
extending the hip of the uppermost
leg. Pain indicates a positive test. The
pain may be caused by an ipsilateral
sacroiliac joint lesion, hip pathology,
or an L4 nerve root lesion.
● It can also performed In supine
position.
Gapping test
● Patient In supine lying position.
Examiner give cross arm pressure to
ASIS. Pressure will be down and out.
posterior leg pain is produced,
indicating a sprain of the anterior
sacroiliac ligaments. Care must be
taken when performing this test. The
examiner’s hands pushing against
the ASIS can elicit pain, because the
soft tissue is being compressed
between the examiner’s hands and
the patient’s pelvis.
Knee to shoulder test
● Also called as sacroiliac rocking test
● The Sacrotuberous Ligament Stress
Test, patient in a supine position,
involves the examiner fully flexing the
patient’s knee and hip, followed by
adduction. Basically knee to opp.
Shoulder. Pain in SI Indicate positive
SI dysfunction. Palpate
sacrotuberous ligament for
tenderess.
Ad

Recommended

Physical examination signs
Physical examination signsPhysical examination signs
Physical examination signscoolboy101pk
 
Special Tests - Knee
Special Tests - KneeSpecial Tests - Knee
Special Tests - KneeJulie Jane
 
Special Tests for Lower Leg, Ankle, and Foot
 Special Tests for Lower Leg, Ankle, and Foot Special Tests for Lower Leg, Ankle, and Foot
Special Tests for Lower Leg, Ankle, and FootJulie Jane
 
Shoulder Examination
Shoulder ExaminationShoulder Examination
Shoulder Examinationeystdotorg
 
5759407.ppt
5759407.ppt5759407.ppt
5759407.pptamj20008
 
5759407.ppt
5759407.ppt5759407.ppt
5759407.pptamj20008
 
5759407.ppt
5759407.ppt5759407.ppt
5759407.pptamj20008
 

More Related Content

Similar to Sacroiliac joint special test.pptx

Sacroiliac joint...examination.pptx
Sacroiliac joint...examination.pptxSacroiliac joint...examination.pptx
Sacroiliac joint...examination.pptxDrkAnwerAli
 
Knee Joint Assessment Tests and Mobilizations
Knee Joint Assessment Tests and MobilizationsKnee Joint Assessment Tests and Mobilizations
Knee Joint Assessment Tests and MobilizationsM Sohail Raza
 
hip joint (rom&ms) 2.pptx
hip joint (rom&ms) 2.pptxhip joint (rom&ms) 2.pptx
hip joint (rom&ms) 2.pptxTazakka tanzim
 
Shoulder - Special Tests
Shoulder - Special TestsShoulder - Special Tests
Shoulder - Special TestsJulie Jane
 
Shoulder examination ppt
Shoulder examination pptShoulder examination ppt
Shoulder examination pptAadarsh Bhadel
 
Adv Musc Exam Portfolio 09
Adv Musc Exam Portfolio 09Adv Musc Exam Portfolio 09
Adv Musc Exam Portfolio 09Steven Sager
 
Seminar rotator cuff
Seminar  rotator cuffSeminar  rotator cuff
Seminar rotator cuffChapma9
 
Tightness test for lower quadrent muscle
Tightness test for lower quadrent muscleTightness test for lower quadrent muscle
Tightness test for lower quadrent muscleRachita Hada
 
Met in si joint dysfunction
Met in si joint dysfunctionMet in si joint dysfunction
Met in si joint dysfunctiondrpoojajoshi
 
Jose Austine- Orthopaedic evaluation of cerebral palsy
Jose Austine- Orthopaedic evaluation of cerebral palsyJose Austine- Orthopaedic evaluation of cerebral palsy
Jose Austine- Orthopaedic evaluation of cerebral palsyJose Austine
 
_FIU - Thoracic and Lumbar Spine Special Tests and Pathologies (1) - نسخة.ppt
_FIU - Thoracic and Lumbar Spine Special Tests and Pathologies (1) - نسخة.ppt_FIU - Thoracic and Lumbar Spine Special Tests and Pathologies (1) - نسخة.ppt
_FIU - Thoracic and Lumbar Spine Special Tests and Pathologies (1) - نسخة.pptRadwa Talaat
 

Similar to Sacroiliac joint special test.pptx (20)

Sacroiliac joint...examination.pptx
Sacroiliac joint...examination.pptxSacroiliac joint...examination.pptx
Sacroiliac joint...examination.pptx
 
derived positions.pptx
derived positions.pptxderived positions.pptx
derived positions.pptx
 
Knee Joint Assessment Tests and Mobilizations
Knee Joint Assessment Tests and MobilizationsKnee Joint Assessment Tests and Mobilizations
Knee Joint Assessment Tests and Mobilizations
 
hip joint (rom&ms) 2.pptx
hip joint (rom&ms) 2.pptxhip joint (rom&ms) 2.pptx
hip joint (rom&ms) 2.pptx
 
FRO.ppt
FRO.pptFRO.ppt
FRO.ppt
 
Shoulder - Special Tests
Shoulder - Special TestsShoulder - Special Tests
Shoulder - Special Tests
 
Shoulder examination ppt
Shoulder examination pptShoulder examination ppt
Shoulder examination ppt
 
Adv Musc Exam Portfolio 09
Adv Musc Exam Portfolio 09Adv Musc Exam Portfolio 09
Adv Musc Exam Portfolio 09
 
Seminar rotator cuff
Seminar  rotator cuffSeminar  rotator cuff
Seminar rotator cuff
 
SPECIAL TEST OF UL.pptx
SPECIAL TEST OF UL.pptxSPECIAL TEST OF UL.pptx
SPECIAL TEST OF UL.pptx
 
Modified ashworth scale application
Modified ashworth scale applicationModified ashworth scale application
Modified ashworth scale application
 
Tightness test for lower quadrent muscle
Tightness test for lower quadrent muscleTightness test for lower quadrent muscle
Tightness test for lower quadrent muscle
 
Orthopeadic tests
Orthopeadic testsOrthopeadic tests
Orthopeadic tests
 
History and examintion of knee joint slideshare
History and examintion of knee joint slideshareHistory and examintion of knee joint slideshare
History and examintion of knee joint slideshare
 
Met in si joint dysfunction
Met in si joint dysfunctionMet in si joint dysfunction
Met in si joint dysfunction
 
Jose Austine- Orthopaedic evaluation of cerebral palsy
Jose Austine- Orthopaedic evaluation of cerebral palsyJose Austine- Orthopaedic evaluation of cerebral palsy
Jose Austine- Orthopaedic evaluation of cerebral palsy
 
MMT of Knee.pdf
MMT of Knee.pdfMMT of Knee.pdf
MMT of Knee.pdf
 
M S Examination.pptx
M S Examination.pptxM S Examination.pptx
M S Examination.pptx
 
Musculoskeletal examination
Musculoskeletal examination Musculoskeletal examination
Musculoskeletal examination
 
_FIU - Thoracic and Lumbar Spine Special Tests and Pathologies (1) - نسخة.ppt
_FIU - Thoracic and Lumbar Spine Special Tests and Pathologies (1) - نسخة.ppt_FIU - Thoracic and Lumbar Spine Special Tests and Pathologies (1) - نسخة.ppt
_FIU - Thoracic and Lumbar Spine Special Tests and Pathologies (1) - نسخة.ppt
 

Recently uploaded

CHRONIC IMMUNE-MEDIATED Demyelinating Neuropathies
CHRONIC IMMUNE-MEDIATED Demyelinating NeuropathiesCHRONIC IMMUNE-MEDIATED Demyelinating Neuropathies
CHRONIC IMMUNE-MEDIATED Demyelinating NeuropathiesMohamed AbdElhady
 
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdf
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdfABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdf
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdfAbdurahmanRafeeq
 
Renal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and PhosphorusRenal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and PhosphorusMedicoseAcademics
 
Macquarie Neurosurgery Journal Club 2022 PPT
Macquarie Neurosurgery Journal Club 2022 PPTMacquarie Neurosurgery Journal Club 2022 PPT
Macquarie Neurosurgery Journal Club 2022 PPTMQ_Library
 
Namburi phased spot test - NPST To identify bhasma and sindhura - A Qualitat...
Namburi phased spot test - NPST  To identify bhasma and sindhura - A Qualitat...Namburi phased spot test - NPST  To identify bhasma and sindhura - A Qualitat...
Namburi phased spot test - NPST To identify bhasma and sindhura - A Qualitat...Dr. Madduru Muni Haritha
 
Bioavailability & Bioequivalence Studies- Definitions, Methods of Measureme...
Bioavailability & Bioequivalence  Studies- Definitions, Methods  of Measureme...Bioavailability & Bioequivalence  Studies- Definitions, Methods  of Measureme...
Bioavailability & Bioequivalence Studies- Definitions, Methods of Measureme...Rajshri
 
Staphylococcus.ppt.........ali.rasool.badr
Staphylococcus.ppt.........ali.rasool.badrStaphylococcus.ppt.........ali.rasool.badr
Staphylococcus.ppt.........ali.rasool.badrssuser06f49d
 
pediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.pptpediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.pptArun170190
 
Population of India and Family welfare programme.pptx
Population of India and Family welfare programme.pptxPopulation of India and Family welfare programme.pptx
Population of India and Family welfare programme.pptxDr. Dheeraj Kumar
 
Tolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blinkTolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blinkClinicians
 
Scanning electron microscope - SEM , Its applicability in rasashastra
Scanning electron microscope - SEM , Its applicability in rasashastraScanning electron microscope - SEM , Its applicability in rasashastra
Scanning electron microscope - SEM , Its applicability in rasashastraDr. Madduru Muni Haritha
 
Presentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic managementPresentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic managementeshasmalik27
 
Approach to maternal collapse and cardiac arrest.pptx
Approach to maternal collapse and cardiac arrest.pptxApproach to maternal collapse and cardiac arrest.pptx
Approach to maternal collapse and cardiac arrest.pptxKTD Priyadarshani
 
HEPATIKA 6 Nutritional supplement, six ingredients supported by clinical studies
HEPATIKA 6 Nutritional supplement, six ingredients supported by clinical studiesHEPATIKA 6 Nutritional supplement, six ingredients supported by clinical studies
HEPATIKA 6 Nutritional supplement, six ingredients supported by clinical studiesRichard Clement
 
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptxGLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptxWINCY THIRUMURUGAN
 
Health powerpoint for catch -up fridays.
Health powerpoint for catch -up fridays.Health powerpoint for catch -up fridays.
Health powerpoint for catch -up fridays.JohnMarckySeoTeriomp
 
ANTI-HYPERTENSIVE DRUG - RAUWOLFIA ROOT.
ANTI-HYPERTENSIVE DRUG - RAUWOLFIA ROOT.ANTI-HYPERTENSIVE DRUG - RAUWOLFIA ROOT.
ANTI-HYPERTENSIVE DRUG - RAUWOLFIA ROOT.Divya Kanojiya
 
Introducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitnessIntroducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitnessFredrick Amos
 
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...bkling
 

Recently uploaded (20)

CHRONIC IMMUNE-MEDIATED Demyelinating Neuropathies
CHRONIC IMMUNE-MEDIATED Demyelinating NeuropathiesCHRONIC IMMUNE-MEDIATED Demyelinating Neuropathies
CHRONIC IMMUNE-MEDIATED Demyelinating Neuropathies
 
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdf
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdfABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdf
ABDULRAHMAN AL RAFIQ UPDATED MANAGEMENT OF ACUTE PULMONARY EMBOLISM .pdf
 
Anti-interferon-gamma autoantibody associated immunodeficiency
Anti-interferon-gamma autoantibody associated immunodeficiencyAnti-interferon-gamma autoantibody associated immunodeficiency
Anti-interferon-gamma autoantibody associated immunodeficiency
 
Renal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and PhosphorusRenal Regulation of Potassium, Calcium, Magnesium and Phosphorus
Renal Regulation of Potassium, Calcium, Magnesium and Phosphorus
 
Macquarie Neurosurgery Journal Club 2022 PPT
Macquarie Neurosurgery Journal Club 2022 PPTMacquarie Neurosurgery Journal Club 2022 PPT
Macquarie Neurosurgery Journal Club 2022 PPT
 
Namburi phased spot test - NPST To identify bhasma and sindhura - A Qualitat...
Namburi phased spot test - NPST  To identify bhasma and sindhura - A Qualitat...Namburi phased spot test - NPST  To identify bhasma and sindhura - A Qualitat...
Namburi phased spot test - NPST To identify bhasma and sindhura - A Qualitat...
 
Bioavailability & Bioequivalence Studies- Definitions, Methods of Measureme...
Bioavailability & Bioequivalence  Studies- Definitions, Methods  of Measureme...Bioavailability & Bioequivalence  Studies- Definitions, Methods  of Measureme...
Bioavailability & Bioequivalence Studies- Definitions, Methods of Measureme...
 
Staphylococcus.ppt.........ali.rasool.badr
Staphylococcus.ppt.........ali.rasool.badrStaphylococcus.ppt.........ali.rasool.badr
Staphylococcus.ppt.........ali.rasool.badr
 
pediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.pptpediatrics. epilepsy and seizures in children 8.ppt
pediatrics. epilepsy and seizures in children 8.ppt
 
Population of India and Family welfare programme.pptx
Population of India and Family welfare programme.pptxPopulation of India and Family welfare programme.pptx
Population of India and Family welfare programme.pptx
 
Tolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blinkTolerance Hydra10P Avene trainings blink
Tolerance Hydra10P Avene trainings blink
 
Scanning electron microscope - SEM , Its applicability in rasashastra
Scanning electron microscope - SEM , Its applicability in rasashastraScanning electron microscope - SEM , Its applicability in rasashastra
Scanning electron microscope - SEM , Its applicability in rasashastra
 
Presentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic managementPresentation on Cerebral Palsy and its orthotic management
Presentation on Cerebral Palsy and its orthotic management
 
Approach to maternal collapse and cardiac arrest.pptx
Approach to maternal collapse and cardiac arrest.pptxApproach to maternal collapse and cardiac arrest.pptx
Approach to maternal collapse and cardiac arrest.pptx
 
HEPATIKA 6 Nutritional supplement, six ingredients supported by clinical studies
HEPATIKA 6 Nutritional supplement, six ingredients supported by clinical studiesHEPATIKA 6 Nutritional supplement, six ingredients supported by clinical studies
HEPATIKA 6 Nutritional supplement, six ingredients supported by clinical studies
 
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptxGLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
GLANDS IN THE SKIN,FUNCTIONS AND ABNORMALITIES ..pptx
 
Health powerpoint for catch -up fridays.
Health powerpoint for catch -up fridays.Health powerpoint for catch -up fridays.
Health powerpoint for catch -up fridays.
 
ANTI-HYPERTENSIVE DRUG - RAUWOLFIA ROOT.
ANTI-HYPERTENSIVE DRUG - RAUWOLFIA ROOT.ANTI-HYPERTENSIVE DRUG - RAUWOLFIA ROOT.
ANTI-HYPERTENSIVE DRUG - RAUWOLFIA ROOT.
 
Introducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitnessIntroducing amazing Healthy habits and fitness
Introducing amazing Healthy habits and fitness
 
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...
Report Back from San Antonio Breast Cancer Symposium (SABCS) 2023: Spotlight ...
 

Sacroiliac joint special test.pptx

  • 2. ● Thigh Thrust Test ● Gaenslen's Test ● Gapping test ● Knee to shoulder test ● Straight leg raise test ● Flamingo test ● Leg length test ● 90–90 Straight leg raise test ● Patrick test ● Trendelenburg test
  • 3. Thigh Thrust Test ● The patient lies supine while the examiner passively flexes the hip on the test side to 90°. Using one hand to palpate the sacroiliac joint, the examiner thrusts down through the knee and hip on the test side. Pain in the sacroiliac joint on thrusting is a positive test.
  • 4. Gaenslen's Test ● The patient lies on the side with the upper leg (test leg) hyperextended at the hip. The patient holds the lower leg flexed against the chest. The examiner stabilizes the pelvis while extending the hip of the uppermost leg. Pain indicates a positive test. The pain may be caused by an ipsilateral sacroiliac joint lesion, hip pathology, or an L4 nerve root lesion. ● It can also performed In supine position.
  • 5. Gapping test ● Patient In supine lying position. Examiner give cross arm pressure to ASIS. Pressure will be down and out. posterior leg pain is produced, indicating a sprain of the anterior sacroiliac ligaments. Care must be taken when performing this test. The examiner’s hands pushing against the ASIS can elicit pain, because the soft tissue is being compressed between the examiner’s hands and the patient’s pelvis.
  • 6. Knee to shoulder test ● Also called as sacroiliac rocking test ● The Sacrotuberous Ligament Stress Test, patient in a supine position, involves the examiner fully flexing the patient’s knee and hip, followed by adduction. Basically knee to opp. Shoulder. Pain in SI Indicate positive SI dysfunction. Palpate sacrotuberous ligament for tenderess.
  • 7. Straight leg raise test ● Patient-supine. while the examiner lifts one extended leg. Starting with the hip in a neutral position, the examiner slowly raises the leg until the patient experiences pain in the back or leg. Typically, the leg is lifted to around 30-70 degrees. It evaluate nerve root pathology it can be lumbar nerve impingement, disc herniation, or other nerve-related issues.
  • 8. Flamingo test ● Position: stand on one leg. the weight of the trunk causes the sacrum to shift forward and distally with forward rotation. The ilium moves in the opposite direction. On the non– weight-bearing side, the opposite occurs, but the stress is greatest on the stance side. Pain in the symphysis pubis or sacroiliac joint indicates a positive test. The stress may be increased by having the patient hop on one leg.
  • 9. Leg length test ● it is vital when suspecting a sacroiliac joint issue. To measure true leg length, the patient lies supine with leveled ASISs and perpendicular lower limbs to that line. Using a flexible tape measure, the examiner gauges the distance from each ASIS to the respective medial malleolus and compares the measurements. Normally, a 1 to 1.3 cm difference is acceptable.
  • 10. 90–90 Straight leg raise test ● In supine position, the patient flexes both hips to 90° while the knees will be bent, stabilizing knees with hands. Actively extending each knee individually gauges hamstring flexibility. Typically, for normal hamstring flexibility, the knee extension should be within 20° of full extension. A measurement less than 125° signifies tight hamstrings. Muscle stretch typically characterizes the end feel during this test.
  • 11. Patrick test ● also known as Jansen's test and figure of 4, initiates from the Flexion, Abduction, and External Rotation (FABER) position at the hip. ● supine position, the examiner places the patient's test leg so that the foot rests on the opposite knee. then examiner slowly lowers the test leg toward the examination table. negative test- leg's knee touches the table or aligns parallel to the opposite leg. positive test- if the test leg's knee remains above the opposite straight leg, suggesting potential hip joint, iliopsoas spasm, or sacroiliac joint involvement
  • 12. Trendelenburg test ● in this test, the patient stands or balances on each leg while the examiner observes pelvic movements. When the pelvis rises on the non-stance leg side, it's negative as the gluteus medius muscle on the stance side elevates it, which is a typical response. Conversely, if the pelvis falls on the non-stance leg side, the test is considered positive, indicating potential weakness or instability in the hip abductor muscles, particularly the gluteus medius on the stance side.