{"id":12848,"date":"2022-11-16T15:28:31","date_gmt":"2022-11-16T14:28:31","guid":{"rendered":"https:\/\/www.physiotutors.com\/?post_type=wiki&p=12848"},"modified":"2022-11-16T15:28:31","modified_gmt":"2022-11-16T14:28:31","slug":"sacroiliac-joint-nutation","status":"publish","type":"wiki","link":"https:\/\/www.physiotutors.com\/wiki\/sacroiliac-joint-nutation\/","title":{"rendered":"Sacroiliac Joint Nutation"},"featured_media":12849,"template":"","class_list":["post-12848","wiki","type-wiki","status-publish","has-post-thumbnail","hentry"],"acf":{"sections":[{"acf_fc_layout":"page-header-detail-page","background":{"background_image":12849,"background_image_alt_text":"Sacroiliac Joint Nutation"},"heading":"Sacroiliac Joint Nutation Assessment | SIJ Dysfunction Assessment","subheading":"Sacroiliac Joint Assessment","content_editor":"","button_type":"internal_link","button_label":"Check our shop","button_style":"button-five","button_internal_link":4646,"button_anchor":"","button_url":"","button_file":"","label":""},{"acf_fc_layout":"submenu","links":[{"button_type":"anchor","button_label":"Learn","button_internal_link":null,"button_anchor":"section-number-3","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Assessment E-Book","button_internal_link":null,"button_anchor":"section-number-4","button_url":"","button_file":null},{"button_type":"anchor","button_label":"Reviews","button_internal_link":null,"button_anchor":"section-number-5","button_url":"","button_file":null}],"dropdown_label":"Go to","button_right":{"button_type":"internal_link","button_label":"Become a member","button_style":"button-three","button_internal_link":16662,"button_anchor":"","button_url":"","button_file":""},"button_description":"Find this wiki on the Physiotutors platform"},{"acf_fc_layout":"content-content","section_options":{"vertical_alignment":"top","column_right_box":false,"column_left_width":"col-12 col-lg-4 offset"},"column_left":{"content_editor":"

Learn<\/h4>"},"column_right":{"content_editor":"

Sacroiliac Joint Nutation Assessment | SIJ Dysfunction Assessment<\/h2>\nThe manual technique to assess nutation of the sacrum is used to get information on joint play, movement in the SI joint (though there\u2019s little available) and possible pain provocation.\n
\n\n[embed]https:\/\/www.youtube.com\/watch?v=5jaV_sujGlo[\/embed]\n\n<\/div>\nTo assess joint play, have the patient in prone lying position. We are going to assess the joint play of the right SI joint.\n\nLet\u2019s begin by dividing the SI joint into 4 quadrants, which makes it easier to describe the hand placements.\n\nSo we have quadrants 1 and 2 above sacral level S2 and quadrants 3 and four below that level.\n\n\"Sacroiliac\n\nTo test nutation, have the patient in prone lying position. Place a pillar under the patient\u2019s anterior superior iliac spine on the side you want to examine.\n\nYou are going to stand on the asymptomatic side and place the hand corresponding to the SI joint you want to examine on the sacrum. In the case of the right SI joint, this means the right hand in quadrant 2. For the left, it would be your left hand in quadrant 1.\n\nPlace your other hand on top and then apply a force in cranioventral direction and assess for end-feel or joint play.\n\n[cta]\n\nOther\u00a0 orthopedic tests for SIJ dysfunction are:\n