SIJ Joint Assessment on dysfunction has a low reliability. Overall, assessing isolated SI joint movements like counternutation using manual techniques is hard as barely any movement occurs. Nonetheless, these techniques can give you information on end feel, joint play, or pain provocation when compared with the other side.
To assess joint play, have the patient in prone lying position. We are going to assess the joint play of the right SI joint.
Let’s begin by dividing the SI joint into 4 quadrants, which makes it easier to describe the hand placements.
So we have quadrants 1 and 2 above sacral level S2 and quadrants 3 and four below that level.
To test counternutation, have the patient in prone lying position.
You are going to stand on the asymptomatic side and place the hand corresponding to the SI joint you want to examine on the iliac spine. In the case of the right SI joint, this means the right hand and vice-versa.
Place your other hand below sacral level S2 and then apply pressure with both hands in opposite directions. The hand on the ilium will push in cranioventral (& lateral) direction and the hand on the sacrum in ventrocaudal direction. Assess for end-feel or joint play.
21 OF THE MOST USEFUL ORTHOPAEDIC TESTS IN CLINICAL PRACTICE
What customers have to say about the Assessment E-Book
The Assessment E-Book This book helped me in my studying for my exam and in assessing my first patients. Awesome! Also for beginners!
The Assessment E-Book It’s an amazing Compilation! Congrats to all the work you have put in there. You’ll propably find all the test’s you’ve been looking for with propper explaination and source to doublecheck for you self. definetly a must have for every student, but it will also help an experienced practioner. Im looking forward to the lifelong updates on the topics.
Great work, guys
The Assessment E-Book A must-have for all physiotherapists, osteopaths and manual therapists. The authors conducted an extensive research on assessment tests in manual therapy. I find it very easy to read. The more I read the more I learn. Thank you!
The Assessment E-Book This book is great! It is very structured and detailed. It works extremely well on my Macbook and iPad.
The Assessment E-Book The best way to spend 80euros. Totally worth it. The amount of work you put behind this must have been absolutely huge. Every physical or physiotherapist should own it.
Congrats guys you’ve done an incredible job.
I’ve learnd a lot of new things and my approach to therapy in general have totally changed.
In one word: amazing. Keep going guys ! Best wishes from france.
The technical storage or access is strictly necessary for the legitimate purpose of enabling the use of a specific service explicitly requested by the subscriber or user, or for the sole purpose of carrying out the transmission of a communication over an electronic communications network.
The technical storage or access is necessary for the legitimate purpose of storing preferences that are not requested by the subscriber or user.
The technical storage or access that is used exclusively for statistical purposes.The technical storage or access that is used exclusively for anonymous statistical purposes. Without a subpoena, voluntary compliance on the part of your Internet Service Provider, or additional records from a third party, information stored or retrieved for this purpose alone cannot usually be used to identify you.
The technical storage or access is required to create user profiles to send advertising, or to track the user on a website or across several websites for similar marketing purposes.