SIJ joint

Question 1

mobility

Answer 1

poor evidence, maximum 8mm translation, 4 degrees of rotation

Question 2

piedallu’s test

Answer 2

seated/stood with feet on floor, palp PSIS then fully flex Lx assess movement, compare R and L- +ve= one moves up than other

Question 3

Gillet’s test

Answer 3

palpate SIJ on side testing, then palpate S2 with other hand- SIJ should rotate down when leg lift up

Question 4

Laslett tests

Answer 4

a combination of 5 tests and if 3 or more are positive then there is a 79% specificity for saying the SIJ is the issue
5 tests= Gaenslen torque test, Sacral thrust test, thigh thrust, compression, distraction

Question 5

Laslett tests- Gaenslens and sacral thrust

Answer 5

knee up to chest with 90*, other knee of bed, push down on both knees
sacral- hands on sacrum and thrust downwards

Question 6

Laslett tests- thigh thrust and compression and distraction

Answer 6

90 hip flexors and fully knee flex, place hand on knee and thrust downwards
compression- push down on posterior ilium in side lying
distraction- push hands on ASIS, cross arms over and push out

Question 7

ASLR

Answer 7

altered motor control in patients with posterior pelvic pain, has been validated to measure severity of posterior pelvic pain, actively lift leg up with to 30°

Question 8

gluteus maximus and medius voluntary exercises

Answer 8

max- forward step up, single limb deadlift, single limb squat, wall squat
medius- side bridge to neutral spine position, single limb squat, single limb deadlift, pelvic drop, side lying abduction

Question 9

hamstring exercise