Test: Distraction Test - Sacroiliac Joint

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Background/Purpose

The sacroiliac distraction test is used as part of a series of tests (Laslett cluster) to determine if the sacroiliac joint (SIJ) is involved in a patient's pain production. Although this tests lacks sensitivity and specificity in isolation, it does provide a better predicting value in combination with the other tests in the Laslett cluster.

Procedure

Subject lies supine on the table and the clinician applies a posterior to anterior pressure on the anterior superior iliac spine bilaterally. T
The presumed effect is a distraction or gapping of the anterior joint and therefore a stress on the anterior ligament.
Performed: Bilaterally

Dialog

P-A pressure on the SIJ bilaterally with the patient supine.

Criteria

• No pain

Measurement

LOINC Code

0

Scale/Grading

Pass/Fail