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Examination Links:

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 - upper limb
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 Test
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 Test
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Stability Test
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(Horizontal Adduction) Test
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 Stress Test
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Compression Test
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 Test
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 Test
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Ligament Stress Test
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Ligament Stress Test
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Ligament Stress Test
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Ligament Stress Test
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Ligament Stress Test
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Ligament Stress Test
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  • Sacroiliac Joint
    • Ipsilateral Prone Kinetic Test
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Rotation of Ilium on Sacrum
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Rotation of Ilium on Sacrum
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of Hip
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      Sacroiliac Rocking Test
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Pubic Stress Test
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Drawer Test
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Recurvatum Test
    •  
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    •  
  • Range of Motion
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 Torsion Stress Test
Examination type Joint Stability
Patient & Body Segment Positioning Patient lies prone
Examiner Position The examiner places one thumb over the L5 spinous process.  The other hand grabs the anterior ilium of the the opposite side.
Tissues Being Tested Lumboscacral junction, iliolumbar ligaments, anterior sacroiliac ligaments, and the S-I joints.
Performing the Test Examiner takes the hand on the ilium and pulls the ilium up or posterior.  Then questions the patien about pain.
Positive Test

 + sign is pain in the anterior aspect of the pelvis, pain in the lower back, and pain in the S-I joints.

 
Interpretation

  Distinguishing what is hurting as the examiner does this test is very Important and also knowing which tissues being stressed. In this case it could be a S-I joint problem but, which one? Thats why the test needs to performed bilaterally and ask the patient "tell me where does it hurt" "Does hurt down in the S-I joint or does it feel like a stress on the ligaments." Or does it hurt in the lower back which could indicate a lumbar problem. These ideas should be in the examiners head in fining the interpretation of this test.
Common errors in performing exam   Common errors in performing this test would be wrong hand       placement and not stressing the joint enough to get the results that are desired.
Factors possibly resulting in misinterpretation The factors include not asking specifically where pain is so that is is unclear of the actual problem.  A tight rectus femoris might keep the ilium from moving the motion that it should. 
Related tests Specific Lumbar Spine Torsion Test
References

 Magee, David J. Orthopedic Physical Assessment 4th Ed. Saunders Company, New York 1997. (Pg 522)
Links:

 
MOUSE OVER PICTURE TO VIEW MOVIE