Gaenslens Test
Other Names
- Gaenslen Test
- Gaenslen's Maneuver
- Gaenslen's Test
- Pelvic Torsion Test
- Modified Gaenslens Test
- Gaenslen Test
- Gaenslen Maneuver
- SIJ Gaenslen Test
- Sacroiliac Stress Test
Purpose
- Evaluate the Lumbar Spine and Sacroiliac Joint as a cause of the patients pain
Description
- The patient is in the supine position on the examination table
- The examiner passively flexes the asymptomatic hip and knee to the the patients chest
- The patient holds their unaffected limb in this position with their hands
- The symptomatic leg then hangs off the examination table into hyperextension
- The examiner applies a posterior force on the hyperextended leg
- A positive test
- Reproduction of their pain
Modification
- The patient is lying in the lateral decibitus, painful SI joint facing away from the table
- Contralateral leg flexed towards patients chest
- Examiner stands behind patient on edge of bed
- Pelvis is stabilized with one hand, applying a firm anterior pressure
- The other hand extends the ipsilateral hip
- Positive test
- Reproduction of pain
Pathology
- Sacroiliac Joint Pain
- Hip
- Pubic Symphysis
- L4 Nerve Root
- Sacral Stress Fracture
Evidence
- Laslett Et al[3]
- Sensitivity: 50-53%
- Specificity: 71-77%
See Also
References
- ↑ Líška, D., R. Zelník, and N. Hegedüšová. "Clinical examination of the sacroiliac joint." Journal of Orthopaedics, Trauma and Rehabilitation 28 (2021): 22104917211000755.
- ↑ 2.0 2.1 Buchanan, Patrick, et al. "Successful diagnosis of sacroiliac joint dysfunction." Journal of Pain Research (2021): 3135-3143.
- ↑ Laslett, Mark, et al. "Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests." Manual therapy 10.3 (2005): 207-218.
Created by:
John Kiel on 26 July 2019 00:04:05
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Last edited:
15 February 2026 23:52:32
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