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Sacroiliac Compression Test

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Other Names

Sacroiliac Compression Test
Demonstration of the Sacroiliac Compression Test[1]
The SIJ compression test[2]
  • Side Lying Compression Test
  • SI Compression Test
  • SIJ Compression
  • Sacroiliac Compression Test
  • Approximation Test

Purpose


Description

  • Patient lays in lateral decubitus position on unaffected side
  • The examiner places their hands on the iliac crest and presses towards the floor
  • This compresses the sacroiliac joint and results in anterior pressure of the sacrum
  • Positive Test:
    • Pain or pressure suggesting sacroiliac etiology

Pathology


Evidence

Sacroiliac Joint Pain

  • Szadek et al[3]
    • Sensitivity: 63%
    • Specificity: 69%
    • Diagnostic OR: 3.89
  • Stanford et al when compared to SIJ block[4]
    • Sensitivity: 82%
    • Specificity: 57%

See Also


References

  1. Image courtesy of www.thestudentphysicaltherapist.com, "SIJ Compression/Distraction Test"
  2. Buchanan, Patrick, et al. "Successful diagnosis of sacroiliac joint dysfunction." Journal of pain research (2021): 3135-3143.
  3. Szadek, Karolina M., et al. "Diagnostic validity of criteria for sacroiliac joint pain: a systematic review." The Journal of pain 10.4 (2009): 354-368.
  4. Stanford, Gordon, and Robert S. Burnham. "Is it useful to repeat sacroiliac joint provocative tests post-block?." Pain Medicine 11.12 (2010): 1774-1776.
Created by:
John Kiel on 9 August 2019 20:54:42
Authors:
Last edited:
9 July 2025 20:33:11
Category: