Sacroiliac Distraction Test
Other Names
- SIJ Distraction Test
- Gapping Test
- SIJ Compression/Distraction Test
- Sacroiliac Distraction Test
- Distraction Test
Purpose
- Evaluate the Sacroiliac Joint as the etiology of the patients symptoms
Description
- The patient is supine, examiner is at patients side
- Compression Component:
- With arms crossed, the examiner applies posterolateral pressure at both ASIS
- This "gapping" pressure is applied bilaterally and simultaneously
- Distraction Component:
- The examiner then uncrosses arms and repeats the test on the iliac crest, applying a posteromedial force
- Positive Test:
- Pain
Pathology
Evidence
- Compression (Laslett et al:[4])
- Sensitivity: 69%
- Specificity: 69%
- Distraction
- Sensitivity: 60%
- Specificity: 81%
See Also
References
- ↑ Image courtesy of Mylan Myers, DO, "Perspectives on the Sacroiliac Joint"
- ↑ Image courtesy of AAFP.org, "Sacroiliac Joint Dysfunction: Diagnosis and Treatment"
- ↑ Buchanan, Patrick, et al. "Successful diagnosis of sacroiliac joint dysfunction." Journal of pain research (2021): 3135-3143.
- ↑ Laslett M, Aprill CN, McDonald B, Young SB. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Man Ther. 2005 Aug;10(3):207-18. PubMed PMID: 16038856
Created by:
John Kiel on 10 August 2019 01:21:24
Authors:
Last edited:
15 February 2026 23:43:53
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