Shimpi Prone Test

Other Names

Shimpi prone test

• Shimpi’s Test
• Shimpi Prone Extension Test
• Shimpi Lumbar Extension Test
• Prone Lumbar Extension Stress Test
• Prone Segmental Extension Test
• Prone Posterior–Anterior Lumbar Stress Test
• Prone Lumbar Provocation Test
• Prone Extension–Rotation Stress Test
• Modified Shimpi Test
• Prone SI Joint Extension Test

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Purpose

• Evaluate the sacroiliac joint as a cause of the patients pain

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Description

• The patient is prone
• Examiner places a hand beneath one of the patient’s ASIS and asks him to hyperextend the tested leg up to 15 degrees
• Positive test
  • Patient’s ASIS is lifted up from the examiner’s hand that was placed beneath it
• Negative test
  • Pressure of ASIS onto the examiner’s hand increases

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Pathology

• Sacroilliac Joint Pain

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Evidence

Sacroilliac Joint Pain

• Shimpi et al
  • Sensitivity: 82%
  • Specificity: 77%

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See Also

• Back Pain Main
• Physical Exam Back
• Back Anatomy

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