Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests.

@article{Laslett2005DiagnosisOS,
  title={Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests.},
  author={Mark Laslett and Charles N. Aprill and Barry W. McDonald and Sharon B. Young},
  journal={Manual therapy},
  year={2005},
  volume={10 3},
  pages={
          207-18
        }
}
Previous research indicates that physical examination cannot diagnose sacroiliac joint (SIJ) pathology. [...] Key Method In a blinded criterion-related validity design, 48 patients were examined by physiotherapists using pain provocation SIJ tests and received an injection of local anaesthetic into the SIJ. The tests were evaluated singly and in various combinations (composites) for diagnostic power. All patients with a positive response to diagnostic injection reported pain with at least one SIJ test…Expand
Study on sacroiliac joint diagnostics
TLDR
The pain provocation tests, which use palpable irritation deep in the gluteal muscles with provocation in two planes, are at least as reliable as the already evaluated tests. Expand
The Validity and Reliability of Provocation Tests in the Diagnosis of Sacroiliac Joint Dysfunction.
TLDR
Most SI joint clinical tests have limited reliability and validity on their own, while a multitest regimen consisting of SI joint pain provocation tests is a reliable method, and these tests can be used instead of unnecessary invasive diagnostic SI joint procedures. Expand
Association between composites of selected motion palpation and pain provocation tests for sacroiliac joint disorders.
TLDR
It seems that motion palpation tests assess SIJ dysfunction and provocative tests assessed SIJ pain which do not appear to be related. Expand
Accuracy of the Diagnostic Tests of Sacroiliac Joint Dysfunction.
TLDR
A combination of the motion and provocation tests increased specificity and positive predictive values, and the FABER test had the highest of these single values. Expand
Provocation sacroiliac joint tests have validity in the diagnosis of sacroiliac joint pain.
TLDR
The comparison of the diagnostic accuracy of 3 or more positive sacroiliac joint (SIJ) provocation tests in their study and the reported results from the authors' study is inappropriate and the similarities between these results and those of van der Wurff are striking. Expand
Evidence-Based Diagnosis and Treatment of the Painful Sacroiliac Joint
  • M. Laslett
  • Medicine
  • The Journal of manual & manipulative therapy
  • 2008
TLDR
Current available evidence regarding diagnosis and treatment of SIJ disorders is presented and a combination of test findings could be used in research to evaluate the efficacy of specific treatments for SIJ pain. Expand
Diagnostic performance of clinical tests for sacroiliac joint pain
TLDR
Pain location below the lumbosacral junction overlying the SIJ with at least three or more positive SIJ pain provocation tests (thigh thrust, distraction, and compression) should be considered for the clinical diagnosis of SIJPain. Expand
Pain provocation tests for diagnosis of sacroiliac joint pain.
  • M. Laslett
  • Medicine
  • The Australian journal of physiotherapy
  • 2006
There are many tests devised to provide information about sacroiliac joint (SIJ) pain and function. Only pain provocation SIJ tests have been shown to have satisfactory inter-examiner reliability andExpand
Is it useful to repeat sacroiliac joint provocative tests post-block?
TLDR
Multiple positive pre-block Sij provocative tests have diagnostic utility however post-block normalization of SIJ provocative tests does not. Expand
Comparative Analysis of the Pain Provocation Test and the HABER Test to Diagnose Nonspecific Low-Back Pain Associated with the Sacroiliac Joint
TLDR
The HABER test can reproduce similar level of pain in patients with Chronic LBP associated with SIJ syndrome, and it can be used as a diagnostic tool in patients presenting with chronic LBP. Expand
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References

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The Reliability of Selected Pain Provocation Tests for Sacroiliac Joint Pathology
TLDR
Five of seven tests employed in this study were reliable, the other two were potentially reliable, and these tests may be used to detect a sacroiliac source of low back pain, although sensitivity and specificity studies are needed to determine their diagnostic power. Expand
The reliability of multitest regimens with sacroiliac pain provocation tests.
TLDR
A multitest regimen of 5 sacroiliac joint pain provocation tests is a reliable method to evaluate sacroilia joint dysfunction, although further study is needed to assess the validity of this test method. Expand
Diagnosing painful sacroiliac joints: A validity study of a McKenzie evaluation and sacroiliac provocation tests.
TLDR
The diagnostic accuracy of the clinical examination and clinical reasoning process was superior to the sacroiliac joint pain provocation tests alone, and a specific clinicalexamination and reasoning process can differentiate between symptomatic and asymptomatic sac roiliac joints. Expand
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TLDR
The results of this review could not demonstrate reliable outcomes and therefore no evidence on which to base acceptance of mobility tests of the SIJ into daily clinical practice, and there are no indications that 'upgrading' of methodological quality would have improved the final conclusions. Expand
The predictive value of provocative sacroiliac joint stress maneuvers in the diagnosis of sacroiliac joint syndrome.
TLDR
The results do not support the use of provocative SIJ maneuvers to confirm a diagnosis of SIJS, and physical examination techniques can, at best, enter SIJS into the differential diagnosis. Expand
The Value of Medical History and Physical Examination in Diagnosing Sacroiliac Joint Pain
TLDR
Sacroiliac joint pain is resistant to identification by the historical and physical examination data from tests evaluated, and no ensemble of these 12 tests demonstrated worthwhile diagnostic value. Expand
Clinical tests of the sacroiliac joint.
TLDR
The conclusion of this methodological review is that there is no evidence to support the inclusion of mobility and pain provocation tests for the SIJ in clinical practice and the methodological quality of validity studies needs to be developed to a much higher level. Expand
Intertester Reliability for Selected Clinical Tests of the Sacroiliac Joint
TLDR
Reliability was poor; 11 of the 13 tests resulted in less than 70% agreement and the two tests that relied solely on subjective patient response and imparted no information on SIJ position or mobility were within a range of 70% to 90% agreement. Expand
Reproducibility of manual pressure force on provocation of the sacroiliac joint.
TLDR
The findings indicate the advantage of registering pressure force as a complement for standardized methods for pain-provoking tests and when learning provocation tests, since individual variability was considerable. Expand
The Sacroiliac Joint in Chronic Low Back Pain
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  • Medicine
  • Spine
  • 1995
TLDR
The sacroiliac joint is a significant source of pain in patients with chronic low back pain and warrants further study, and its prevalence, validity, and the validity of pain provocation are established. Expand
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