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
        }
}

Study on sacroiliac joint diagnostics

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.

The Validity and Reliability of Provocation Tests in the Diagnosis of Sacroiliac Joint Dysfunction.

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.

Evidence-Based Diagnosis and Treatment of the Painful Sacroiliac Joint

  • M. Laslett
  • Medicine
    The Journal of manual & manipulative therapy
  • 2008
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.

Diagnostic performance of clinical tests for sacroiliac joint pain

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.

Pain provocation tests for diagnosis of sacroiliac joint pain.

  • M. Laslett
  • Medicine
    The Australian journal of physiotherapy
  • 2006

Is it useful to repeat sacroiliac joint provocative tests post-block?

Multiple positive pre-block Sij provocative tests have diagnostic utility however post-block normalization of SIJ provocative tests does not.

Comparative Analysis of the Pain Provocation Test and the HABER Test to Diagnose Nonspecific Low-Back Pain Associated with the Sacroiliac Joint

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.
...

References

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The Reliability of Selected Pain Provocation Tests for Sacroiliac Joint Pathology

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.

Clinical tests of the sacroiliac joint. A systematic methodological review. Part 1: Reliability.

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.

The predictive value of provocative sacroiliac joint stress maneuvers in the diagnosis of sacroiliac joint syndrome.

The Value of Medical History and Physical Examination in Diagnosing Sacroiliac Joint Pain

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.

Clinical tests of the sacroiliac joint.

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.

Intertester Reliability for Selected Clinical Tests of the Sacroiliac Joint

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.

Reproducibility of manual pressure force on provocation of the sacroiliac joint.

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.

The Sacroiliac Joint in Chronic Low Back Pain

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.

Designing Studies of Diagnostic Tests for Low Back Pain or Radiculopathy

Evaluated diagnostic tests for the evaluatin of patients with low back pain should include patients with a wide spectrum of illness from mild to severe, and the study setting and patient characteristics should be described in detail.