Sacroiliac Joint Assessment tests that involve palpation of bony landmarks, and palpation of motion are considered some of the least reliable orthopaedic tests.
It was identified by Laslett et al as far back as 2005 that we should use provocation testing and a lumbar repeated motions to rule out lumbar and rule in SIJ. https://modmt.com/laslett
In Part 1 of this video series, I go over a simplified version of the way I rule in SIJ and rule out the lumbar spine. True SIJ pathology is less than 10% of the non-specific lumbopelvic pain presentations you'll see in the clinic.
1) Assess repeated lumbar flexion, extension, and sidegliding to see if pain, ROM, and function changes
2) If any of the above improve the symptoms or function, it's most likely not SIJ dysfunction
3) If pain is asymmetrical, doesn't radiate to below the knee, and repeated lumbar motions DO NOT affect, pain, function, or motion then try treating the SIJ through external stabilization via a belt instead of trying to provoke it with the Laslett recommended provocation tests
Modern Manual Therapy is all about avoidance of palpation based motion testing or provocation testing. Why not get right to relief? You'll have a happier patient and improve therapeutic alliance if you don't go around provoking people's complaints.
#SIJ #physicaltherapy #modernmanualtherapy
Help support our channel by checking out any of our sites below! Have a great day!
Support us on Patreon! - Get exclusive long form videos, chat with other MMT Fans and The Eclectic Approach Team, live video Q&As, research reviews and more! https://patreon.com/modernmanualtherapy
https://modmt.com/sites - all our offerings
https://modmt.com/coursecalendar - live and online Eclectic Approach Seminars
https://modernrehabmastery.com - our one of a kind online mentoring program
https://modmt.com/onlineseminar - our FULL flagship Modern Manual Therapy seminar - now online! 11.5 hours and 26 modules!
http://modernmanualtherapy.com - our premium site over 600 videos
http://edgemobilitysystem.com - our store with products for manual therapy, fitness, full seminars and more
http://themanualtherapist.com - free blog updated daily
https://seminars.modernmanualtherapy.com - our Modern Manual Therapy Seminars
https://modernstrengthtraining.com - our BFR Seminars
https://modernpatienteducation.com - learning the soft skills of patient education
Equipment
https://amzn.to/2GMYVHv - Rhode wireless go, the BEST wireless mic solution for any camera that has a mic input
https://amzn.to/2Owirg3 - DJI Osmo Action - current camera used to shoot my shorter, longer, and handheld vids
https://amzn.to/2J7YbwE - Logitech 1080p webcam
https://amzn.to/2GpmggO - LuminoLite - I use two of these to light my webcam or live vids when broadcasting from my desktop - much better than natural lighting!
http://amzn.to/2nFmBHl Sony HDRCX900 - 1" sensor camcorder
https://amzn.to/2HguJUY - Manfrotto mini tripod - great for placement and handheld shots with the action cam
http://amzn.to/2BJdR52 amazon basics tripod
http://eepurl.com/VXbE1 Please subscribe to our blog for daily updates, exclusive discounts and more!