Special test for the sacroiliac joint involvement:

• This test is reported that active mobility tests should not be used to test the passive mobility of the sacroiliac joints.
• Patient felt passive movements used to look for asymmetry were more effective.
• These tests are applied to the clinic for checking the involvement of the SI joint.
• These clinical tests are applied by to therapist or doctor when the patient is complaining about pelvic pain.

Name of the special test of the sacroiliac joint involvement:

1. Flamingo test or maneuver
2. Goldthwait’s test
3. Ipsilateral anterior rotation test
4. Laguere’s sign
5. Mazion’s pelvic maneuver
6. Piedallu’s sign
7. Supine to sit the test

Flamingo test or maneuver:-

• Purpose = This flamingo test or maneuver is used to check the pain on the symphysis pubic.

• Technique = Starting position of the patient is standing position.
• Then the examiner instructs the patient to stand on one leg.
• When the patient is standing on one leg, the weight of the trunk causes the sacrum to shift forward & distally with forwarding rotation.
• The ilium moves in the opposite occur, but the stress is greatest on the stance side.

• Result = Pain in the symphysis pubic or sacroiliac joint indicates a positive test for lesions in whichever structure is painful.

• The stress is increased in the patient’s hip of one leg.
• This test position is also used in the stress x-ray of the symphysis pubis.

Goldthwait’s test:-

• Purpose = This Goldthwait’s test is used to check the neurological involvement of the sciatic nerve.

• Technique = The patient is in the supine position for the Goldthwait’s test in starting position.
• The examiner [ therapist ] places one hand under the lumbar spine so that each finger is an interspinous space.
• The examiner [ therapist ] uses the other hand to perform SLR.

• Result = If the pain is elicited before movement occurs at the inter spaces, the problem is in the sacroiliac joint.
• If the patient feels pain during the inter space movement, it is indicated to be a lumbar spine dysfunction.

• As with the SLR test, pain may be referred to along the course of the sciatic nerve if there is neurological involvement.

Laguere’s sign:-

• Purpose = This laguere’s sign is used to check the hip pathology.

• Technique = In the starting position the patient is in the supine position for the laguere’s sign test.
• To test the left sacroiliac joint, the examiner [ therapist ] flexes, abducts & laterally rotates the patient’s left hip joint, applying an over pressure at the end of the ROM.
• The examiner [ therapist ] must stabilize the pelvis on the opposite side by holding the opposite ASIS down.

• Result = Pain in the left sacroiliac joint constitutes a positive test.
• The other side is tested for comparison.
• This test should be performed with caution for patients with hip pathology, because hip pain may ensure.

Mazion’s pelvic maneuver:-

• This test is also known as the standing lunge test.

• Purpose = This mazion’s pelvic maneuver is used to check the forward displacement of the ilium.

• Technique = The patient is in a standing position for the test.
• The patient stands in a straddle position with the limb on the unaffected side forward so that the feet are 0.5 to 1 meter [ 2 to 3 feet ] apart.
• The patient bends forward, trying to touch the floor until the heel of the back leg lifts off the floor.

• Result = If the pain is produced in the lower trunk on the affected side, it is considered a positive test for the unilateral forward displacement of the ilium relative to the sacrum.

Piedallu’s sign:

• Purpose = This piedallu’s sign is used to check the torsion movement of the SI joint.

• Technique = Starting position of the patient is sitting position for the piedallu’s sign test.
• Then the examiner asked the to patient sit on a hard, flat surface.
• The position keeps the muscles from affecting the pelvic flexion symmetry & increases the stability of the ilia.
• This test is given to effect, it is a test of the sacrum on the ilia.
• The examiner [ therapist ] palpates the PSIS & compares their heights.
• If one PSIS, usually the painful one, is lower than the other, the patient is asked to forward flex while remaining seated.

• Result = If the lower PSIS becomes the higher one on forwarding flexion, the test is positive.
• It is that side that is affected.
• Because the affected joint is not moved properly & so that it is hypo mobile, it goes from a low to a high position.
• This test is believed to indicate an abnormality in the torsion movement at the sacroiliac joint = SI joint.

Supine to sit the test:

• This supine to sitting test is used to check the long sitting test.

• Purpose = This supine to sit test is used to check the lumbar pathology.

• Technique = The patient lies supine with the leg straight.
• The examiner [ therapist ] ensures that the medial malleoli are level.
• The examiner is asked to the patient to sit up,& the examiner observes whether one leg moves up farther than the other.
• If so, it is believed that there is a functional leg length difference resulting from a pelvic dysfunction caused by pelvic torsion or rotation,

• Result =It may also be caused by spasm of the lumbar muscled in the presence of lumbar pathology.

Author: Vaishali Ladva