New research: No such thing as "stuck" SI joint

[neuromuscular]

To All:

Let us be sure that we are all on the "same page".

The comparison test done to challenge the popular ubiquitous standing SIJ test or "stork" test is as foolows:

Step one:

Do standard SIJ test with hip flexion or torso flexion or both.
Patient standing. Practitioner landmarks the PSIS to sacrum from the posterior. Practitioner maps the SIJ of the PSIS to sacrum as hip flexion and subsequently the torso flexion is performed by the patient.

Step two:

Patient standing. Practitioner posterior to the patient landmarks the PSIS to sacrum. Practitioner maps the PSIS to sacrum as the patient does hip ABD to the following positions: 25 cm, 50 cm, 75 cm, 100 cm, to the ability of the patient to perform hip ABD. Practitioner maps the PSIS to sacrum through the entire hip ABD.

Note the positions of the PSIS to sacrum in each phase of the tests. Note any differences. What is your conclusion???

This IS comparing "apples to apples".

Do the APAS test to find out if you are missing other pertentant information on your patient/client.

Best regards,

Neuromuscular.

[neuromuscular]

To All:

I would like to add that repeatability and inter-tester results ARE important ONLY IF THE TEST IS UNQUESTIONABLY RELIABLE. The stork test or standing SIJ test with hip flexion or torso flexion fails in that the same landmarks do a different movement in the same test with hip ABD.

My question is: How can this supposed "stuck" SIJ or "fixation of" the SIJ move apart in the second test if the first is accurate???

Inter-tester repeatability is important when the test is verifiable, accurate and has no loop holes. It is a scientific tool.

Please note that some have missed this part of the assessment.

My best to all,

Neduromuscular.