To All:

I would like to define the purpose of this thread.

After one hundred years of focus onthe Wikipedia reference-linkSIJ what has been accomplished?

From this thread we see an agreement that the SIJ is not a factor in the vast majority of cases of LBP, hip pain, pelvic pain, "sciatica" or referred pain into the lower extremity. This has been agreed upon.

I would therefore like to have your opinion on the problems with SIJ testing and should it remain to be the first step after the patient history in the asssessment for LBP, hip pain and related?
If it tells us nothing of a real nature to the patient's true condition other than we need to do more testing, of what use is it?

FAILURE IN THE SIJ TESTS

The Gillett test is supposed to show a "stuck" SIJ or a "fixation" of the SIJ. Does it?????????????????
If the two bones move together, the joint is supposed to have a problem.
Does it have the problem indicated?????????????

Try a comparison test of the same landmarks of PSIS to sacrum with hip ABD. What happens? In my experience, limited as it is, I have found that in every case (well into the hundreds) the PSIS moves superior and lateral to the sacrum in the PSIS to sacrum with hip ABD when compared to a positive in the GIllett test
What do you find???????


The load transfer test is a newer variation of this older test. What does it tell you? Only that the load transfer failed. Big deal. You have to do several other tests to show what caused it to fail. It is a redundant step of information gathering that the patinet history already inferred.

If one does the innominate bone position test with hip ABD, you get percise informatiuon that leads to the next step. So why bother with the load transfer test?

The theory on the form closure/force closure/neurological/emotional base is biased toward the SIJ, which the agreement was reached that the SIJ structure is not the problem IN THE MAJORITY. So why is the form closre or structural problems listed first as if it were the primary problem????????

Why infact do we bother to do the SIJ test when it is more of an external problem than an internal joint problem. SIJ tests tell us almost nothing of the external part of the problem. Why bother?

How do you feel about this? Have you found that there are more "structural" or form closure problems in you patient load?

Please give me your feedback.

Best regards,

Neuromuscular