SIJ Testing
Reposted with permission from @physicaltherapyresearch on instagram.
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INTRO:
Previous systematic reviews revealed poor reliability and validity for SIJ testing.
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However, these reviews were published nearly 20 years ago and recent evidence has not yet been summarized.
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Klerx et al (2019), conducted an up-to-date systematic review to verify whether clinical recommendations for SIJ mobility tests should be revised. .
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Results:
12 relevant articles.
3 of sufficient methodological quality. .
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These 3 evaluated the reliability of 8 SIJ mobility tests and one test cluster. .
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Including:
(1) Click-clack test (2) Standing flexion test
(3) Seated flexion test
(4) Gillet test
(5) Prone knee flexion test
(6) Heel-bank test
(7) Abduction test
(8) Thumb-PSIS test
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Gillet was the only test evaluated in more than one study.
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Majority of individual tests showed slight to fair agreement in inter-tester reliability.
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Compared to individual tests, the test cluster showed higher reliability, the highest in two positive tests. .
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Although some tests had higher reliability, the confidence intervals around them were large. .
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Furthermore, there were no validity studies of sufficient methodological quality. .
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Conclusion: .
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There is no new evidence for the validity of SIJ mobility tests when considering literature of at least fair methodological quality. .
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Only low quality and conflicting evidence for inter-rater reliability exists.
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Reliability of individual SIJ mobility tests and test clusters is questionable or uncertain. .
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The use of SIJ mobility tests in clinical practice is problematic. .
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Thoughts? Questions? Comments?
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Write them below. .
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SOURCE:
Klerx, et al. 2019. Clinimetric properties of sacroiliac joint mobility tests: A systematic review. MSK Science. doi.org/10.1016/j.msksp.2019.102090
Dalton Urrutia, MSc PT
Dalton is a Physical Therapist from Oregon, currently living and running the performance physiotherapy clinic he founded in London for Grapplers and Strength & Conditioning athletes. Dalton runs the popular instagram account @physicaltherapyresearch, where he posts easy summaries of current and relevant research on health, fitness, and rehab topics.
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Reach out online:
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