Sacral Thrust Test: Difference between revisions

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== Technique<br>  ==
== Technique<br>  ==


Describe how to carry out this assessment technique here
With the patient prone, the examiner applies an anteriorly directed pressure over the sacrum. One hand is placed directly on the sacrum and is being reinforced by the other hand. Purpose is to apply an anterior shear force to both sacroiliac joints since the ilia are fixed by the examination bench. The test is positive if pain is reproduced in the sacroiliac region.&nbsp;<ref name="Drie">NA Broadhurst, MJ Bond. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J Spine Disorders. 1998; 11(4):341–345</ref><ref name="Vier">P Vercellini. Chronic pelvic pain. Wiley-Blackwell 2011: 118-119</ref>


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Revision as of 17:11, 24 December 2011

Welcome to Vrije Universiteit Brussel's Evidence-based Practice project. This space was created by and for the students in the Rehabilitation Sciences and Physiotherapy program of the Vrije Universiteit Brussel, Brussels, Belgium. Please do not edit unless you are involved in this project, but please come back in the near future to check out new information!!

Original Editor - Els Van haver

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Search Strategy[edit | edit source]

Search engines        PubMed, Web of Knowledge, Pedro
Keywords                 Posterior pelvic pain/Pelvic girdle pain/Sacroiliac pain + Provocation test* +                                                                      Reliability/Sensitivity/Specificity/Validity

Searches have been performed between 28/10/2011 and 23/12/2011

Purpose
[edit | edit source]

The sacral thrust test is a pain provocation test used to diagnose sacroiliac dysfunction. One single positive test does not have high diagnostic accuracy but a combination with other sacroiliac pain provocation tests gives valid evidence for sacroiliac dysfunction.
The test is also known as:

  • Sacral compression test
  • Downwards pressure test
  • Sacral spring test

Technique
[edit | edit source]

With the patient prone, the examiner applies an anteriorly directed pressure over the sacrum. One hand is placed directly on the sacrum and is being reinforced by the other hand. Purpose is to apply an anterior shear force to both sacroiliac joints since the ilia are fixed by the examination bench. The test is positive if pain is reproduced in the sacroiliac region. [1][2]


[3]
[4]

Evidence[edit | edit source]

Provide the evidence for this technique here

Recent Related Research (from Pubmed)[edit | edit source]

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References[edit | edit source]

  1. ↑ NA Broadhurst, MJ Bond. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J Spine Disorders. 1998; 11(4):341–345
  2. ↑ P Vercellini. Chronic pelvic pain. Wiley-Blackwell 2011: 118-119
  3. ↑ Sacral Thrust Test. Available from: http://www.youtube.com/watch?v=k_folk7CzYg [last accessed 22/12/11]
  4. ↑ Sacral Thrust Test. Available from: http://www.youtube.com/watch?v=ZJ3kgS1fCM8 [last accessed 22/12/11]
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