Standing Flexion Test: Difference between revisions
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== Purpose<br> == | == Purpose<br> == | ||
The purpose of the standing flexion test is to assess sacroiliac joint dysfunction. This condition can result from a variety of causes, including [http://www.physio-pedia.com/index.php/Osteoarthritis osteoarthritis], [http://www.physio-pedia.com/index.php/Gout gout], [http://www.physio-pedia.com/index.php/Rheumatoid_Arthritis rheumatoid arthritis], pregnancy, [http://www.physio-pedia.com/index.php/Ankylosing_Spondylitis ankylosing spondylitis], … It is a state of altered mobility within the sacroiliac joint’s range of motion, causing changes in the structural relationship between the sacrum, the ilium and one or both legs. It is characterized by a reduced mobility in the affected joint, which will be noticeable when performing the standing flexion test. However, the standing flexion test alone is not enough to diagnose SIJD. Additional testing is preferable.<ref name=" | The purpose of the standing flexion test is to assess sacroiliac joint dysfunction. This condition can result from a variety of causes, including [http://www.physio-pedia.com/index.php/Osteoarthritis osteoarthritis], [http://www.physio-pedia.com/index.php/Gout gout], [http://www.physio-pedia.com/index.php/Rheumatoid_Arthritis rheumatoid arthritis], pregnancy, [http://www.physio-pedia.com/index.php/Ankylosing_Spondylitis ankylosing spondylitis], … It is a state of altered mobility within the sacroiliac joint’s range of motion, causing changes in the structural relationship between the sacrum, the ilium and one or both legs. It is characterized by a reduced mobility in the affected joint, which will be noticeable when performing the standing flexion test. However, the standing flexion test alone is not enough to diagnose SIJD. Additional testing is preferable.<ref name="1">B. Vincent-Smith, P. Gibbons. Inter-examiner and intra-examiner reliability of the standing flexion test. Manual Therapy (1999); 4(2), 87-93fckLRLevel of evidence: C</ref><ref name="2">Nancy A. Potter, Jules M. Rothstein. Intertester Reliability for Selected Clinical Tests of the Sacroiliac Joint. Physical Therapy. 1985; 65: 1671-1675fckLRLevel of evidence: C</ref><ref name="3">Michael T Cibulka, Anthony Delitto and Rhonda M Koldehoff. Changes in Innominate Tilt After Manipulation of the Sacroiliac Joint in Patients with Low Back Pain An Experimental Study. Physical Therapy. 1988; 68: 1359-1363fckLRLevel of evidence: C</ref><ref name="4">http://www.medicinenet.com/sacroiliac_joint_pain/page2.htm</ref><ref name="5">Kent E. Timm et al. Sacroiliac Joint Dysfunction in Elite Rowers. Journal of Orthopaedic &amp;amp; Sports Physical Therapy. 1999; 29(5): 288-293fckLRLevel of evidence: C</ref><br> | ||
== Technique<br> == | == Technique<br> == | ||
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Key words: standing flexion test, Vorlauf test.
Definition/description[edit | edit source]
The standing flexion test is a test that can be used to assess sacroiliac joint dysfunction. It is best used in combination with other specific tests. A synonym is the Vorlauf test.
Clinically relevant anatomy[edit | edit source]
This test involves the sacroiliac joint (SIJ). It is the joint between the iliac bones of the pelvis and the sacrum (figure 1), a joint in which very little movement occurs (nutation and contranutation). It is a strong synovial joint, with both hyaline (on the sacral surface) and fibrous cartilage (on the ilial surface). Furthermore, the SIJ is reinforced by many ligaments connecting sacrum and ilium, and which tend to relax in pregnancy. “The sacroiliac joint has been implicated as a possible cause of low back pain by many authors (Grieve 1976; Erhard & Bowling 1977; Weismantel 1978; Mitchell et al. 1979; DonTigny 1985; Bernard & Kirkaldy 1987; Bourdillon et al. 1995; Schwarzer et al. 1995; Shaw 1992, Maigne et al. 1996).”[1] Some authors claim it to be a major cause of low back pain, others rather think it is an uncommon source of low back pain.[1] Therefore, the SIJ is often evaluated by clinicians who examine patients with lumbosacral pain. Assessing SIJ dysfunction is important.[2][3]
Purpose
[edit | edit source]
The purpose of the standing flexion test is to assess sacroiliac joint dysfunction. This condition can result from a variety of causes, including osteoarthritis, gout, rheumatoid arthritis, pregnancy, ankylosing spondylitis, … It is a state of altered mobility within the sacroiliac joint’s range of motion, causing changes in the structural relationship between the sacrum, the ilium and one or both legs. It is characterized by a reduced mobility in the affected joint, which will be noticeable when performing the standing flexion test. However, the standing flexion test alone is not enough to diagnose SIJD. Additional testing is preferable.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive titleCite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title
Technique
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Describe how to carry out this assessment technique here
Evidence[edit | edit source]
Provide the evidence for this technique here
Clinical bottom line[edit | edit source]
Resources[edit | edit source]
add any relevant resources here
