Standing Flexion Test: Difference between revisions
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This test involves the [http://www.physio-pedia.com/index.php/Sacroiliac_joint 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).”<ref name="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.<ref name="1" /> Therefore, the SIJ is often evaluated by clinicians who examine patients with lumbosacral pain. Assessing SIJ dysfunction is important.<ref name="1" /><ref name="2" /> | This test involves the [http://www.physio-pedia.com/index.php/Sacroiliac_joint 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).”<ref name="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.<ref name="1" /> Therefore, the SIJ is often evaluated by clinicians who examine patients with lumbosacral pain. Assessing SIJ dysfunction is important.<ref name="1" /><ref name="2" /> | ||
[[Image:SIJ.jpg|Fig. 1: anatomy of the SIJ. Source: http://www.coretherapy.com/health_news/articles_sacroiliac_joint_dysfunction.html]] | [[Image:SIJ.jpg|Fig. 1: anatomy of the SIJ. Source: http://www.coretherapy.com/health_news/articles_sacroiliac_joint_dysfunction.html]] | ||
Fig. 1: anatomy of the SIJ. Source: http://www.coretherapy.com/health_news/articles_sacroiliac_joint_dysfunction.html | |||
== Purpose<br> == | == Purpose<br> == | ||
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Search strategy[edit | edit source]
Search engines: pubmed, web of science, PEDro, google scholar.
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).”Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title 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.Cite error: Invalid <ref> tag; name cannot be a simple integer. Use a descriptive title Therefore, the SIJ is often evaluated by clinicians who examine patients with lumbosacral pain. Assessing SIJ dysfunction is important.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 title
Fig. 1: anatomy of the SIJ. Source: http://www.coretherapy.com/health_news/articles_sacroiliac_joint_dysfunction.html
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]
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Clinical bottom line[edit | edit source]
Resources[edit | edit source]
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