Standing Flexion Test

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Search strategy[edit | edit source]

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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]

Purpose
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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.[1][2][3][4][5][1][2][3][4][5]

Technique
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Evidence[edit | edit source]

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Clinical bottom line[edit | edit source]

Resources[edit | edit source]

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References
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  1. B. Vincent-Smith, P. Gibbons. Inter-examiner and intra-examiner reliability of the standing flexion test. Manual Therapy (1999); 4(2), 87-93 Level of evidence: C
  2. Nancy A. Potter, Jules M. Rothstein. Intertester Reliability for Selected Clinical Tests of the Sacroiliac Joint. Physical Therapy. 1985; 65: 1671-1675 Level of evidence: C
  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: 1359-1363 Level of evidence: C
  4. http://www.medicinenet.com/sacroiliac_joint_pain/page2.htm
  5. Kent E. Timm et al. Sacroiliac Joint Dysfunction in Elite Rowers. Journal of Orthopaedic & Sports Physical Therapy. 1999; 29(5): 288-293 Level of evidence: C