liu.seSearch for publications in DiVA
Change search
ReferencesLink to record
Permanent link

Direct link
Diagnosis of Sacroiliac Joint Pain: Validity of individual provocation tests and composites of tests
Linköping University, Faculty of Health Sciences. Linköping University, Department of Medicine and Health Sciences, Physiotherapy.
Magnolia Diagnostics, New Orleans, LA, United States.
Massey University, Institute of Information and Mathematical Sciences, Albany, New Zealand.
Mobile Spine and Rehabilitation Center, Mobile, AL, United States.
2005 (English)In: Manual Therapy, ISSN 1356-689X, Vol. 10, no 3, 207-218 p.Article in journal (Refereed) Published
Abstract [en]

Previous research indicates that physical examination cannot diagnose sacroiliac joint (SIJ) pathology. Earlier studies have not reported sensitivities and specificities of composites of provocation tests known to have acceptable inter-examiner reliability. This study examined the diagnostic power of pain provocation SIJ tests singly and in various combinations, in relation to an accepted criterion standard. In a blinded criterion-related validity design, 48 patients were examined by physiotherapists using pain provocation SIJ tests and received an injection of local anaesthetic into the SIJ. The tests were evaluated singly and in various combinations (composites) for diagnostic power. All patients with a positive response to diagnostic injection reported pain with at least one SIJ test. Sensitivity and specificity for three or more of six positive SIJ tests were 94% and 78%, respectively. Receiver operator characteristic curves and areas under the curve were constructed for various composites. The greatest area under the curve for any two of the best four tests was 0.842. In conclusion, composites of provocation SIJ tests are of value in clinical diagnosis of symptomatic SIJ. Three or more out of six tests or any two of four selected tests have the best predictive power in relation to results of intra-articular anaesthetic block injections. When all six provocation tests do not provoke familiar pain, the SIJ can be ruled out as a source of current LBP. © 2005 Elsevier Ltd. All rights reserved.

Place, publisher, year, edition, pages
2005. Vol. 10, no 3, 207-218 p.
Keyword [en]
Diagnosis, Low back pain, Physical examination, Sacroiliac joint, Sensitivity, Specificity, Validity
National Category
Medical and Health Sciences
URN: urn:nbn:se:liu:diva-50450DOI: 10.1016/j.math.2005.01.003OAI: diva2:271346
Available from: 2009-10-11 Created: 2009-10-11 Last updated: 2011-01-12

Open Access in DiVA

No full text

Other links

Publisher's full text

Search in DiVA

By author/editor
Laslett, Mark
By organisation
Faculty of Health SciencesPhysiotherapy
In the same journal
Manual Therapy
Medical and Health Sciences

Search outside of DiVA

GoogleGoogle Scholar
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

Altmetric score

Total: 106 hits
ReferencesLink to record
Permanent link

Direct link