Journal of Manipulative and Physiological Therapeutics
Volume 22, Issue 3 , Pages 154-160, March 1999

Why yet another diagnostic sign of sacroiliac movement restriction?☆☆☆★

Consultant, Rehabilitation Department, Second Medical Faculty, Charles University, Prague, Czech Republic

Received 13 November 1997; received in revised form 16 January 1998 and 25 August 1998

Abstract 

Background: Poor results of interexaminer and intraexaminer reliability of movement palpation tests for sacroiliac movement restriction are found in the literature. Objective: To analyze current diagnostic techniques for movement palpation. The most evident sources of error and technical pitfalls are detailed. Method: A random sample of 64 consecutive patients at a university hospital, inpatients and outpatients, were examined with the new technique, which was compared with a set of other techniques as detailed before and after treatment. Results: Full agreement was found in all but two cases in which head rotation was restricted and in two cases of severe scoliosis. The interexaminer reliability of the new test between two independent (blinded) examiners in 33 patients (66 joints) was in agreement in 82% and in disagreement in 18% (0.68 kappa). Conclusion: For its simplicity and lack of possible errors, this is a valuable sign. Its mechanism, however, is poorly understood. (J Manipulative Physiol Ther 1999;22:154–60)

Keywords:  Diagnosis, Sacroiliac Joint, Palpation

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☆ J Manipulative Physiol Ther 1999;22:154–60

☆☆ bHead, Rehabilitation Department, General Hospital, Poprad, Slovak Republic.

★ Submit reprint requests to: Professor Karel Lewit, MD, DrSc, 252 29 Dobrichovice, Prague, Czech Republic.

PII: S0161-4754(99)70129-6

Journal of Manipulative and Physiological Therapeutics
Volume 22, Issue 3 , Pages 154-160, March 1999

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