(Side-lying) Compression Test

Execution:

  1. Patient is lying on the asymptomatic side with the hips bent to 45° and the knees flexed to 90°
  2. The examiner is standing behind the patient and positions both hands on the anterior rim of the ilium
  3. At last, the examiner applies 3-6 vertical thrusts with moderate velocity and gradually increasing pressure

 

Positive Outcome: Patient’s familiar pain (usually in the buttock, lower lumbar spine, posterolateral thigh and groin) is reproduced

Study Reliability Sn Sp LR+ LR-
Laslett et al. (2005) NA 69 69 2.20 0.46
Schneider et al. (2020) NA 60 56 1.36 0.71
Szadek et al. (2009) NA 62.8 69.2 2.03 0.54
Comment: Not a very good stand-alone test, but proven useful in the Cluster of Laslett and van der Wurff, where it is performed with increasing pressure instead of thrusts.