SI Joint Nutation

Execution (for the right SIJ):

  1. The patient is in prone lying position with a pillar/sandbag under the patient’s anterior superior iliac spine (ASIS) that you want to examine
  2. The examiner is standing on the contralateral side and places the hypothenar of the right hand on the patient’s SIJ in the quadrant 2 and with the left hand on top
  3. The examiner then applies a force in ventrocranial and slight lateral direction and assessed the end-feel

 

Positive Outcome: The test is positive in case of pain provocation and/or changed end-feel (compared to the other side)

Study Reliability Sn Sp LR+ LR-
Robinson et al. (2007) Inter к= -0.04 NA NA NA NA
Comment: SIJ palpation tests for movement have shown to be unreliable without ‘pain provocation’ as an outcome measurement.