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manuelletherapie 2012; 16(01): 18-24
DOI: 10.1055/s-0032-1304755
Schwerpunkt SIG
Georg Thieme Verlag KG Stuttgart · New York

Der Test der Tests: Wie sieht die Evidenz aus?

A. Vielitz
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Publication History

Publication Date:
22 February 2012 (online)

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Zusammenfassung

TESTS AUF DEM PRÜFSTAND: Das SIG ist eine mögliche Schmerzquelle bei Patienten mit unterem Rückenschmerz. Die Prävalenz liegt bei 10–53 %. Für sinnvolle Therapieentscheidungen müssen Therapeuten herausfinden, ob das SIG die Schmerzquelle ist. Am unteren Rücken ist das exakte Lokalisieren der Schmerzquelle jedoch schwierig, auch für erfahrene Therapeuten. Wer sich auskennt, kann mit über 50 Tests „experimentieren“. Arne Vielitz, der Autor dieses Artikels, wollte wissen, welche SIG-Tests für Therapeuten wirklich nützlich sind. Welche Tests können das Gelenk zuverlässig als Schmerzquelle identifizieren? Und welcher Weg führt zum Ziel?

 

  • Literatur

  • 1 Broadhurst NA, Spinal MJ. Pain provocation tests for the assessment of sacroiliac joint dysfunction. J Spinal Disord 1998; 11: 341-345
    PubMedGoogle Scholar
  • 2 Cattley P, Winyard J, Trevaskis J et al. Validity and reliability of clinical tests for the sacroiliac joint. A review of the literature. Australas Chiropr Osteopathy 2002; 2: 73-80
    PubMedGoogle Scholar
  • 3 Cohen SP. Sacroiliac Joint Pain: A Comprehensive review of Anatomy, Diagnosis and Treatment. Sacroiliac Joint Pain: A Comprehensive review of Anatomy, Diagnosis and Treatment 2005; 101: 1440-1453
    PubMedGoogle Scholar
  • 4 Dreyfuss P, Michaelsen M, Pauza K et al. The value of medical history and physical examination in diagnosing sacroiliac joint pain. Spine 1996; 21: 2594-2602
    CrossrefPubMedGoogle Scholar
  • 5 Deutsche Gesellschaft für Unfallchirurgie (DGU) Pressestelle: Volkskrankheit Rückenschmerz. 2008; www.dgu-online.de/pdf/allgemeines/presse/PK_Volkskrankheit_Rueckenschmerz_200 (14.02.2009)
    PubMedGoogle Scholar
  • 6 Forst SL, Wheeler MT, Fortin JD et al. The Sacroiliac Joint: Anatomy, Physiology and Clinical Significance. Pain Physician 2006; 9: 61-68
    PubMedGoogle Scholar
  • 7 Freburger JK, Riddle DL. Using Published Evidence to Guide the Examination of the Sacroiliac Joint Region. Phys Ther 2001; 5: 1135-1143
    PubMedGoogle Scholar
  • 8 Hancock MJ, Maher CG, Latimer J et al. Systematic review of tests to identify the disc, SIJ or facet joint as the source of low back pain. Eur Spine J 2007; 16: 1539-1550
    CrossrefPubMedGoogle Scholar
  • 9 Hansen HC, McKenzie Brown AM, Cohen SP et al. Sacroiliac joint interventions: a systematic review. Pain Physician 2007; 1: 165-184
    PubMedGoogle Scholar
  • 10 Harrison DE, Harrison DD, Troyanovich SJ. The sacroiliac joint: a review of anatomy and biomechanics with clinical implications. J Manipulative Physiol Ther 1997; 9: 607-617
    PubMedGoogle Scholar
  • 11 Hestbaek L, Lebouf-Yde C. Are chiropractic tests for the lumbo-pelvic spine reliable and valid? A systematic critical literature review. J Manipulative Physiol Ther 2000; 4: 258-275
    PubMedGoogle Scholar
  • 12 Huijbregts P. Sacroiliac joint dysfunction: Evidence-based diagnosis. Ortho Div Review 2004; May/June: 18-44
    PubMedGoogle Scholar
  • 13 Kokmeyer DJ, van der Wurff P, Aufdemkampe G et al. The reliability of multitest regimens with sacroiliac pain provocation tests. J Manipulative Physiol Ther 2002; 25: 42-48
    CrossrefPubMedGoogle Scholar
  • 14 Kool J, de Bie R. Der Weg zum wissenschaftlichen Arbeiten. Stuttgart: Thieme; 2001
    Google Scholar
  • 15 Laslett M. Evidence-Based Diagnosis and Treatment of the Painful Sacroiliac Joint. The Journal of Manual & Manipulative Therapy 2008; 3: 142-152
    PubMedGoogle Scholar
  • 16 Laslett M. Williams M. The reliability of selected pain provocation tests for sacroiliac joint pathology. Spine 1994; 19: 1243-1249
    CrossrefPubMedGoogle Scholar
  • 17 Laslett M, Aprill CN, McDonald B et al. Diagnosis of sacroiliac joint pain: validity of individual provocation tests and composites of tests. Manual Therapy 2005; 3: 207-218
    PubMedGoogle Scholar
  • 18 Levin u, Stenström cH. Force and time recording for validating the sacroiliac distraction test. Clinical Biomechanics 2003; 9: 821-826
    PubMedGoogle Scholar
  • 19 Maigne JY, Aivaliklis A, Pfefer F. Results of Sacroiliac Joint Double Block and Value of Sacroiliac Pain Provocation Tests in 54 Patients with Low Back Pain. Spine 1996; 16: 1889-1892
    PubMedGoogle Scholar
  • 20 Mens JMA, Vleeming A, Snijders CJ et al. Reliability and Validity of the Active Straight Leg Raise Test in Posterior Pelvic Pain Since Pregnancy. Spine 2002; 10: 1167-1171
    PubMedGoogle Scholar
  • 21 Merskey H, Bogduk N. Classification of Chronic Pain. Seattle: IASP Press; 1994
    Google Scholar
  • 22 Riddle DL, Freburger JK. Evaluation of the Presence of Sacroiliac Joint Region Dysfunction Using a Combination of Tests: A Multicenter Intertester Reliability Study. Phys Ther 2002; 8: 772-781
    PubMedGoogle Scholar
  • 23 Robinson HS, Brox JI, Robinson R et al. The reliability of selected motion and pain provocation tests for the sacroiliac joint. Man Ther 2007; 1: 72-79
    PubMedGoogle Scholar
  • 24 Stanford G, Burnham RS. Is it useful to repeat Sacroiliac Joint Provocative Test Post-Block?. Pain Medicine 2010; 12: 1774-1776
    PubMedGoogle Scholar
  • 25 Strender LE, Sjoeblom A, Sundell K et al. Interexaminer Reliability in physical examination in patients with low back pain. Spine 1997; 22: 814-820
    CrossrefPubMedGoogle Scholar
  • 26 Stuber KJ. Specificity, sensitivity, and predictive values of clinical tests of the sacroiliac joint: a systematic review of the literature. J Can Chiropr Assoc 2007; 1: 30-41
    PubMedGoogle Scholar
  • 27 Waddell G. The Back Pain Revolution. Edinburgh: Churchill Livingstone; 2004
    Google Scholar
  • 28 Winkel DE. Het Sacroiliacale Gewricht. Houten: Bohn Stafleu Van Loghum; 1991
    Google Scholar
  • 29 Van der Wurff P, Hagmeijer RHM, Meyne W. Clinical tests of the sacroiliac joint. A systematic methodological review. Part 1: Reliability. Man Ther 2000; 1: 30-36
    PubMedGoogle Scholar
  • 30 Van der Wurff P, Hagmeijer RHM, Meyne W. Clinical tests of the sacroiliac joint. A systematic methodological review. Part 2: Validity. Man Ther 2000; 2: 89-96
    PubMedGoogle Scholar
  • 31 Van der Wurff P, Buijes EJ, Groen GJ. A multitest regimen of pain provocation tests as an aid to reduce unnecessary minimal invasive sacroiliac joint procedures. Archives of physical medicine and rehabilitation 2006; 1: 10-14
    PubMedGoogle Scholar