SI Joint Examination and Treatment Continuing Education

Learn from the Expert Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS

Michael P. Reiman, PT, DPT, OCS, SCS, ATC, FAAOMPT, CSCS is an assistant professor of physical therapy at Duke University Medical Center. As a clinician Dr. Reiman has over 20 years of experience in assessing, rehabilitating, and training athletes, clients, and patients at various levels of ability. He received his doctoral degree in physical therapy from MGH Institute of Health Professions in 2007. In addition to his certifications as an athletic trainer and strength and conditioning specialist, Dr. Reiman is a manual therapy fellow through the American Academy of Orthopaedic and Manual Physical Therapists (having completed a 2 and one year fellowship program), is a USA Weightlifting level 1 coach and a USA Track and Field level 1 coach. Dr. Reiman has co-written the only textbook on functional testing, Functional Testing in Human Performance, written eight book chapters on orthopedic examination/intervention and training for strength, power, and endurance. He has also written multiple articles in such journals as the American Journal of Sports Medicine, Journal of Orthopedic and Sports Physical Therapy, and Journal of Sport Rehabilitation, as well as having served as special guest editor for a special issue on the hip joint in the Journal of Sport Rehabilitation. Dr. Reiman currently serves on the editorial board for the Journal of Sport Rehabilitation and is a reviewer for multiple orthopedic and sports related journals. Dr. Reiman presents on various levels of assessment and treatment methods at national, regional, and local conferences and actively participates in research regarding various testing methods for orthopedic examination-intervention and human performance. His current research and presentation interests focus on performance enhancement, low back/hip pain, and evidence based examination-intervention of the hip joint. He continues to practice clinically on various sports and orthopedic-related injuries. He is a member of the American Physical Therapy Association, National Athletic Trainers Association, National Strength and Conditioning Association, USA Weightlifting Association, and USA Track and Field Association

Course Objectives

• Apply a differential diagnosis approach to a thorough examination of the SI joint while ruling out lumbar spine and hip disorders.
• Identify the evidence based information that supports the rationale for selected examination and treatment techniques for the SI joint.
• Perform SI joint provocation tests.
• Recognize the appropriate tests to identify muscle dysfunction motor control dysfunction and /or pelvic instability.
• Identify when to use SI joint movement tests and perform them properly.
• Perform manual therapy mobilizations and muscle energy techniques for effective treatments of common SI disorders such as: anterior rotated innominate, posterior rotated innominate, outfare dysfunction, inflare dysfunction, and downslip.
• Develop effective progressive exercise programs for the management of SI dysfunction.

Rule Out Lumbar Spine

• Repeated Motions (Flexion and Extension)of Lumbar Spine
• Posterior–Anterior Glide Assessment for Facet Joint Dysfunction
• Extension Rotation Test for Facet Joint Dysfunction

Rule Out the Hip Joint

• Patellar–Pubic Percussion Test
• Fulcrum Test of Femur
• Heel Strike Test
• Resisted SLR Test
• FADDIR (Flexion–Adduction–Internal Rotation)Test

Ruling Out Hip Osteoarthritis and Impingement Testing

• Thigh Thrust Test
• Gaenslen’s Test
• Distraction Test
• Compression Test
• Sacral Thrust Test
• The Flick Test

Gluteal tendinopathy, pain, movement and/or gluteus weakness

• Trendelenburg Sign
• The Standing Lunge Test
• Active Straight Leg Raise Test
• Single Leg Bridge Test
• Standing Flexion Test
• Standing Stork/March Test
• Supine to Sit Test
• Assessment for Sacral Flexion Movement with Prone Press–Up

Joint Palpations

• Palpation of Inferior Lateral Angle of Sacrum
• Palpation of Sacrotuberous Ligament
• Palpation of Pubic Symphysis

Treatment of the SI joint

• Mobilization for Anteriorly Rotated Innominate
• Mobilization for Posteriorly Rotated Innominate
• Mobilization for Outflare Dysfunction
• Mobilization for Inflare Dysfunction
• Mobilization/Manipulation for Upslip Dysfunction
• Mobilization for Downslip Dysfunction
• SI Regional Grade V
• Side Lying SI Grade V

Treatment of the SI joint

• Learn Sacral Mobilization Techniques
• Muscle Energy Technique for Anteriorly Rotated Innominate
• Muscle Energy Techniques for Posteriorly Rotated Innominate
• Muscle Energy Technique for Outflare Dysfunction
• Muscle Energy Technique for Inflare Dysfunction
• Muscle Energy Technique for Left on Left Sacral Dysfunction
• Muscle Energy Technique for Right on Left Sacral Dysfunction

Exercises for SI Joint Treatment

• Clam Exercise
• Hip Abduction Exercise
• Bilateral and Unilateral Bridge Exercise
• Bilateral and Unilateral Bridge Exercise–Lying on Physioball
• Bilateral Bridging on Physioball–Knees Straight
• Bilateral Bridging on Physioball–Knees Bent
• Bird Dog Exercise
• Lunge Exercise Variations
• Unilateral Mini–Squat Exercise
• Single Limb Squat Exercise
• Single Limb Deadlift Exercise
• Forward Step–Up Exercise
• Side–Bridge Exercise

Course Test - Evaluate your knowledge

• Use the Healthclick proprietary online education system which provides the online student with:
• Worldwide access to high definition video, anatomical animations and images, and written information
• The highest quality film in the industry, you can see the difference!
• Stop and resume within a course, the Healthclick system will optimize your course based on your device, connection and remembers where you left off.
• Real-time course updates. We are always adding to each courses, updating content, adding animations, these are not static courses!
• Evaluate your knowledge with the course test on any device.
• Print your state course certificate for CE credit.
• Take the online test as many times as need in order to achieve a 70 % or greater score.