Title: Bone Wizardry / OMM Mastery / 18.Special Tests / V.Sacrum and Innominates
Tags: #BW_OMM::Content::Diagnosis #BW_OMM::Region::Sacrum_Innominates #BW_OMM::Type::Cloze BoneWizardry bonewizardry-free omm omt

Q: The ASIS Compression Test helps determine the side of a [...] dysfunction.
A: SI
Q: What test is being described? With the patient in the supine position, the physician comes in contact with the ASIS's and applies a posterior compression to each ASIS while stabilizing the other.
[...]
A: ASIS Compression Test
Q: What indicates a positive ASIS Compression Test?
[...]
A: Resistance to compression
Comment: It is particularly helpful when the standing or seated flexion tests are equivocal.
Comment 3: A positive test indicates dysfunction of the sacrum, innominate or pubic bones.
Topic: Sacrum and innominates
Review Links: - Bone Wizardry sacral diagnosis
- Practice: Sacrum Special Tests QBank
Show outside sources
- MET for sacral dysfunction
- Articulatory sacral rocking
- BLT/LAS procedure
- AAFP hip evaluation
Bone Wizardry Lock: ASIS compression loads the SI joint directly on the side being pushed. Resistance means that joint is already loaded or restricted. Use it when standing and seated flexion tests give you equivocal or mixed results.

Q: The Pelvic Side Shift Test determines if the [...] is in the [...].
A: sacrum; midline
Q: What test is being described? With the patient standing, the physician stabilizes the shoulders with the right hand and pushes the pelvis to the right with the left hand. The hands are then switched and the pelvis is translated to the left.
[...]
A: Pelvic Side Shift Test
Q: What indicates a positive Pelvic Side Shift Test?
[...]
A: The side that has freer translation
Q: A flexion contracture of the right iliopsoas will cause a positive pelvic shift test to the [...].
A: left
Comment 3: This indicates that the pelvis is shifted to that side.
Comment 4: A positive pelvic side shift test is often seen in a flexion contracture of the iliopsoas (psoas syndrome).
Topic: Sacrum and innominates
Review Links: - Bone Wizardry sacral diagnosis
- Practice: Sacrum Special Tests QBank
Show outside sources
- MET for sacral dysfunction
- Articulatory sacral rocking
- BLT/LAS procedure
- AAFP hip evaluation
Bone Wizardry Lock: The pelvis shifts freely toward the side it is already displaced. Freer movement to the right means right pelvic shift. A right iliopsoas contracture pulls the pelvis left, so translation is freer to the left.

Q: The Trendelenberg's Test assesses [...] muscle strength.
A: gluteus medius
Q: What test is being described? The physician stands behind the patient. The patient is instructed to pick one of the legs up off the floor.
[...]
A: Trendelenberg's Test
Q: What indicates a positive Trendelenberg's Test?
[...]
A: Pelvis falls
Comment 3: Normally, the gluteus medius muscle should pull up the unsupported pelvis to keep it level.
Topic: Sacrum and innominates
Review Links: - Bone Wizardry sacral diagnosis
- Practice: Sacrum Special Tests QBank
Show outside sources
- MET for sacral dysfunction
- Articulatory sacral rocking
- BLT/LAS procedure
- AAFP hip evaluation
Bone Wizardry Lock: Gluteus medius keeps the pelvis level during single-leg stance. A positive test means it is weak on the stance leg, not the lifted leg. The unsupported side drops.

Q: The Lumbosacral spring test assesses whether or not the sacral base is tilted [...].
A: posterior
Topic: Sacrum and innominates
Review Links: - Bone Wizardry sacral diagnosis
- Practice: Sacrum Special Tests QBank
Show outside sources
- MET for sacral dysfunction
- Articulatory sacral rocking
- BLT/LAS procedure
- AAFP hip evaluation
Bone Wizardry Lock: A stiff spring test means the sacral base resists anterior movement and is likely held posteriorly. That failure to spring is the positive finding, pointing toward a backward sacral dysfunction.