• Joseph J Godges, Denisa R Varnum, and Kelly M Sanders.
• Kaiser Permanente Southern California Orthopedic Physical Therapy Residency, Los Angeles, CA.
• Phys Ther. 2002 Aug 1; 82 (8): 812-21.

Background And PurposeThe purpose of this case report is to describe the use of a cluster of sacroiliac tests in conjunction with an impairment-based model of examination, diagnosis, and management of sacroiliac region pain.Case DescriptionThe patient was a 74-year-old woman with an 18-month history of low back, left buttock, and groin pain following a misstep. The initial symptoms were intermittent. The symptoms became constant and limited her walking tolerance to 5 minutes, which affected her ability to care for her grandchildren. She was examined using a cluster of sacroiliac tests that examined: (1) innominate active mobility, (2) innominate positional symmetry, and (3) sacroiliac ligament tenderness.OutcomesFollowing 4 treatments for identified impairments, the patient had unlimited walking tolerance and she resumed an active caregiving role for her grandchildren.DiscussionThis case illustrates the use of an impairment-based model for examination and management of an elderly patient with what appeared to be sacroiliac joint dysfunction.

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