Diagnosis of the Sacrum using Still is different than the traditional sacral diagnosis.

When diagnosing the Sacrum using the Still Technique you diagnose with two things:

Modified Seated Flexion Test:

This Seated Flexion test is modified from traditional seated flexion test. Rather than using the PSIS for diagnosing, you use the sacral sulcus

1.  Patient is Seated – both ischial tuberosities bear equal weight.
2. Physicians fingers are placed over SI joint on the sacral side just medial to the PSIS at the level of the sacral base – ON the sacral sulcus
3. Patient asked to bed forward dropping arms between their legs.
4. Observe superior travel of sensing fingers.
5. The side in which the sacral sulus moves more cephalad designates a positive seated flexion test

Position of the Inferior Lateral Angle:

1. Which side has a more posterior ILA? Left or Right

Based on the Modified Seated Flexion Test and ILA you have four possible Diagnoses:

NOTE: You NAME the Sacrum based on the side of the POSITIVE SFT

Right Diagonal:

• Positive Right Modified Seated Flexion Test
• Left Posterior ILA

Left Diagonal:

• Positive Left Modified Seated Flexion Test
• Right Posterior ILA

Right Rotation:

• Positive Right Modified Seated Flexion Test
• Right Posterior ILA

Left Rotation

• Positive Left Modified Seated Flexion Test
• Left Posterior ILA