What is the indication for performing the belt test?

• A. Herniated disc
• B. SI involvement (sprain/sublux)
• C. Muscle strain
• D. Joint arthritis

Answer: (B)

The belt test is specifically designed to assess for sacroiliac (SI) joint involvement, which may include sprains or subluxations. This test differentiates between pain originating from the lower back (lumbar spine) and pain arising from the sacroiliac joints. When the test is performed, the patient is mobilized in a way that isolates the SI joint, allowing for observation of pain that may indicate an underlying issue related to sacroiliac dysfunction. If pain is present during the maneuver, it suggests that the SI joint may be the source of the discomfort.

Understanding this, the indications for the belt test are specifically linked to assessing SI involvement rather than other conditions such as herniated discs, muscle strains, or joint arthritis. These other conditions have different assessments and may require different physical tests to identify their specific issues effectively. Therefore, the belt test is most relevant and effective for identifying potential sacroiliac pathology.