What is the primary goal of having a patient perform the belt test?

• A. To assess muscle strength
• B. To determine the presence of SI joint issues
• C. To evaluate balance
• D. To check for ligament tears

Answer: (B)

The primary goal of having a patient perform the belt test is to determine the presence of sacroiliac (SI) joint issues. The belt test is a functional assessment used to distinguish between lumbar spine and SI joint pathologies. During this test, the clinician observes the patient's symptoms when pressure is applied, helping to identify whether the discomfort originates from the lumbar spine or the SI joint.

In the context of this test, it is particularly designed to evaluate pain related to the SI joint, which can be a source of discomfort in individuals experiencing lower back or pelvic pain. Recognizing the location and nature of the pain can guide further assessment or intervention. Thus, the belt test serves as an important tool in the differential diagnosis when a patient presents with lower back pain, focusing specifically on issues related to the sacroiliac joint rather than other structures such as muscles, ligaments, or balance-related concerns.