International Journal of Osteopathic Medicine

The use of palpation to diagnose the movement and positional components of sacroiliac joint (SIJ) dysfunction is commonly taught within osteopathy. However, concerns have been raised about the reliability of such protocols. The aim of this study was to investigate the inter-rater reliability of four traditional static palpation tests based upon the Frank Mitchell Sr biomechanical model of pelvic movement as used to diagnose and treat positional pelvic joint dysfunction. This small study demonstrated “Poor” inter-rater reliability of the Mitchell Model. It is suggested that the inclusion of this osteopathic model within curricula be reviewed forthwith.

Abstract available here.