Supported Adam’s Test


Belt Test is a useful examination to differentiate between Lumbar spine pathology and Sacroiliac (SI) joint pathology.


  1. Standing patient is instructed to bend forward and touch toes with knees straight and return to standing.
  2. Examiner then stabilises the patient’s pelvis with hands and patient’s sacrum with examiner’s lateral thigh.
  3. Patient is instructed to repeat motion of touching toes.


Pain with both supported & unsupported flexion Lumbar spine pathology
No pain with support, pain without support Sacroiliac joint pathology

Clinical Notes

By supporting the patient’s pelvis & Sacrum the examiner should effectively prevent motion at the sacroiliac joint, thus eliminating it as a potential pain generator during supported forward flexion.