The effect of training on the inter-examiner and intra-examiner reliability of the seated flexion test and assessment of pelvic anatomical landmarks with palpation

Those examiners who attended training sessions achieved a marginal increase in intra-examiner and inter-examiner reliability, but concordance was still less than acceptable for a clinical test. The osteopathic profession should reconsider the use of these clinical tests purported to indicate sacroiliac dysfunction in view of their unestablished validity and poor inter-examiner reliability.