Innominate MET Flashcards
(24 cards)
What is the first test you do to lateralize the hip dysfunction?
standing flexion test
How do you perform a standing flexion test?
pt standing
doc at eye level w/ PSIS
pt bends forward
higher PSIS is dysfunctional side
What are the six levels you need to check on static tests?
iliac crest ASIS ASIS to umbilicus pubic tubercle medial malleoli PSIS
Where do you place your thumbs and pressure when checking ASIS and PSIS?
on the inferior aspect
(hooked under)
press cephalad
How do you check the iliac crests?
start with index fingers lateral and just below crests
slide fingers up and medial
What are the characteristics of an anterior innominate rotation?
PSIS superior
ASIS inferior
medial malleolus inferior
iliac crests even
What are the characteristics of a posterior innominate rotation?
PSIS inferior
ASIS superior
medial malleolus superior
iliac crests even
What are the characteristics of a superior innominate shear?
iliac crest superior ASIS superior PSIS superior medial malleolus superior pubic tubercle superior
What are the characteristics of an inferior innominate shear?
iliac crest inferior ASIS inferior PSIS inferior medial malleolus inferior pubic tubercle inferior
What is the characteristic of an innominate outflare?
ASIS to midline is longer on dysfunctional side
What is the characteristic of an innominate inflare?
ASIS to midline is shorter on dysfunctional side
What is the characteristic of a superior pubic shear?
pubic tubercle superior
What is the characteristic of an inferior pubic shear?
pubic tubercle inferior
What should you have the patient do before you measure the six anatomical levels?
reset the hips
What should you do after the treatment before you re-assess?
reset the hips
How do you treat anterior innominate rotation with MET?
pt supine, doc standing ipsi
flex pt hip and knee
pt extends leg against doc counterforce
How do you treat posterior innominate rotation with MET?
pt supine, doc standing ipsi
extend pt leg off table
hand on contra ASIS
pt raises leg against doc counterforce
How do you treat a superior innominate shear?
pt supine doc standing at foot of table abduct and IR leg pull leg have pt pull leg back up into hip
How do you treat an inferior innominate shear?
pt supine doc stand at foot of table abduct and IR leg and place on thigh push up against pt leg have pt push foot down into your thigh
How do you treat an innominate inflare?
pt supine and doc contra to dysfunction flex pt hip and knee place pt foot lateral to contra leg brace contra ASIS abduct pt's knee against their counterforce
How do you treat an innominate outflare?
pt supine and doc contra to dysfunction
flex pt hip and knee
place pt foot lateral to contra leg
adduct pt PSIS and knee against their counterforce
How do you perform a pubic dysfunction shotgun treatment?
pt supine, hips flexed, knees flexed, feet flat on table
pt abducts legs for 3-5s against counterforce
then adducts legs 3-5s against counterforce
Repeat 3-5x
How do you treat a superior pubic shear?
pt supine, doc stands ipsi
pt leg extends off table
doc stabilize contra ASIS
pt pulls leg up and medial against doc counterforce
How do you treat an inferior pubic shear?
pt supine, doc stands ipsi
monitor ipsi ischial tuberosity with cephalad hand
pt flex hip and knee and adduct
caudad hand on pt’s knee
pt presses knee down and out against counterforce
