Lab Innominate Dx and Tx Flashcards
trendelenburg test
patient stands on one leg, if opposite hip drops, abductors on standing leg are dysfunctional
thomas test
patient supine
patient pulls knee to chest and lowers one leg to the table
+ test = inability to fully extend at hip
indicates psoas (hip flexor) tightness contractor
ober test
lateral recumbent with hips and knees flexed, stabilize hip
passively abduct and extend the upper leg and let it passively adduct
+ test - leg will not fully adduct or cannot easily press down the leg
indicates IT band contracture
structures to evaluate on the innominate
standing flexion test or ASIS compression test PSIS height ASIS height Iliac crest height medial malleoli height ASIS to midline Pubic tubercles
standing flexion test and ASIS test are used to
lateralize dysfunction to one side
before doing a supine innominate evaluation what should be performed
ask patient to reset hips by lifting them off table
name the dysfunction standing flexion test on the right PSIS superior on the right ASIS inferior on the right Malleoli long on the right iliac crests even
right anterior innominate rotation
name the dysfunction standing flexion on the left PSIS inferior on the left ASIS superior on the left malleoli short on the left iliac crests even
left posterior innominate rotation
name the dysfunction standing flexion on the right PSIS high on the right ASIS high on the right Malleoli short on the right iliac crest superior on the right
Superior right innominate shear
name the dysfunction standing flexion on the left PSIS high on the right ASIS high on the right malleoli short on the right iliac crest superior on the right
inferior right innominate shear
name the dysfunction
standing flexion on the right
ASIS to midline distance long on right
right outflare
name the dysfunction
standing flexion test on the left
ASIS to midline distance long on the right
left inflare
pubic dysfunctions
superior/inferior shear
compression subluxation
Anterior Innominate SD ME
Patient supine
Flex hip and leg and apply ME principles 3-5x
Reassess
Posterior Innominate SD MET
Patient prone
Extend leg at hip and have patient try to flex leg
Apply principles of ME 3-5x
Reassess
Superior innominate shear SD MET
Supine with feet off table
IR and abduct leg to gap SI joint (close packing of hip joint)
Have patient pull hip toward ipsilateral shoulder and apply principles of MET 3-5x
Reassess
Inferior innominate sheer MET
Supine with feet off table, dysfunctional foot resting on physicians leg
IR and abduct leg to gap SI joint and close pack the hip joint
Pt resists superior compression by physician by principles of MET 3.5x
Reassess
Inflare of the innominate SD MET
Patient in FABER with dysfunctional leg flexed
Patient internally rotates against physician force
3-5x
Reassess
Outflare of the Innominate SD MET
FABER with leg of dysfunctional side
Patient abducts and ER against physician’s force (IR and adduction)
3-5x
Reassess
Pubic dysfunction MET
Hips flexed to 45. Knees to 90 Fixed compression - pt tries to adduct Fixed gapping - pt tries to abduct 3-5x Reassess
Sacral lateralization tests
Seated flexion test or pelvic compression test
Positive finding on a seated flexion test is the side that
PSIS moves farther superiorly at the end of option
Usually first to move too
ASIS compression test positive finding
Hard end feel or restriction of motion on one side
Active motion testing of the sacrum
Backward bending/sphinx test
Sacral mobility during respiration
