Lumbopelvic Special Tests Flashcards Preview

PT 515 Musculo > Lumbopelvic Special Tests > Flashcards

Flashcards in Lumbopelvic Special Tests Deck (14):

Slump Test

Pt sitting legs together and back of knees against table
Slump as much as possible
Maintain full spinal flexion with overpressure, ask patient to look down
Ask patient to extend knee
Add dorsiflexion to ankle
Neck flexion is released to see if symptoms abate


Straight Leg Raise

pt supine on table with head and neck in neutral
Support at heel and raise leg to point of symptom reproduction
Add DF at point of reproduction


Prone Knee Bend

Pt prone on table
Examiner places hand on pelvis, flexes pts knee
Bend knee until reproduction of symptoms
Sensitizing movements include PF, DF, hip Ext, head movements


Prone Instability Test

Pt lies with torso on table, legs off edge, feet on floor
Examiner performs A:P over spine looking for pain
Maintain contact with painful segment, pt lift feet off
Perform P:A with feet off
Positive if significant reduction of symptoms


Quadrant Test

pt standing with feet shoulder width apart
Examiner asks patient to lean back, rotate, and side bend to one side
Movement is repeated on opposite side
Positive for reproduction of pt's concordant sign


Distraction (Gapping)

Pt supine on table, establish baseline
Locate ASIS, cross arms, place palms over ASIS
Apply a lateral-posterior force slowly taking up slack
Hold this for 30 seconds, reestablish baseline
Apply a thrust
Positive if produces pain in SI


Compression Test

Pt in side-lying, painful side up, get baseline
Cup iliac crest and apply a downward force through the ilium, take up slack, hold for 30 seconds
Apply a thrust to produce symptoms
Positive if reproduction of concordant sign


Thigh Thrust (Femoral Shear)

Patient supine near edge of table
Examiner opposite painful side
Flex hip on painful side to 90°
Place hand under the sacrum
Appy a downward thrust through femur
Positive is pain posterior to hip or near SI on thrust side


Pelvic Torsion (Gaenslen's)

Pt supine with painful leg off table, assess baseline
Raise non painful leg to 90
Downward force applied to painful leg
Can be performed up to six times
Repeat procedure on opposite side
Positive if concordant sign


Sacral Thrust

Pt prone
Palpate sacrum and place one hand on sacrum, other over the application hand
Apply a P:A force and assess response
Repeat up to 6 times to attempt to provoke
Positive if reproduction of concordant sign


Standing flexion test

Pt standing
Examiner palpates PSIS bilaterally
Pt flex forward
Evaluate movement
Positive if asymmetrical movement
Repeat at inferior angle of sacrum


Seated Flexion test

Same as standing flexion except seated


Supine to sit test

Pt supine in hooklying position
Perform barstow-weber maneuver
Assess leg lengths
Pt sits up
Assess leg lengths
If one leg moves further than the other the test is positive
Short to long is posterior rotated inominate
Long to short is anterior rotated inominate


Gillet test

Examiner behind standing pt palpate PSIS
Patient lifts hip to 90°
Examiner looks for same side PSIS drop (Normal) or rotates superiorly
Positive if it does not drop or rotate superiorly