Practical 1 - Lumbar/Pelvis Flashcards
(28 cards)
Sacroiliac Dysfunction
- Stork or Gillet Tets
- Thigh Thrust
(Ostagaard Test, 4p Test, Sacrotuberous Stress Test, POSH Test) - Gapping Test
(Distraction Provocation Test) - Sacral Thrust Test
- Approx. Test (Compression Provocation Test)
- Gaenslen’s Test
Piriformis Syndrome
- FAIR Test (flexion, adduction, IR)
- Pace Test
Lumbar Instability
- Instability Catch Sign
- Pain Provocation w/ Post-Ant Mobility
- Prone Instability Test
L1 Radiculopathy
Observation - None
Dermatome - None
Myotome - Hip Flexion
Reflex - None
L2 Radiculopathy
Observation - None
Dermatome - Prox. Med. Thigh
Myotome - Hip Flex.
Reflex - Patella Tendon
L3 Radiculopathy
Observation - Unilat squat while supported & heel walking
Dermatome - Ant Thigh
Myotome - Knee Ext.
Reflex - Patella Tendon
L4 Radiculopathy
Observation - Unilat squat while supported & heel walking
Dermatome - Med Tib
Myotome - Knee Ext. / Ankle DF/IV
Reflex - Patella Tendon
L5 Radiculopathy
Observation - None
Dermatome - Med. Dorsum Foot
Myotome - Ankle DF/IV & Great toe extension
Reflex - Med. Hammies & Post Tib.
S1 Radiculopathy
Observation - Stand up on toes
Dermatome - Lat Foot
Myotome - Ankle EV, Ankle PF
Reflex - Lat Hammies, Med Hammies, Achilles Tendon
S2 Radiculopathy
Observation - Stand up on toes
Dermatome - Post. Calf
Myotome - Ankle PF
Reflex - Lat. Hammies and/or Achilles tendon
Active Movement Assessment
flexion, extension, side bending, rotation
Extension Quadrant Testing
- stand w/ equal weight
- instruct pt to lean back, rotate, and side-flex toward one side
- combined motion of ext., rotation, side flexion
**positive test is when pt’s pain is reproduced
Flexion Quadrant Testing
- stand w/ equal weight
- instruct pt to lean forward and touch toes
- combined motion of ext., rotation, side flexion
**positive test is when pt’s pain is reproduced
What are the three Neural Tension Tests
Slump Test
Straight Leg Raise
Femoral Nerve Tension Test
Slump Test
- pt slumps forward as far as possible
- PT applies firm over pressure into flexion
- pt extends knee or PT passively extends knee
- PT moves foot into DF/PF
- slow neck flexion
Straight Leg Raise
- pt does SLR
- clinician raises leg to point of symptom reproduction
- slightly lower leg and foot into DF
Femoral Nerve Tension Test
- pt prone w/ PT one hand on PSIS
- move knee into flexion until onset of symptoms
- move foot into DF/PF or tell pt to move head
- can implement hip ext.
FAIR Test
- pt sidelying
- 90° hip flexion, max. adduction, knee flex. to 90°
- keep hips stacked
- internally rotate
Pace Test
- pt sitting at EOT
- PT places hands on lateral aspects of knees and asks pt to push hands apart
Instability Catch Sign
- pt standing
- bend body forward as much as possible then return to standing
Pain Provocation w/ PA Mobility
- pt prone
- thumb pad to thumb grip, put pressure perpendicular to spinous process of lumbar spine.
- proximal to distal
- positive when get to painful joint
Prone Instability Test
- pt bent over on table
- PT performs PA spring on low back to elicit pain using pisiform grip
- pt lifts legs off table
- positive test if symptoms go away
Stork or Gillet Test
PT places fingers/thumb/hands on pt PSIS and tells them to march. marching leg/thumb should dip down. positive if thumb doesn’t slip down
Thigh Thrust (Ostagaard Test, 4p Test, Sacrotuberous Stress Test, POSH Test)
- pt supine
- PT stands opposite of painful side (i.e. if painful side is R then PT stands L)
- painful hip flexed to 90
- PT places hand under butt
- press down on femur
- positive test is if pain arrives during test
