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Hip/Pelvis Special T Word Scramble

 
 


 

 
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Special Test How it's done Positive Sign What it's for
Gaenslen's Signknee to chest,Shift to side of table,Allow unsupported leg to drop over edge of tablepain in the SI regionSI joint dysfunction
Ober TestPt. sidelyingPassively flex knee and hip bringing hip into ABD and extension so ITB clears greater trochanterAllow leg to slowly aDDucthip stays ABD or pelvis moves before hip is ADDITB tightness
Thomas TestAthlete supine and ath. brings one knee to chestinvolved thigh (opposite hip) flexes = tight hip flexors (iliopsoas)), opposite knee extends = tight rectus femoristight hip flexors and rectus femoris
Trendelenburg TestStand on one leg for approx. 10 secondsNWB hip drops away from WB hipStrength of gluteus medius (not able to support the torso in an errect position)
Piriformis TestSide-lying on uninvolved side,Position top leg at 60 deg hip flexion,Apply downward pressure to knee over tablepain in piriformisPiriformis tightness
Hip ScouringPatient SupinePassively flex pt hip and kneeApply longitudinal pressure along shaft of femur as compress joint surfaceComplete with IR & ER of hip during multiple angles of hip flexionpain or sypmtoms in hip reproducedosteochondral defect ((defect in articular cartilage of femur or acetabulum)
Pelvic Rock (gap and compression)gap-Sidelying,Cross hands over proximal iliac crestApply inward & downward force compression-Cross armsApply downward and outward pressure to each ASISgap-posterior pain at the SI joints (posterior sacroiliac ligament)compression-posterior pain at the SI joints (anterior sacroiliac ligament)integrity of SI ligaments due to sprain/irritation
Patrick or FABER testSupine with foot crossed to other knee, Stabilize ASISPassively move knee to tablethigh does not lower; posterior pain (SI) or anterior pain (inguinal/illopsoas)Inguinal Pain- hip jt.pathology Posterior Pain - SI jonit dysfunciton