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Orth.Test - Pelvis

Orthopedic tests of the pelvis

TestMechanicsPerform+ signIndicatesAdditional
Ely's position places tension on rec fem ct prone, therapist FLEX knee - observe movement of pelvis pelvis comes off table on same side contracture of rec fem
Ober's position places tension on IT band & TFL ct sidelying @ edge of table with back to therapist, passive ABD & EXT with knee straight test ITB, passive ABD & EXT with knee FLEX 90* tests TFL, lower test leg still EXT leg remains ABD; does not fall below table contracture of TFL/ITB, pain over LAT hip - trochanteric bursitis suspect
Nobel's compression PROX to attachment of IT band, increased pressure over LAT femoral condyle ct supine, hip & knee FLEX (90*), therapist puts pressure on LAT femoral condyle, ct extends pain @ appx 30* knee FLEX ITB friction syndrome (inflammtaion of ITB over LAT femoral condyle)
Piriformis Test stretch on piriformis increases tension on sciatic nerve ct sidelying on non-test side @ edge of table facing therapist, hip & knee FLEX (~60*) (ankle @ opposite knee), therapist stabilizes pelvis & applies downward pressure on test leg pain in piriformis (stretch), neurological pain - sciatic distribution contracture of piriformis, piriformis syndrome
90-90 Straight Leg Raise stretch hamstrings to assess the length ct supine, hips FLEX 90* with knees bent, one knee @ a time - active EXT EXT of knee should be within 20* of full EXT contractured hamstrings
Patrick's stresses hip in FLEX, ABD & EXT ROT ct supine, therapist places ankle of test leg on knee of other leg test leg stays above other leg general limitation of hip movement, SI jt problem, iliopsoas spasm aka "Faber" or "Figure 4"
Craig's relationship between femoral neck & condyles ct prone, palpate POST greater trochanter, passively rotate hip MED & LAT until greater trochanter parallel with table, measure angle from vertical (degrees of ROT of femur) angle greater than 8-15* femoral anteversion femoral anteversion leads to squinting patellae & toeing-in. this is twice as common in females
Thomas position assesses for contracture of iliopsoas ct supine, therapist FLEX hip & knee, ct bring to chest & hold straight leg comes off table iliopsoas contracture
Rectus Femoris Contracture position places tension on rec fem ct supine with test lef off end of table, knee to chest, position of knee observed angle of knee - less than 90* contracture of rec fem
Created by: candice2010
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