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SIJ special test

QuestionAnswer
Gillet's test purpose assess posterior movement of the ilium relative to sacrum
Gillet's test description Pt stands. PT palpates PSISs. Pt asked to stand on one leg while pulling opposite knee up to chest - cause inominate to rotate post. Test repeated with other leg. IF SIJ on ipsil side moves minimally or up, joint is hypomobile or blocked - positive test
Ipsilateral anterior rotation test purpose Assess anterior movement of iliium relative to sacrum
Ipsilateral anterior rotation test description Pt stands. Examiner sits behind pt and palpates one PSIS with thumb and sacrum on parallel line with other thumb. Pt extends ipsil leg. Normal: PSIS move superior and lateral. Compare both sides
Ipsilateral anterior rotation test result test determine ability of inominate on the test side to rotate anteriorly while the sacrum rotates to the opposite side
Gaenslen's test purpose Identifies SIJ dysfunction
Gaenslen's test description pt sidely with upper leg (test leg) hyperextended at the hip. Pt holds lower leg flexex againswt chest. Examiner stabilizes the pelvis while extending the hip of the uppermost leg.
Gaenslen's test results positive test: pain indicated
Long sitting (supine to sit) test purpose Identifies SIJ dysfunction that may be the cause of leg length discrepancy
Long sitting (supine to sit) test description Pt supine with legs straight. PT ensures medial malleoli are level. Pt sits up, and PT observes whether 1 leg mvoes up proximally farther than the other. If so: functional leg length diff resulting from pelvic dysfunction caused be pelvic torsion/rotation
Goldthwait's test purpose Differentiate between L/S and SIJ dysfunction
Goldthwait's test description Pt supine. Examiner places 1 hand under L/S so each finger is an interspinous space (i.e., L5-S1, L4-L5, L3-L4, L2-L3 interpsaces). Examiner uses the other hand to perform SLR
Goldthwait's test result If pain is elicited before movement occurs at the interspaces, the problem is in SIJ. Pain durin ginterspace movement indicates L/S dysfunction
Created by: ecosio
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