Term
| Mvmt Dysfxn & Symmetry Testing - in STANDING (4) |
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Definition
observation/palpation of bony alignment
fwd bending
stork standing
sidebending |
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Term
| FIRST thing to do in eval of SIJ |
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Definition
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Term
| Mvmt Dysfxn & Symmetry Testing - in SITTING |
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Definition
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Term
| Mvmt Dysfxn & Symmetry Testing - in SUPINE (3) |
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Definition
active SLR
symphysis pubis position
leg length + supine->long sitting |
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Term
| Bony landmarks for palpation in standing (osteopathic-based symmetry testing) (8) |
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Definition
iliac crests (frontal plane)
PSISs (frontal plane)
Gr Trochanters (frontal plane)
ASISs (frontal plane)
R ASIS/PSIS (sagittal plane)
L ASIS/PSIS (sagittal plane)
asymm knee flex/ext
asymm ankle pronation |
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Term
| Standing forward bending test - technique |
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Definition
pt c feet acetabular width apart
PT behind pt, c thumbs on PSISs
pt flexes lumbopelvic |
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Term
| Standing forward bending test - positive test |
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Definition
excessive mvmt of one PSIS cranially
(+ test ≠ position of dysfxn) |
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Term
| Stork Standing test - AKA... |
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Definition
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Term
| Stork Standing test - technique |
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Definition
pt c feet acetabular width apart
PT behind pt, thumbs on ipsilat PSIS and sacral crest
pt raises knee to ceiling |
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Term
| Stork Standing test - positive test |
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Definition
+ = cranial mvmt/no mvmt
(-) = caudal mvmt of ipsilat PSIS |
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Term
| Stork Standing test - best used to confirm... |
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Definition
| suspected positive fwd bending test |
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Term
| Sidebending test - technique |
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Definition
pt c feet acetabular width apart
PT behind pt c thumbs on PSISs
pt sidebends L-spine |
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Term
| Sidebending test - positive test |
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Definition
| (-) = symm motion, contralat pelvic rot |
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Term
| Sidebending test - additional PT look-fors |
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Definition
| scoliosis of L-spine (scoliosis may indicate SI dysfxn) |
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Term
| Sitting forward bending test - technique |
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Definition
pt seated
PT sitting behind pt, thumbs on PSISs & index fingers on iliac crests
pt goes into full fwd bending |
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Term
| Sitting forward bending test - positive test |
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Definition
| + = asymm motion at PSISs |
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Term
| Asymm of bony landmarks in sitting prior to fwd bend is indicative of... |
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Definition
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Term
| Sitting fwd bend + Standing fwd bend: suggestions of results |
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Definition
sitting (+), standing (-) = SI dysfxn
(sitting stabilizes innominates) |
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Term
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Definition
pt supine
PT standing beside pt
pt SLRx10
PT observes for pain/symm bilat
PT provides medial compression to ant (then post) ilium |
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Term
| ASLR test - positive test |
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Definition
| + = pain c ASLR relieved c compression |
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Term
| Symphysis pubis position test - technique |
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Definition
pt supine
PT uses heels of hand or thumbs to slide to sup aspect of symphsysis |
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Term
| Symphysis pubis position test - positive test |
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Definition
| + = asymmetry, excessive tenderness of inguinal ligt insertion |
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Term
| Leg Length & Supine-LongSit test - positive test |
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Definition
| LLD btwn supine & long sitting |
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Term
| Leg Length & Supine-LongSit test - false positives |
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Definition
| acute LBP (false positive 2º to mm spasm) |
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Term
| SIJ Provocative Tests (8) |
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Definition
distraction
thigh thrust
Gaenslen's
compression
sacral springing
prone knee bend
palpation of sacral position
sacrotuberous ligt tension |
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Term
| Most painful of all SIJ provocative tests = |
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Definition
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Term
| 3/5 of these SIJ tests positive = SIJ dysfxn |
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Definition
distraction
thigh thrust
Gaenslen's
compression
sacral springing |
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Term
| 2/4 of these SIJ tests positive = SIJ dysfxn |
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Definition
distraction
compression
thigh thrust
sacral spring |
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Term
| Sn/Sp of SIJ provocative tests |
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Definition
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Term
| Palpation of Sacral position - technique |
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Definition
pt prone
PT places fingers on sacral sulci, thumbs on ILAs |
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Term
| Palpation of Sacral position - step 2 if asymm noted |
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Definition
PT fingers on R/L sacral base
pt does prone push-up |
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Term
| SIJ pain WORSE c prone push-up = |
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Definition
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Term
| SIJ pain BETTER c prone push-up = |
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Definition
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Term
| Expected sacral motion c prone push-up: |
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Definition
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Term
| Sacrotuberous ligt tension test - technique |
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Definition
pt prone
PT palpates isch tubs, move cranially/medially to 'strum' ST ligt |
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Term
| Sacrotuberous ligt tension test - positive test |
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Definition
| + incr tenderness = shear dysfxn |
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Term
| Sacral torsion: L sulcus deeper than R |
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Definition
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Term
| Sacral torsion: R sulcus deeper than L |
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Definition
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Term
| Step 1 of IDing sacral torsions |
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Definition
| ID direction of rotation (i.e. L or R) |
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Term
| Step 2 of IDing sacral torsions |
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Definition
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Term
| S/Sx worsen c prone extension |
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Definition
L on R, R on L
bkwd torsion |
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Term
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Definition
L on L, R on R
fwd torsion |
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Term
| Motion of sacrum c lumbar ext |
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Definition
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Term
| (+) tests for SI dysfxn - symphysis pubis |
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Definition
standing flex
asymm of pubic tubercle
inguinal ligt tenderness |
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Term
| (+) tests for SI dysfxn - iliosacral inflare |
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Definition
lateral PSIS
+ fwd bending test |
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Term
| (+) tests for SI dysfxn -iliosacral outflare |
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Definition
medial PSIS
+ fwd bending test |
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Term
| (+) tests for SI dysfxn -iliosacral upslip (sup shear) |
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Definition
superior ipsilat PSIS & ASIS
+ fwd bending test
ipsilat sacrotuberous ligt laxity |
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Term
| (+) tests for SI dysfxn - iliosacral downslip (inf shear) |
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Definition
inf ipsilat PSIS & ASIS
+ fwd bending test
ipsilat sacrotuberous ligt tightness |
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Term
| (+) tests for SI dysfxn -unilat flex SI |
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Definition
sitting flex (+) ipsilat
ipsilat sacral base ant & ILA inf
limited sidebending to same side
long leg |
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Term
| (+) tests for SI dysfxn - unilat ext SI |
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Definition
sitting flex (+) ipsilat
ipsilat sacral base post & ILA sup
limited sidebending to same side
short leg |
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Term
| (+) tests for SI dysfxn - bilat flex SI |
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Definition
sitting flex (+) bilat
sacral base ant
ILAs post
incr lordosis |
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Term
| (+) tests for SI dysfxn - bilat ext SI |
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Definition
sitting flex (+) bilat
sacral base post
ILAs ant
decr lordosis |
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Term
| (+) tests for SI dysfxn - fwd torsion SI |
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Definition
ipsilat ILA & sacral base post
decr contralat sidebending
short leg
asymm DECR c lumbar ext |
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Term
| (+) tests for SI dysfxn - bkwd torsion SI |
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Definition
ipsilat ILA & sacral base post
decr conralat sidebending
short leg
asymm INCR c lumbar ext |
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Term
| (+) tests for SI dysfxn - ant innominate |
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Definition
high ipsilat PSIS
low ipsilat ASIS
(+) fwd bending
(+) Stork
leg long to short in supine-longsit test |
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Term
| (+) tests for SI dysfxn - post innominate |
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Definition
low ipsilat PSIS
high ipsilat ASIS
(+) fwd bending
(+) Stork
leg short to long in supine-longsit test |
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Term
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Definition
hip quadrant
FABER
Ely's
hip rotation
Craig's test
resisted abd
hip ext strength |
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Term
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Definition
pt supine
PT scours (FADIR) |
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Term
| FABER test - positive test |
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Definition
ant pain = hip
post pain = SI |
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Term
| FABER test - stresses ____ ligts |
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Definition
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Term
| Early limitation in FABER test due to... |
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Definition
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Term
| Late limitation in FABER test due to... |
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Definition
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Term
| Co-morbidities that could cause limitation in FABER test (not incl hip or SI) |
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Definition
add tightness
trochanteric bursitis
acute LBP |
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Term
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Definition
hip flex c passive knee flex
indicates ant capsular restriction at hip |
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Term
| Loss of hip IR is common in... |
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Definition
long-standing LBP
acute hip conditions (SCFE, stress fx)
unilat + suggests SI dysfxn |
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Term
| Craig's test - anteversion values |
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Definition
| anteversion >20º is more common in females |
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Term
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Definition
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