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30 Cards in this Set
- Front
- Back
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hip flexors
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iliacus
psoas major rectus femoris |
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knee flexors
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hamstrings:
biceps femoris semitendinosus semimembranosus |
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knee extensors
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quadriceps femoris:
vastus lateralis vastus medialis vastus intermedius rectus femoris |
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hip aDductors
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gracilis
adductor magnus adductor longus adductor brevis pectineus |
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hip aBductors/internal rotators
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gluteus medius
gluteus minimus tensor fascia lata |
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external rotators, hip
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piriformis
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iliacus tender point
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1/3 distance ASIS to midline
tx: flex hips and knees, cross ankles for aBduction and internal rotation |
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aDductor tender point
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along adductor muscle group
tx: flex hip and knee with aDduction and external rotation of hip |
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piriformis tender point
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between lateral aspect of sacrum and ILA and greater trochanter
tx: prone, flexion and aBduction of hip |
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sx. of superior or inferior pubic shear
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pelvic pain, groin pain, hip pain, low back pain
-dysfunction is on side of +StFT |
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ME for superior pubic shear
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-uses aDductors of hip
-supine, leg off table, downward pressure on knee pt. pushes to opposite shoulder |
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ME for inferior pubic shear
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-uses hip extensors
-supine, hand monitoring SI joint, other hand driving IT toward head |
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isolytic ME for pubic shears
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-uses aDductors
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sx. of anterior inominate rotation
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low back pain, hip pain
-ASIS more inferior and PSIS more superior on same side -ASIS rotation test: resistance to posterosuperior -+StFT on involved side |
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sx of posterior inominate rotation
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low back pain, hip pain
-ASIS more superior and PSIS more inferior on same side -ASIS rotation test: resistane to anteroinferior -+StFT on involved side |
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ME for anterior inominate rotation
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-uses hip extensors
-flexes until motion at SI joint -pt. extends against resistance |
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ME for posterior inominate rotation
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-uses hip flexors
-supine, leg off table, downward pressure on leg -pt brings knee to same shoulder |
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HVLA for anterior rotation
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leg 30 degrees off table
-gap SI w/ abduction -ask about pain with traction -HVLA tug at barrier |
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HVLA for posterior inominate rotation
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-leg at level of table
-gap SI w/ abduction -ask about pain with traction -HVLA tug at barrier |
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sx inominate shear, upslip
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3 of 5 with one being IT
IT PSIS iliac crest ASIS pubic tubercle |
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HVLA for upslip
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-somone stabilizes opposite ILA
-grab ankle and gap SI with abduction and internal rotation -traction tug at end of exhale |
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ME for upslip
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supine with feet over edge
-foot opposite dysfunction on drs leg -foot w/ dysfunction is held, abducted and internally rotated -pt pushes against leg for 3 secs and relaxes -dr takes up slack in other leg |
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forward torsion treatment
(L on L; R on R) |
IT spread
Lateral Sims -pt turns toward and lies on side of axis -palpate L5 -pt pushes knees to ceiling and dr pushes toward floor Mirror Image -lateral recumbent opposite axis -pull ankles toward ceiling as pt pushes them down |
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treatment of backward sacral torstion (L on R; R on L)
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lateral recumbent w/ ME
-place pt. in lateral recumbent on side of involved axis - bottom leg is extended -palpate LS joint, rotate upper body opposite the lower body -top leg hangs off table until motion felt at LS junction -patient exhales with downward pressure -hold breath out as they push their knee up |
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treatment of unilateral sacral flexion
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-pt prone, palpate SI joint on deep sulcus side
-gap SI joint with aBduction and internal rotation -pt takes deep breath and holds it while dr pushes ILA toward head for 3 secs -maintain pressure w/ exhalation |
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treatment of unilateral sacral extension
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-pt in sphinx, monitor SI joint on shallow sulcus side
-gap SI joint with aBduction and external rotation -hypothenar eminence on shallow sulcus side and other hand graps ASIS -pt exhales and holds, dr pushes on sulcus and pulls on ASIS as pt pushes ASIS to table (3 secs) -maintain pressure with inhalation and returning from sphinx |
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sacral drag
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-slack cephalad is forward torsion or unilateral flexion
-slack caudad is backward torsion |
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sacral tender points
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tender point 2 is backward torsions
tender point 4 is unilateral flexions |
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interpret Patrick's (FABER)
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positive if painful
-anterior or lateral pain is hip dysfunction -posterior pain is sacroiliac dysfunction |
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spring test interpretation
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positive on backward torsion, unilateral extensions, bilateral extensions
negative on forward torsions, unilateral flexions, bilateral flexions |
