Innom Flashcards
Trendelenburg test
pick up one leg, if hip drops to that side then the opposite side glute medius is fucked
Thomas test
Pt supine, they bring both knees up to body and hold, then drop one down. then one that comes down should have no space between table, if does the hip flexors are tight on that leg
Ober test
Lateral recumbent away from doctor with legs slightly flexed, pick up top leg up, let it drop, if drops slow then you have tight it band
Innominate evaluation
Find illiac crest, find psis, thumbs come under and push up on psis looking for height asymetry. (Which one is superior). Also ASIS, illiac crest, medial malleoli, ASIS to midline for inflare outflare.
Standing flexion test
Behind them thumbs on psis, they lean forward then come back up. When they bend over looking for which thumb bends furthest and farthest. that is the dysfunctional side. If they move, that is positive, if move equally that’s negative.
Reset hips
Do this before any supine evaluation. Have patient supine, bend legs, brings hips up, then back down.
ASIS Compression test
Pt supine, palms on each asis, put a posterior compression on each one alternating. Less motion on either side is a positive side for that side, that is the side of restriction.
Comparing landmarks
Put supine, put thumbs inferior to ASIS and push slightly up to see height difference. Then do thumb on asis, pinkys on belly button to tell ASIS to midline. Hands on illiac crests themselves to tell illiac crest height differences. Thumbs on medial malleoli to see which side higher. They go prone , thumbs on inferior PSIS and push up to tell psis height. Pubic tubercles, go palm down from belly button till you find pubis, then use thumbs on both pubic tubercles to look for height asymetrys.
Summary landmarks 6
ASIS heights/midline, Illiac crest, medial malleoli, PSIS Heights, pubic tubercles.
Anterior Innominate rotation
One side has rotated anterior. ASIS inferior, PSIS superior, Medial malleoli inferior, iliac crest height same. Lateralization test positive on that side.
Anterior Innominate SD MET/ART
Pt supine, flex the affected leg towards them and into barrier, have them try to bring to neutral, new barrier, etc.
Posterior innominate
PSIS inferior, asis superior, medial malleolus superior (short), illac crests even.
Posterior Innominate rotation
Pt supine, one leg off table, push leg down at knee, have them resist, new barrier, etc. Need to have table at height so foot wont hit ground.
Superior Innominate shear
EVERYTHING SUPERIOR (psis, asis, medial malleoli, illiac crest
Superior Innominate shear
PT supine, internally rotate and abduct leg, then pull back. Tell them to pull up, resist, etc .
Inferior innominate shear
Everything inferior.
Inferior innominate shear SD MET/art
Internally rotate and abduct leg, push upwards, have them resist, push more forward, etc.
Inflare of innomianate
ASIS to midline is shorter distance, positive lateralization on that side
Inflare of innominate SD MET/ART
They supine, put them in Faber, brace ASIS on same side as you, push them outwards at knee of affected Fabered leg, do ME.
Outflare of innominate
ASIS to midline longer plus lateralization test
Outflare of innominate treatment
They supine in Faber, brace ASIS of affected leg across from you, pull their fabered legg towards you
Pubic shear
Lateralize to side, then if pubic tubercle higher there its superior shear, if pubic tubercle lower its inferior shear. Can also have pubic compresion and subluxation (close or far apart)
Pubic dysfunctions MET shotgun approach
Supine, knees both up flexed. First have their legs apart, you push outward they push inward and do MET (gapping). Then have them bring legs together, they try to push apart and you hold together, do MET. do this for all pubic dysfunctions
