Innom

Question 1

Trendelenburg test

Answer 1

pick up one leg, if hip drops to that side then the opposite side glute medius is fucked

Question 2

Thomas test

Answer 2

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

Question 3

Ober test

Answer 3

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

Question 4

Innominate evaluation

Answer 4

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.

Question 5

Standing flexion test

Answer 5

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.

Question 6

Reset hips

Answer 6

Do this before any supine evaluation. Have patient supine, bend legs, brings hips up, then back down.

Question 7

ASIS Compression test

Answer 7

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.

Question 8

Comparing landmarks

Answer 8

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.

Question 9

Summary landmarks 6

Answer 9

ASIS heights/midline, Illiac crest, medial malleoli, PSIS Heights, pubic tubercles.

Question 10

Anterior Innominate rotation

Answer 10

One side has rotated anterior. ASIS inferior, PSIS superior, Medial malleoli inferior, iliac crest height same. Lateralization test positive on that side.

Question 11

Anterior Innominate SD MET/ART

Answer 11

Pt supine, flex the affected leg towards them and into barrier, have them try to bring to neutral, new barrier, etc.

Question 12

Posterior innominate

Answer 12

PSIS inferior, asis superior, medial malleolus superior (short), illac crests even.

Question 13

Posterior Innominate rotation

Answer 13

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.

Question 14

Superior Innominate shear

Answer 14

EVERYTHING SUPERIOR (psis, asis, medial malleoli, illiac crest

Question 15

Superior Innominate shear

Answer 15

PT supine, internally rotate and abduct leg, then pull back. Tell them to pull up, resist, etc .

Question 16

Inferior innominate shear

Answer 16

Everything inferior.

Question 17

Inferior innominate shear SD MET/art

Answer 17

Internally rotate and abduct leg, push upwards, have them resist, push more forward, etc.

Question 18

Inflare of innomianate

Answer 18

ASIS to midline is shorter distance, positive lateralization on that side

Question 19

Inflare of innominate SD MET/ART

Answer 19

They supine, put them in Faber, brace ASIS on same side as you, push them outwards at knee of affected Fabered leg, do ME.

Question 20

Outflare of innominate

Answer 20

ASIS to midline longer plus lateralization test

Question 21

Outflare of innominate treatment

Answer 21

They supine in Faber, brace ASIS of affected leg across from you, pull their fabered legg towards you

Question 22

Pubic shear

Answer 22

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)

Question 23

Pubic dysfunctions MET shotgun approach

Answer 23

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