Joint play trunk Flashcards
What is the joint play screening test for the spine?
Bilateral P-A glide (screen) with bilateral thumb pad, moving from bottom to top, P-A pressure.
What are you looking for when you test joint play?
Quantity (range), Quality (end feel) and tenderness.
What is the joint play screening test for the Costotransverse joints?
General P-A glide at all thoracic levels bilaterally, bottom to top P-A L-M pressure.
What are the joint play tests for sacroiliac joints?
Unilateral Extension (counter-nutation) thenar contact both sides on PSIS testing one side at a time P-A I-S pressure.
Unilateral Flexion (nutation) grab ASIS with inferior hand, superior hand medial to PSIS on opposite side to standing, ASIS hand A-P pressure, PSIS hand P-A pressure, perform on both sides.
What are the joint play tests for the lumbar spine?
Unilateral P-A glide (rotation) reinforced thumb contact on side you are standing P-A pressure, test both sides.
Counter-rotation thumb pad on SP of testing vertebrae and one on opposite side of SP on vertebrae above or below, P-A L-M pressure in opposing directions.
What are the joint play tests for Thoracic spine?
Unilateral P-A glide (rotation) reinforced thumb pad contact on transverse process on side you are standing, P-A pressure test on both sides.
Counter-rotation thumb pad on SP of testing vertebrae and one on opposite side of SP on vertebrae above or below, P-A L-M pressure in opposing directions.
What is the joint play test for costotransverse joints?
specific unilateral P-A glide test opposite side to where you stand, reinforced thumb pad on rib angle, P-A M-L pressure.
What is the joint play test for the cervical spine?
Unilateral P-A glide (rotation) reinforced thumb pad over single articular pillar P-A pressure, test both sides.
What are the motion palpation tests for sacroiliac joints?
Extension (counter-nutation) test, patient sits arms folded, stand behind on opposite side to test. thumb pad on PSIS P-A I-S pressure. Other arm on elbow assisting into lumbosacral extension.
Flexion test
Part 1: patient seated feet on floor shoulder width apart. behind patient Thumb pads on each PSIS, ask patient to bend forward and touch ground between their feet.
Part 2: Standing feet shoulder width apart, behind patient, thumb pads on each PSIS. ask patient to bend forward to touch floor with fingers between feet.
How do you perform gillet’s test screen?
Patient standing with one hand on wall, behind patient thumb pads on each PSIS, ask to bring leg up to 90degrees. repeat on other side.
Gillets test part 2 (upper ilium)
patient stands hand on wall, stand behind, one thumb pad on PSIS on testing side and other thumb pad on S2 tubercle in middle sacrum. Ask patient to bend leg to 90degrees on same side as test.
Gillets test part 3 (sacrum)
Patient stands hand on wall, behind patient, thumb pad on PSIS on tested side other on S2 tubercle. Ask patient to bend opposite leg to 90degrees.
Gillets test part 4 (lower ilium)
patient standing hand on wall. behind patient. thumb pad on PIIS on testing side other thumb on S2 tubercle. ask patient to bend same side leg to 90degrees.
How do you do the lumbar spine extension screen?
Patient seated arms folded, behind patient fist contact over SPs other hand griping elbow. P-A pressure with fist moving upwards and helping with elbow hand, returning to neutral when moving hand up.
How to do motion palpation lumbar extension?
Patient seated arms folded. behind patient thumb pad in interspinous space of testing vertebrae (just bellow the testing vertebrae) and other hand on elbow pulling back as asking patient to arch back and then sit normally. P-A pressure overpressure at end of motion.
