L spine

Question 1

Observation

Answer 1

functional mvmt - squat/other from subj
posture: lordosis, kyphosis, rotation pelvic tilt
AROM (can hold pelvis to block SIJ mvmt in rotation)
PROM
neural mobility: slump and SLR

Question 2

L spine quadrants

Answer 2

extension/lateral flexion
flexion/lateral flexion
reproducing pain
causing gapping on non flexed side
be close to control mvmt, then further to see global mvmt (if safe)

Question 3

Prone knee bend (neurodynamic)

Answer 3

side lying, grab one leg, flexed knee block at ASIS
1. pull backwards for them with knee flexed
2. add Cx flexion
Cx extension relieves if it is neural

Question 4

L spine PAIVM

Answer 4

PA central
PA unilateral
transverse glide on SP

C grip.
assess with thumb, treat with pisiform.
to assess joint mvmt, know painful level.

Question 5

PPIVM

Answer 5

flexion
extension
rotation (top leg bent, push it down with my forearm and feel mvmt with finger on level assessing)

Side lying.

Question 6

SIJ pain provocation tests

Answer 6

distraction
compression
sacral test
thigh thrust
gaelen’s

pain provocation + stiffness
3/6 +ve = higher chance its a SIJ issue.

Question 7

Distraction test

Answer 7

supine, hands on ASIS
1. compress both down
2. stabilise one and oscillate on other other and swap to compare
can put a towel down

Question 8

Compression test

Answer 8

Side lying, arms crossed to shoudlers.
hand on top of ilium to cushion and other on top to push.

Question 9

Sacral thrust

Answer 9

prone, PA sacral surface
can oscillate, with quick or slow release

Question 10

Thigh trust test

Answer 10

rotate them to place Hand under sacrum to block
1. apply hip flexion, flexed knee, slight hip adduction, push through humerus

Question 11

Gaeslen’s test

Answer 11

one leg off EOB
other leg flexed up to chest
push both down on bottom leg and push other one towards their head by grabbing leg

for SIJ torsion
reverse legs
esp used in flexion patients - hockey players

Question 12

Motion palpation tests

Answer 12

stork test
PPanterior nominate rotation
PPposterior nominate rotation

Question 13

Stork test

Answer 13

In standing, one thumb on S2, other on PSIS (should be same level).
normally it should go down compared to SP thumb.
abnormally, they stay at same level

Question 14

passive physiological anterior tilt of inominate

Answer 14

side lying, one hand under ischial tuberosity and the other over the iliac crest, rotate antly

Question 15

passive physiological posterior tilt of inominate

Answer 15

side lying, one hand under ischial tuberosity and the other over the iliac crest, rotate postly

Question 16

Force closure tes

Answer 16

if relieves pain = lack of muscle support
ask to contract glute, abs to see which decreases pain and hence needs to be strengthened.
1. supine, active SLR with no compression
2. apply compression at iliac spine while they SLR

Question 17

Lumbo-scaral manip - side lying rotation thrust

Answer 17

side lying
find mid range flexion of hip with finger on level of L spine im assessing, hook foot into straight bottom leg.
keep finger over L level and pull lower arm to feel rotation of level above chosen one.
they hug their arms, through which I slip on ehand to feel the L level.
press my core on them and rotate their hip down with forearm while rotating their trunk away.