LE testing Flashcards
1
Q
gillet test/kinetic pole test
A
- SIJ
- pt stands, examiner palpates PSIS
- pt stands on one leg and pulls opposite to chest
- normal: PSIS moves down or inferior
2
Q
active SLR - SIJ
A
- if SLR is painful, examiner stabilizes pelvis by compressing pelvis medially
- (+) will no longer be painful
3
Q
FABER
A
- hip flexion, abduction, external rotation
- pain in groin - labral tear
- pain in black - SIJ
4
Q
thigh thrust
A
- posterior pelvic pain provocation
- most sensitive
- painful side flexed to 90, PT hand under sacrum
- downward pressure through femur to force post translation of innominate
- (+) concordant pain posterior to hip or near SI joint
5
Q
SIJ distraction
A
- pt in supine
- PT hands in each ASIS
- push 30s
- (+) if reproduces pain
6
Q
SIJ compression
A
- pt in sidelying
- PT behind pt, downward pressure 30 seconds
- (+) is reproduction of pain
7
Q
fitzgerald
A
- anterior labral
- pt supine
- hip flexion, ER, abd
- IR, add, ext
- (+) is pain and click
- labral tear
8
Q
log roll test
A
- anterior hip laxity, labral tear
- passively roll into full IR and ER
- painful click - labral tear
- increased ER - iliofemoral laxity
9
Q
hip scour
A
- flex hip and knee
- sweep flex-IR-add to ext-ER-abd
- (+) is pain, click, catch, pop -> IA pathology
10
Q
FAIR
A
- for piriformis
- can be resisted
- involved leg up while pt sidelying - hip in flex-add-IR
- (+) reproduces symptoms
- can resist hip abduction
11
Q
position of knee for valgus and varus stress testing
A
- 0 degrees and 30 degrees
- valgus - MCL
- varus - LCL
12
Q
anterior drawer position
A
- pt knee flexed to 90
- PT grasp posterior knee, palpate anterior tibia with thumbs - tibial plateau
13
Q
lachman test
A
- 20-30 degrees knee flexion to open tibfem joint
- normal is 1-5 mm translation
- ER femur relaxes HS
14
Q
lever sign/test
(You are my lover sign, no test required)
A
- fulcrum under calf, push down on quads
- (+) toes do not lift
15
Q
pivot shift
A
- flex hip to lift leg, maintain knee ext
- max IR on tibia, valgus stress at knee joint
- axial load to gradually flex knee
- (+) increased tibial translation, shift or clunk around 20 degrees flexion