Lower Body And Hip Tests

Question 1

SIJ Gapping/SIJ Distraction/Anterior Iliac Stretch Test

Answer 1

Positive: Unilateral Gluteal/Sacroiliac Pain = Anterior SIJ Ligament Sprain

Question 2

Approximation Test (Iliac Compression)

Answer 2

-Lateral Surface: Contusion/Soft Tissue Compression
-Within SIJ Joint: Posterior SIJ Ligament Sprain

Question 3

Erichsen Sign

Answer 3

-Pain: Sacroiliac
-No Pain: Iliolumbar

Question 4

Sacral Thrust Test

Answer 4

-Positive: Pain in sacroiliac joint

Question 5

Thigh Thrust Test

Answer 5

-Positive: Pain in SI Joint

Question 6

Gaenslens Test

Answer 6

Positives: localized Pain in anterior thigh (tight hip flexors), radiating pain down thigh (lumbar disc involvement), pain in sacroiliac (positive test), negative (lumbosacral lesion)

Question 7

Lewis Gaenslens

Answer 7

-Positive: Pain in sacroiliac (positive), pain in anterior thigh that is dull/achy (tight hip flexors)

Question 8

Hibbs (Prone Gapping)

Answer 8

-Hand on medial PSIS, knee to 90, internal rotation

-Positive: Pain in SIJ (positive), Pain in illeofemoral (hip pathology)

Question 9

Yeomans

Answer 9

-Bringing leg into hyperextension/prone

-Positive: Pain in SIJ (SI dysfunction), Pain in anterior thigh (tight hip flexors)

Question 10

The Drop Test

Answer 10

-Postive: Dropping heal causes SI Pain

Question 11

Cluster of Laslette

Answer 11

-Anterior Iliac Stretch Test, Approximation Test, Thigh Thrust Test, Sacrum Thrust Test, Drop Test, Gaenslens

Question 12

Elys Test

Answer 12

-Prone, Foot to opposite buttock

-Positives: Upper Lumbar (Sciatic Nerve Root Irritation), Femoral radicular pain (Sciatic Nerve Root Inflammation), Difficulty d/t Hip Lesion, Extension tough d/t tight iliopsoas irritation

Question 13

Patricks Test/FABER

Answer 13

-Lying/Supine
-Pain in SIJ (SIJ Pathology), Pain in hip (iliofemoral pathology )

Question 14

Laguere’s Sign

Answer 14

Positive: Pain in SIJ (SI Pathology), Pain in Hip (iliofemoral pathology)

Question 15

Bonnet’s Test/FAIR

Answer 15

-Positive: Sciatic Nerve Compression d/t Piriformis Involvement

Question 16

Belt Test

Answer 16

-Pain: Lumbar Lesion/No Pain: Pelvic Lesion

Question 17

Heel Walk

Answer 17

Positives:

Question 18

Heel Walking

Answer 18

Positives: Radiculopathy L5, L4-5 Disc Problem, Common Fibular Peroneal Injury, Weak Tibialis Anterior

Question 19

Toe Walking

Answer 19

Positives: S1 Radiculopathy, L5-S1 Disc Problem, Tibial Nerve Injury, Weak Calf Muscles

Question 20

Straight Leg Raise

Answer 20

-Positive: 0-30 (SI Lesion, Piriformis Syndrome), 30-70 (Sciatic Nerve Root irritation), 70+ (Lumbar nerve Involvement)

Question 21

Bragard’s Test

Answer 21

-SLR minus 5 degrees/Add dorsi

-Positive: 0-30 (Extradural Sciatic Nerve Root Irritation), 30-70 (Intradural Nerve Root Irritation), Dull Posterior Leg (Tight muscles)

Question 22

Sicards Test

Answer 22

-Bragards minus 5 degrees, added greater toe extension

-Positive: Stretching of the dura mater (spinal cord) or lesion within the spinal cord

Question 23

Well Leg Raise

Answer 23

-Extend unaffected leg

-Positive: Pain in contra lateral leg is indicative of central or median disc protrusion

Question 24

Fajersztajn’s Sign

Answer 24

Well Leg Raise-5 degrees

-Positive: Pain in CL leg

Question 25

Smith-Peterson or Goldwaiths

Answer 25

-Fingers between lumbar SPs, looking for pain/fanning -Positives: 0-30: SI Lesion, 30-70 Intradural Nerve Root Lesion, 70+: Posterior lumbar joint disorder

Question 26

Lasague

Answer 26

-Positive: Pain w/ Knee Extension-Sciatic Radiculopathy

Question 27

Bowstring Sign

Answer 27

-Support leg w/ shoulder, thumb contact to hamstrings then popliteal fossa (if no pain with hamstrings) -Positives: Pain in Lumbar region or Radiculopathy = sciatic nerve compression

Question 28

Betcherews Test

Answer 28

-Positives: Pain during movement, needing to lean back or support arms to do movement = sciatic nerve or lumbar nerve root compression d/t lumbar disc protrusion

Question 29

Knee Flexion Test

Answer 29

-Positives: Lumbar Disc, lumbosacral or SI problem during bent knee touching toes

Question 30

Slump Test

Answer 30

-Slump posture>Added pressure on shoulders>neck flexion>added pressure>knee extension>added dorsi flexion -Neck extended should lessen symptoms if positive or experiencing pain -Positive: Meningeal Tract Irritation

Question 31

Thomas Test

Answer 31

-Test Bilaterally -Positive: If CL knee comes off table, then flexion contracture of the iliopsoas muscle

Question 32

Lewin Supine

Answer 32

-Postives: Unable to do test = weak abdominal muscles, lumbar arthritis, lumbar ankylosis, lumbar disc protrusion, sciatica

Question 33

Millgrams

Answer 33

-Positives: Weak Abdominals, space occupying lesion inside or outside of the spinal canal or disc protrusion

Question 34

Beevor Sign

Answer 34

-Postive: Umbilicus not moving in straight line = pathological neurological condition

Question 35

Prone Knee Bending (Nachlas)

Answer 35

Positives: Radicular Thigh pain (L2-4 compression or Intradural lesion), pain in buttock (SI Lesion), pain in lumbosacral (lumbosacral lesion)

Question 36

Kemp’s Test

Answer 36

Positives: Local Lumbar Pain (Disc Herniation), No Pain (Lumbar Muscle Spasm or facet Capsulitis)

Question 37

Phesants

Answer 37

-Postive: Spinal Instability

Question 38

Prone Segmental Instability Test

Answer 38

-Positive: Pain in resting position that goes away with muscle contraction

Question 39

Apprehension vs. Catch Sign

Answer 39

Apprehension: Spinal instability with LBP sensations Catch: Disruption of normal movements

Question 40

Instability Cluster

Answer 40

-Apprehension -Catch -Prone Instability Test