pelvic exams

Question 1

belt test

Answer 1

patient assumes adams position and bends at the waist, dr the stabilized pelvis and patient bends again. determine pain patteern and cause

Question 2

erichsens test

Answer 2

prone. contact psis bilaterally and sharply thrust into the SI joint. pain through joint indicates SI subluxation, disease process, or sprain

Question 3

gaenslens test

Answer 3

supine. unaffected side is flexed to the chest passively. pain throught the sacroiliac joint indicates SI subluxation, disease process, or sprain

Question 4

goldthwaites sign

Answer 4

supine. dr places hand on L5 and S1 spinous the passively raise affected leg in a straight leg raiser. if pain before spinous processes seperate lesion is in the SI joint. If pain after the spinous seperate it is a spinal lesion

Question 5

hibbs test

Answer 5

prone. knee is flexed to 90 degrees dr stabilizes affected side heel is passively moved to the buttock the leg is then rotated laterally. could be tuberculosis

Question 6

iliac compression test

Answer 6

side lying. place both hands over iliac crest and exerts downward pressure. if pain in the SI joint test is positive for SI sprain, fracture, subluxation, inflammation

Question 7

lewin gaenslens test

Answer 7

side lying. on unaffected side passively abduct hip extend hip and flex knee if no symptoms have patient bring opposite knee to chest. positive suggests SI lesion

Question 8

lewin standing test

Answer 8

standing. stabalize pelvis on affected side the pull knee into extension on affected side. determine pain etiology

Question 9

yeomans test

Answer 9

prone. stabalize affected SI jointknee is flexed to 90 degrees then hyperextend thigh of affected leg. determine pain etiology

Question 10

anterior innominate test

Answer 10

standing. patient takes a step 2 to 3 feet forward with the affected leg. then step with unaffected leg. patient then bends forward and tries to touch the floor. sacroiliac subluxation