Pelvis

Question 1

What is the purpose of the Anterior Innominate Test?

Answer 1

Check for unilateral forward displacement of the sacrum or ilium

Check for SI joint sprain

Question 2

What is the procedure for Anterior Innominate Test?

Answer 2

Patient places unaffected foot 2-3 feet forward, then flexes at the waist as far as they can go. If rear foot remains flat, take a further step and try again.

We are trying to torque the pelvis to its maximum. Once the rear foot lifts off the ground, we have reached maximum torque.

Question 3

What are positive findings for Anterior Innominate Test?

Answer 3

Localized pain over SI joint

Question 4

What is the procedure for the Belt Test?

Answer 4

Patient bends forward to touch their toes - note pain. Doctor then braces patient’s hips with hands and places their own hip snugly against patient’s sacrum and then tells patient to bend forward again - note pain.

Question 5

What is the purpose/positive findings of the Belt Test?

Answer 5

To assess pain in hip and lumbar flexion.

Pain during 1st part of test but not in 2nd part: SI joint problem

Pain during 1st and 2nd part of test (at same or lesser degree of flexion): Lumbar problem

Question 6

What is the purpose and findings of Erichsen’s Test?

Answer 6

To elicit SI Joint pain by stressing the anterior SI joint ligaments

Question 7

What is the procedure for Erichsen’s Test?

Answer 7

Patient lies prone, Doctor compresses SI joints laterally and with pressure over PSIS (using thenars/thumbs). This is creating a “double IN” Ilium.

Question 8

What is the purpose of Gaenslen’s Test?

Answer 8

Looking for SI joint sprain or instability

Question 9

What is the procedure for Gaenslen’s Test?

Answer 9

Patient lies supine while doctor stands on side being tested and brings unaffected knee up towards patient’s chest. Doctor then slowly hyper-extends the affected leg.

Question 10

What are positive findings for Gaenslen’s Test?

Answer 10

SI joint pain on side being tested

Radiating pain to thigh/groin

Question 11

What is the procedure for Goldthwait’s Sign?

Answer 11

Patient lies prone while doctor palpates L5 and S1. Doctor uses other hand to elevate affected leg.

Question 12

What is the purpose of Goldthwait’s Sign?

Answer 12

Pain before L5-S1 separation = SI joint problem

Pain after L5-S1 separation = Lumbar problem

Question 13

T/F: The SI joint has a sciatic distribution of pain.

Answer 13

False!!

Question 14

What is the procedure for Hibb’s Test?

Answer 14

Patient is prone. Doctor flexes the knee to 90 degrees and internally rotates femur by pushing foot laterally.

Question 15

What is the purpose of Hibb’s Test?

Answer 15

Looking for SI lesion

Question 16

What is the purpose of the Iliac Compression Test?

Answer 16

Check for sprain of Posterior SI ligament
SI joint inflammation
Subluxation

Question 17

What is the procedure for Iliac Compression Test?

Answer 17

Patient lies on unaffected side. Doctor compresses Iliac Crest on affected side toward table, creating a “double EX”

Question 18

What is the procedure for Lewin Gaenslen Test?

Answer 18

Patient lies on unaffected side and brings their unaffected knee toward their chest. Doctor slowly hyper-extends the affected thigh.

Question 19

What is the purpose of Lewin Gaenslen test? Findings?

Answer 19

Checking for SI joint sprain/strain

Findings = SI pain on affected side; muscle tightness

Question 20

What is the purpose of Yeoman’s Test?

Answer 20

Looking for:
SI joint lesion of anterior SI ligaments
Femoral Nerve irritation
Iliopsoas or Rectus Femoris muscle contraction

Question 21

What is the procedure and findings for Yeoman’s Test?

Answer 21

Patient is prone. Doctor stands opposite side being tested and applies pressure to sacrum with one hand, places other hand under affected knee and lifts knee off table (extending the thigh)

+ findings = pain in SI joint; muscle tightness