Pelvis Special Tests Flashcards
Standing Forward Flexion Test
Tests for SI dysfunction
- pt stands with PT standing behind pt
- PT contacts PSISs with thumbs
- pt asked to segmentally flex forward and bring hands to the floor
- PT monitors each PSIS for symmetry
POSITIVE if one goes first or further
could be tight QL bringing one side up first, tight HS holding other side down, etc
PT must be eye level with the PSISs
Stork Test - upper pole
Gillet’s/Marcher’s
Tests for SI dysfunction
- pt standing with PT standing behind pt
- PT contacts the median sacral crest of S2 with 1 thumb and the PSIS with the other
- pt asked to flex the hip past 90deg
- PT monitors PSIS for lateral/caudal migration
POSITIVE if PSIS moves cranially or no movement
Stork Test - lower pole
Gillet’s/Marcher’s
Tests for SI dysfunction
- pt standing with PT standing behind pt
- PT contacts the sacral apex at the hiatus with one thumb and the post/inf aspect of the ilium with the other
- pt asked to flex the hip past 90deg
- PT monitors the Iliad movement for ant/inf/lat migration
POSITIVE if there is a lack of movement
Reverse Stork Test - upper pole
Tests for SI dysfunction
- pt standing with the PT standing behind pt
- PT contacts the medial sacral crest of S2 with 1 thumb and the PSIS with the other
- pt asked to flex the CONTRALATERAL hip past 90
- PT monitors the PSIS movement for cranial/lateral migration
POSITIVE if there is a lack of movement or caudal migration
- finds excursion of ant rotation*
- *feeling relative motion**
Reverse Stork - lower pole
Tests for SI dysfunction
- pt standing with the PT standing behind pt
- PT contacts the sacral apex at the hiatus and the post/inf aspect of the ilium
- pt asked to flex CONTRALATERAL hip past 90deg
- PT monitors Ilial movement for superior/lateral migration
POSITIVE if there is a lack of migration
Long Sitting Test
Tests for rotation of the innominate
- pt begins in hook-lying position and asked to bridge
- PT grasps ankles and moves limbs to full supine with slight traction
- PT compares malleoli
- pt moves up into a long sit
- PT compares malleoli
If there is still the same assymetry - true LLD
If the shorter leg then appears to be longer - post rotation
If the longer leg then appears to be shorter - ant rotation
Distraction Test
SI Provocation Tests - Laslett
Tests SI dysfunction
- pt lays supine
- PT contacts ASIS on both sides and gives a down and out force
POSITIVE for pain
Compression Test
SI Provocation Tests - Laslett
Tests for SI dysfunction
- pt S/L with symptomatic side up
- PTs hands over the ilium - pushes down to compress
POSITIVE for pain
Posterior Shear Test
(Thigh Thrust)
(SI Provocation Tests - Laslett)
Tests for SI joint dysfunction
- pt lays supine with the far hip flexed to 90
- PTs hand under sacrum to block it
- PT pushes down through femur to get shear force
POSITIVE for pain
can also test the side closer to you
Pelvic Torsion Test
(Gaenslen’s)
(SI Provocation Tests - Laslett)
Tests for SI dysfunction
- pt lays in hook-lying position at the edge of the table
- PT drops leg closer to them off the table
- pts leg on far side brought into full hip and knee flex
- PT pushes to separate pelvis
- push far leg up and closer leg down
POSITIVE for pain
Sacral Thrust
SI Provocation Tests - Laslett
Tests for SI dysfunction
- pt lays prone
- PT gives P-A thrust on sacrum
- up to 6
POSITIVE for pain
Sacrospinous Ligament Stress Test
Tests integrity of sacrospinous lig
- pt supine with a towel under the sacrum to stab
- PT flexes the testing side hip to ~100deg with slight adduction
- PT gives a downward force through the femoral shaft
POSITIVE for pain in the buttock region and/or excessive displacement
Sacrotuberous Ligament Stress Test
Tests integrity of the sacrotuberous lig
- pt supine with a towel under the sacrum to stab
- PT flexes the hip to FULL FLEXION
- PT gives a downward force through the femoral shaft
POSITIVE for pain in the buttock and/or excessive displacement
Long Dorsal SI ligament Stress Test
Tests integrity of the long dorsal SI lig
- pt lays prone
- PTs cranial hand stab the ipsilateral innominate over the PSIS
- PTs caudal hand on the sacrum at the level of S5
- using heel of hand, PT counter nutates the sacrum
- hold for creep
POSITIVE for pain in the buttock region and/or excessive displacement
Active SLR
Tests SI hypermobility
- pt does an active SLR (6”)
- note for compensation, pain or difficulty - PT stab the SI joint by providing compression BiL
- pt does active SLR
POSITIVE if symptoms abate with compression
