Special Test of the Pelvis

Question 1

What are all the special test of the Pelvis?

Answer 1

Ely’s, Fabers, Gaenslen’s, Gillet’s, Hip adductor length, Hip flexor AR, Ober’s, Piriformis length, SI gapping / Squish, Supine to sit, Trendelenburg’s.

Question 2

What does Ely’s Assess for?

Answer 2

A method of assessing for Rec Fem mm shortness or contracture.

Question 3

How is Ely’s Performed?

Answer 3

Client prone,
Flex the affected knee, attempting to bring the heel to the glute max, ensuring the leg does not abduct while doing this.
Observe the pelvis.

Question 4

What is a positive result for Ely’s?

Answer 4

If the pelvis flexes while attempting to bring the knee to the Glute max.
Then the client is positive for Rec fem mm shortness / Contracture.

Question 5

What does Fabers Assess for?

Answer 5

Used to assess for Hip / Psoas mm.

Along with the SI joint.

Question 6

What is a positive result from a Fabers Test?

Answer 6

For Hip flexor: If the affected knee remains above the unaffected, the test is positive for Hip related pathologies or Hip flexor involvement.

For SI joint: Pain reported local to the SI joint, is positive for SI joint dysfunction.

Question 7

How is Fabers performed?

Answer 7

Client supine with legs extended,

Place clients foot of the affected side on the knee of the unaffected leg.

Question 8

What is Gaenslen’s Test used to assess for?

Answer 8

Used to assess for Hip or SI dysfunction.

Question 9

How is Gaenslen’s test performed?

Answer 9

Client side-lying on the unaffected side,
Instruct client to flex the unaffected hip and knee to the chest, holding them there.
Stand behind the client and stabilize the pelvis with one hand.
With the other hand hyperextend the client’s affected leg at the Hip.

Question 10

What is a positive result for Gaenslen’s test?

Answer 10

The test would be positive for SI joint / Hp dysfunction if the client reports pain in these areas.

Question 11

What does Gillet’s Test assess for?

Answer 11

Used to assess for the Mobility of the SI joint.

Question 12

How is Gillet’s Test performed?

Answer 12

Client standing with hands on the wall.
With one thumb palpate the PSIS on the affected side.
With the other thumb mark the S2 spinous process.

Instruct client to stand on the unaffected leg and flex the hip and knee on the affected side.
At the same time palpate the for the motion of the PSIS.

Question 13

What is a positive result for a Gillet’s Test?

Answer 13

If the PSIS on the affected side moves superiorly, the test is positive for SI joint hypermobility.
Normal motion for the PSIS in hip flexion is inferiorly.

Question 14

What is SI gapping used to assess for?

Answer 14

A stress test used to assess the Anterior ligaments of the SI joint.

Question 15

What is a positive result for SI gapping test?

Answer 15

If pain the client reports, is unilateral glute or leg pain.

Question 16

How is SI gapping performed?

Answer 16

Client supine,
Press on the ASIS on both sides of the hip, separating them.
Laterally / inferiorly at the same time.

Question 17

What is SI Squish used to assess for?

Answer 17

A stress test used to Assess the posterior ligaments of the SI joint.

Question 18

How is SI Squish performed?

Answer 18

Client Supine.

Pressing the ASIS of each side towards each other.

Question 19

What is a positive result for SI Squish?

Answer 19

If the client reports pain local to the SI joint, this indicates posterior Si joint ligament sprain.

Question 20

What is Supine to Sit test used to assess for?

Answer 20

Used to assess for Functional Leg Length Discrepancy.

Question 21

How is Supine to Sit test performed?

Answer 21

Client supine with knees in ext.
Compare levels of both malleoli.
Instruct client to sit up.
Note whether the affected limb appears to lengthen when comparing malleoli levels.

Question 22

What is a positive result for Supine to Sit test?

Answer 22

If affected limb appears longer when laying supine but shorter after sitting up it is positive for:
Anterior innominate rot.

If the leg appears shorter when supine but longer after sitting up it is positive for:
Posterior innominate rot.

Question 23

What is Trendelenburg’s test used to assess for?

Answer 23

Used to assess for Strength of Glute Medius.

Question 24

How is Trendelenburg’s test performed?

Answer 24

Client standing.
Stand behind client and observe the relative heights of the PSIS / Iliac crest.
Get client to stand on one foot.
Observe non-weight bearing side of the Pelvis.

Question 25

What is a positive result of Trendelenburg’s test?

Answer 25

If the pelvis on the unsupported side stays level or drops, the test is positive for glute med weakness.
If the Hip raises the test is negative.

Question 26

What are possible causes for glute med weakness when testing Trendelenburg’s?

Answer 26

May be due to a nn root lesion or poliomyelitis.