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NMS Quiz 6
Palmer NMS Stachenotes Pelvic Tests
18
Anatomy
Graduate
05/01/2012

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Cards

Term
Anterior Innominate Test Procedure
Definition
Patient places the unaffected foot 2-3 feet forward. The patient then flexes forward at the waist and attempts to touch their toes.
Term
Anterior Innominate Test
Purpose and Findings
Definition
Looking for unilateral forward displacement of ilium, sacrum, or SI joint sprain. (SI abnormality)
+ Findings will be local pain over the SI joint
Term
Belt Test
Procedure
Definition
First the patient stands and bends forward to touch toes- note any pain. The Dr. then braces the patients hips with their hands and places their own hip snugly against the patient's cascrum and then tells the patient to bend forward again-note pain.
Term
Belt Test
Purpose and Findings
Definition
Pain in the first part and no pain in second part suggests SI joint problem
Pain in the first part and second part suggests lumbar involvement
+ Findings Pain in lumbar or sacral region
(SI abnormality, lumbosacral syndrome)
Term
Erichsen's Test
Procedure
Definition
Patient lies prone and Dr. compresses SI joints by applying pressure to the PSIS's with the thenars or thumbs. In essence, this creates a double "IN" ilium
Term
Erichsen's Test
Purpose and Findings
Definition
To elicit pain in the SI joint by stressing the anterior SI joint ligaments
+ Findings= pain in the SI joint
(SI abnormality)
Term
Gaenslen's Test
Procedure
Definition
With the patient supine, the Dr. stands on the unaffected side and brings the unaffected knee up toward the patient's chest. The Dr. then slowly hyper extends the affected leg.
Term
Gaenslen's Test
Purpose and findings
Definition
Looking for SI joint sprain or instability
+ findings: SI joint pain on side being tested or radiating pain to the thigh or groin.
(SI abnormality, Lumbosacral syndrome)
Term
Goldwait's Sign
Procedure
Definition
The patient lies prone while the Dr. palpates L5 and S1. The Dr. uses the other hand to elevate the affected leg.
Term
Goldwait's Sign
Purpose and Findings
Definition
If there was pain before the L5-S1 separation there is an SI joint problem
If there is pain after the L5-S1 seperation there is a Lumbar problem
+ Finding: pain
(SI abnormality, lumbosacral syndrome)
Term
Hibb's Test
Procedure
Definition
With patient prone, the Dr. flexes the knee to 90 degrees and internally rotates the femur by pushing the foot laterally.
Term
Hibb's Test
Purpose
Definition
Looking for Femoral Head or Acetabular problems
+ Findings: Pain
(SI abnormality, sprain, subluxation)
Term
Iliac Compression Test
Procedure
Definition
Patient lies on their side (affected side up). Dr compresses the Iliac crest toward the table (creating double "EX" ilium)
Term
Iliac compression test
Purpose and findings
Definition
Looking for a sprain of the posterior SI ligament, SI inflamation, or subluxation
+ Findings: pain
(SI abnormalities, Sprain, Subluxation, Fracture)
Term
Lewin Gaenslen Test
Procedure
Definition
The patient lies on their unaffected side and brings their unaffected knee toward their chest. The Dr slowly hyper-extends the affected thigh.
Term
Lewin Gaenslen Test
Purpose and Findings
Definition
Looking for SI joint sprain or arthritis
+Findings: SI joint pain on the affected side or muscle tightness
Term
Yeoman's test
Procedure
Definition
The patient lies prone and the doc applies pressure to the PSIS with one hand and places the other under the ipsilateral knee and lifts the knee off of the table (extending the thigh)
Term
Yeoman's test
Purpose and findings
Definition
Looking for:
SI joint lesion (of anterior SI ligaments)
Femoral nerve irritation
Iliopsoas or rectus femoris muscle contracture
+ findings: pain in the SI joints and muscle tightness
(SI abnormality, Sprain, Subluxation)
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