NWHSU NMS 1 Pelvis Orthos Questions
And Answers
Gaenslen's Test Patient is supine with the involved side near the edge of the examining
table. The opposite knee and thigh are fully flexed and fixed against the abdomen by the patient.
The involved leg is gradually extended off the table by the...
Gaenslen's Test Patient is supine with the involved side near the edge of the examining
table. The opposite knee and thigh are fully flexed and fixed against the abdomen by the patient.
The involved leg is gradually extended off the table by the doctor. The doctor then applies
downward pressure against clasped knee and knee of the extended hip.
Interpretation: (+): -reproduction of SI pain
-dull anterior thigh pain indicates tight hip flexors
-radiating pain down anterior leg indicates lumbar dis involvement
- (-): lumbosacral lesion suspected
Thigh Thrust Test Pt is supine & examiner passively flexes hip to 90 degrees
One hand palpates the SI joint while the other hand thrusts (pushes) down through the knee and
hip (long axis compression)
Bilaterally performed
Positive finding: Reproduction of SIJ pain on the same side
Indication: SIJ syndrome
, NWHSU NMS 1 Pelvis Orthos Questions
And Answers
Sacral Thrust Test Doc takes reinforced knife edge contact over midline of the sacrum
pushing P-A
Positive test: Reproduce patients pain on the affected SI joint
Drop test Instruct patient to face wall using arms for balance, go on their toes and then
'drop' onto one leg. May be helpful to demonstrate to patient first.
Interpretation: Positive test reproduces pain in SI joint
Erichsen Sign Procedure:
• Patient is prone
• Examiner stands on either side of the table facing cephalad
• Examiner contacts bilateral ilia and pushes towards the midline
• Examiner asks patient if there is pain, verifying location, severity, quality and radiation if pain
is present
Interpretation of findings:
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