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Pelvic Objective Exam (PMLQ)

Terms in this set (27)

lumbar spine and hip - the 3 are related
when examining for pelvic dysfunctions, you must also examine...
- is the test needed?
- what will the test tell you?
- is the asymmetry right, left, or both sides?
- is there dysfunction?
what questions must you consider when performing objective examinations/screenings?
- patient position
- sequencing
- patient irritability
what should you take into account when performing an objective examination?
- posture
- palpation (iliac crests, ASIS, trochanters, PSIS)
- gait
- ROM (lumbar and thoracolumbar)
- over pressure
- quadrant/combined movement testing
- repeated motion testing
what objective screenings should you do in the standing position?
standing forward bend test
gillet test
what tests would you add in standing if you suspected SIJ dysfunction?
no comparable sign with lumbar ROM and with OP; found positive provocative tests for pelvis; standing pelvis asymmetry palpated, but normal pain-free lumbar ROM
why might you chose to complete a standing FBT or Gillet test?
active straight leg test
POSH test
may have SIJ instability and may benefit from stabilization exercises
if you have poor findings from the single leg stance test, what supine test would you expect to find positive? why?
palpation of vertebrae
neurodynamics slump test
what additional tests would you do in seated?
seated forward bend test
sacral palpation
what seated tests would you do if you suspected SIJ dysfunction?
sacral base
ILAs
what would yo palpate in the seated position?
if limited lumbar ROM and comparable sign was already produced in standing
when is seated forward bend test NOT indicated?
LE ROM
SLR neurodynamics test
POSH shear test
muscle length tests
MMT
muscle endurance tests
TA contraction
nerve palpation
what tests can be done in supine?
SIJ compression
SIJ distraction
ganeslen test
FABER test
thigh thrust test
what supine tests of the SIJ are positive if comparable sign is produced?
active SLR test
transverse abdominis test
curl up test
double leg lowering
if SIJ is suspected, which tests in this supine may guide intervention?
inferior glide
AP glide
pubic sympysis mobility
which joint mobility examinations are done in supine if SIJ dysfunction is suspected?
hamstrings may hold an innominate in a posteriorly rotated position
tight recuts may hold innominate anteriorly rotated
how could tight hamstrings impact SIJ pain? what about a positive Thomas test for hip flexor tightness?
prone instability test
trunk extensor endurance
ROM
MMT
palpation (ischial tuberosity, vertebrae, ST ligament)
PPAVM
TA and multifidus contraction
what screenings may be done in prone?
lumbar erector spinae
hip joint
sacroiliac joint
lumbar facets
the patient had back pain with prone hip extension - what structures could cause this?
PA at sacral base
PA at sacral apex
PA at right and left ILAs
after completion of lumbar PA examination, what would be a good sequence for SIJ examination?
gluteus maximus MMT,
goniometric measure of prone knee flexion
hamstring MMT
sphynx test
lumbar extension strength
was baseline measures in prone could be used for re-assessment?
reflexes
ROM
MMT
PPIVM
what screenings may be done in side-lying?
lumbar PPIVM
SIJ PPIVM
direct joint mobility of SIJ through innominate rotation
hip abductor strengthening if instability found
what test of the SIJ is performed in side-lying that could be used as an intervention?
positive SIJ provocative tests
negative tests of the lumbar spine (ROM and joint mobility)
what are some objective findings performed prior to the side lying position that would help you determine to perform innominate rotation joint mobility examination?
initial test results and patient presentation
many lumbar and pelvic tests overlap - you should choose how your tests progress depending on....
have reason for each test
prior to performing a test, you must...
- baseline measurement
- differential diagnosis
- intervention planning
what are some reasons you may choose to perform a test?
position changes
sequence of exam would limit....
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