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Multifidus and Quadratus Lumborum. Multifidus and Quadratus Lumborum. Multifidus and Quadratus Lumborum. Iliacus and Psoas Major and Minor. Erector Spinae – Longissimus Thoracis. Iliocostalis Lumborum. Serratus Posterior Inferior. Latissimus Dorsi. LUMBAR SPINE MOTION.
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DOMINANT EYE • 1. Extend both arms and form a small circle with thumb and index finger of each hand. • 2. With both eyes open, look through the circle at an object in the room. • 3. Close your left eye only. If the object is still visible through the circle, you are right-eye dominant. • 4. Close your right eye only. If the object is still visible through the circle, you are left-eye dominant.
Standing Flexion Test • Athlete stands with Athletic Trainer sitting or kneeling behind to view PSIS’s. • Athlete’s feet are no more than shoulder width apart. • Palpate the PSIS’s. Place the pads of your thumbs under the ledge of each PSIS (Inferior Slope) lightly. • Ask the Athlete to bend forward slowly and smoothly, attempting to touch the floor. • Positive Test - is considered when one PSIS moves superior, or further than the opposite side PSIS. • Side of the positive test is the side of the Ilio-Sacral Dysfunction!
Stork Test • Athlete standing and Athletic Trainer sitting or kneeling behind. • Place R or L thumb on the most posterior portion of PSIS and the L or R thumb on the mid-line of the sacrum at the same level. • Athlete flex’s hip to 90 degrees on the same side that the AT’s thumb is monitoring the PSIS. • Positive Test - when the thumb monitoring the PSIS moves superior. • This test is most specific for SI Joint Dysfunctions.
Seated Flexion Test • Athlete sits on stool with Athletic Trainer kneeling behind. • AT’s thumbs are placed under the ledge of the PSIS’s (inferior slopes) lightly. • Athlete bends forward with arms between the legs. • Positive Test – when one PSIS moves more superior. • Test can also be used to determine S.I. Joint Dysfunction.
Treatment Order • Pubes • Innominate Rotations • Innominate Shears • Lumbar spine • Sacrum