1 / 9

Pelvic Course

Pelvic Course. With Valeria Ferreira Laura Maidment. Examination of the pelvis. Lsp , Sacro -iliac Sacrum Pubic symphysis Standing, Sitting, Supine, Prone Abandon negative findings and only record positive findings!. Standing. 1) Palpate iliac crest levels

xue
Download Presentation

Pelvic Course

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. Pelvic Course With Valeria Ferreira Laura Maidment

  2. Examination of the pelvis • Lsp, • Sacro-iliac • Sacrum • Pubic symphysis • Standing, Sitting, Supine, Prone • Abandon negative findings and only record positive findings!

  3. Standing • 1) Palpate iliac crest levels • 2) Assess A/P and Sup/Inffascial glide of innominates • 3) Palpate PSIS’s

  4. Standing 4) Lsp Active examination • Skin drag/ superficial fascial pull= Lsp involvement • Deep bony feel of thumb being pulled in flexion=Iliosacral involvement • Innominate moves without sacrum and pulling in hamstrings= Sacral involvement

  5. Standing • 5) Trendelenberg’s test: Tests for contralateral gluteus minimus/ medius weakness. Palpate the iliac crest for subtle differences. • 6) Stork Test: Identifies whether there is dysfunction with the ilium or sacrum PSIS and S2 SP: palpating right ilio-sacral movement, then sacral-ilio movement then the left side.

  6. Sitting • 7) Sitting Lsp flexion: Confirm whether the pelvis or Lsp are involved Fasical pull= Lsp No Fasical pull= Pelvis

  7. Supine • 8) Assess Legs: Ease of movement, heavier one side, internally/ externally rotated? • 9) ASIS levels: One side anteriorly rotated • 10) Palpate Pubic symphysis: harder on one side, more restrictions one side, any tenderness? • 11) Assess SIJ’s: Usual supine examination- tests integrity of posterior SI ligaments • 12) Assess Hips

  8. Supine • 13) Thomas test: Test for muscular tightness/ shortening affecting the pelvis a) Leg lifts up flexed at the knee= Rectus fem b) Leg lifts up straight knee= Iliopsoas c) Leg externally rotates= TFL • 14) Leg length inequalities: Palpate medial malleolus supine and sitting a) One longer supine and still longer sitting= true leg length discrepancy b) One longer supine and then equal sitting= Pelvis involvement

  9. Prone • 15) Assess PSIS levels • 16) Assess sacral angle: Make a V with hands and determine if side bent • 17) Assess Sacrum: A/P, Lateral movements and counternutation and nutation. a) A/P movements= Anterior SI ligaments b) Counternutation/ nutation c) Laterally= rotated sacrum= Piriformis involvement

More Related