MS III SI jt 2

go medial to IT, then up, -- now feel a tension/density

• prone or side-lying
• go between ILA and IT
• thick ropey feel

trace down form inferolat sacrum (really hard to feel unless inflamed)

distance/depth btwn PSIS and sacral base

the sunken section running vertically in the post midline of the sacrum

lat to sacral hiatus

ant inferolat surface of sacrum --> greater trochanter

nerve to the piriformis, L5, S1, S2

• prone, find bottom of ribs, have pt hip hike to confirm
• sensitivity at inf aspect of last rib indicates spasm or muscle contraction

nerve: T12-L4

• pseudo sciatica
• low back pain
• pseudotrochanteric bursitis
• hip pain
• inguinal lig / groin pain
• butt pain (walking around with knuckle in butt)
• pain w staying too long in one pos or in transitioning btwn pos
• pelvic floor pain

ART: asymmetry, ROM abnormality, tissue texture alteration

• R leg appears shorter bc the R acetabulum goes sup
• an ANT inom --> longer leg on that side

sooo, if you're looking for true leg length, don't go from ASIS, go from greater troch to med malleolus

same rules as standing forward flexion test, but sitting so to take the LE out of the equation.... side that moves first and furthest is hypomobile

this seems to look more at sacral issues, while the standing looks at inom issues?

• iliac crests
• pubs
• inguinal lig
• SI jt provocation / stability (push ASISes both lat, then both med -- looking for more give on one side, or pain)

• sacral position
• sacral base
• ILA
• ITs
• tension of ST lig
• PSISes
• lumbar curve (is it flat?)
• leg length
• gluteal tone
• sacral spring test
• lumbar curve spring test

• residual innominate dysfunctions
• ASISes
• LLD -- do long sitting test (not too reliable)

• start supine, roll up to long sit
• see if it looks like one leg got longer
• a short leg will look longer if there's a POST INNOM because that hip will have had to rotate further to get the IT down (so the acetabulum will move more)

• supine, one leg bent, other hanging off side of table in abd and ext
• + sign is pain in SI -- indicates pubic symph instability or fem n stretch (doesn't differentiate)

• pt supine, PT standing on unaffected side, painful hip flexed to 90
• put hand under sacrum, press leg to table along line of femur (wrap around the leg so you're pressing around, not on, the patella)
• + sign is reproduction of symptoms

• pt supine, PT hands on B ASISes, press post/med toward SI jts
• + sign is pain, less mobility, harder end feel

So glad you asked! yes, there's more. It's stuff I think you know,but you'll def want to review before an exam.

• + R standing forward flexion test
• sup R pubic tubercle
• inguinal lig tender on R

• + standing forward flexion test
• pubic tubercle low on R
• tender R inguinal lig

• + R standing forward flexion test
• R ASIS inf
• R PSIS sup
• long R med malleolus (in standing and in 2nd look at supine)
• prone sacral sulcus shallow on R

• + fabere (w pressure)
• + standing forward flexion test on R
• sup R ASIS
• inf R PSIS
• short R leg (med malleolus)
• deeper sacral sulcus on R

• + standing forward flexion test
• R ASIS is lat
• R PSIS is medial
• R sacral sulcus is decreased
• + AIF (piriformis test)

R inflared is the opposite for ASIS, PSIS, and sulcus

• + R standing forward flexion test
• sup R ASIS
• sup R PSIS
• short R leg
• sup R IT
• lax R ST lig

looks even in standing due to trunk compesation, so must observe in non wt bearing positions

• + standing forward flexion test
• inf R ASIS
• inf R PSIS
• longer R leg
• inf R IT
• tight R ST lig

• + seated R flexion test
• base of sacrum - ant R
• inf R ILA
• convex R lumbar scoliosis (L side bending)
• lumbar lordosis -- normal to increased
• long R leg in PRONE
• + backward bend test

pt stands, your thumbs are medial to PSISesthumbs should move antif they don't indicates hypomobility

• + R seated flexion test
• pot R base of sacrum
• sup R ILA
• lumbar lordosis decreased
• lumbar convex on L
• shorter R leg in PRONE

• + L seated flexion test
• ant L base of sacrum
• post R ILA
• ILA motion increase on R on FB
• lumbar scoliosis - convex on L
• increased lumbar lordosis
• short R leg
• worse asymmetry in lumbar flexion than ext

• + R seated flexion test
• post R base of sacrum
• post R ILA
• ILA motion -- R increased on BB
• lumbar scoliosis - convex L
• lordosis reduced
• short R leg (bc it's in a kind of counter nutation)
• looks more asymmetrical in ext than flex (test this in prone-prop)

• in post sheer the R ILA goes sup
• in backward torsion it goes post

• F & E: + seated flexion test - bilaterally
• F: ant base of sacrum
• E: post base of sacrum
• F: ILAs post
• E: ILAs ant
• F: Increased lordosis
• E: decreased lordosis
• F & E: even leg lengths (look at it prone for E)