Ortho Special Test- LE

Rectus femoris contrature

Prone position

PT passively flexes pt's knee

+ spontaneous hip flex occuring simulataneously with knee flexion

TFL contracture

sidelying with lower leg flexed at hip and knee

PT moves test leg into hip ext and abd and then attempts to lwer test leg

+ inability of test leg to add and touch table

Piriformis tightness or compression on sciatic nerve caused by piriformis

Sidelying wiht test leg positioned toward the ceiling and hip flexed 60

while stablilzing the pelvis, therapist applies downward (adduction) force on the knee

+ pain or tightness

Tight hamstrings

sittting with knees flexed 90 over table

PT passively extends one knee

+ tightness in hams or ext of trunk

hamstring tightness

supine with hips 90 wiht knees relaxed

pt alt ext each knee as much as possible maintaing hips at 90

+ knee remaining 20 or more of flexion

hip dislocation