Download Anterior Ilial Rotation Dysfunction Objective Findings: Gait:

Anterior Ilial Rotation Dysfunction
Objective Findings:
Gait:
- May see shortened swing phase
Standing:
- Ipsilateral ASIS anterior-inferior
- Ipsilateral iliac crest low
- Ipsilateral PSIS anterior-superior
- (+) Standing Flexion Test
- (+) Gillet Test
Supine:
- Ipsilateral ASIS anterior-inferior
- Ipsilateral medial malleoli distal(long); moves proximal(short) with long sit
- Possible weakness in psoas
Prone:
- L/S lordosis may be accentuated
- Ipsilateral PSIS anterior-superior
- Shallow ipsilateral sacral sulcus
- Tender at long posterior SI ligament
- Possible hypertonus in ipsilateral rectus femoris, iliacus and long adductors
- Possible weakness in ipsilateral ER’s, gluts
Rule IN’s/OUT’s
Provocation Tests:
L/S:
Hip:
(+) Thigh Thrust Test
(+) Gaenslen’s Test
Possibly will find L5/sacrum rotated opposite
Spring and Mobility Tests
ROM (decreased hip flexion), Scour and FABER Tests
Posterior Ilial Rotation Dysfunction
Objective Findings:
Gait: - May see decreased terminal stance phase; possible compensatory L/S extension
Standing:
- Ipsilateral ASIS posterior-superior
- Ipsilateral iliac crest high
- Ipsilateral PSIS posterior-inferior
- (+) Standing Flexion Test
- (+) Gillet Test
Supine:
- Ipsilateral ASIS posterior-superior
- Ipsilateral medial malleoli proximal(short); moves distal(long) with long sit
- Possible weakness in ipsilateral adductors
- Possible hypertonus in ipsilateral hamstring and contralateral TFL and
adductors
Prone:
- Ipsilateral PSIS posterior-inferior
- Deep ipsilateral sacral sulcus
- Tender sacrotuberous ligament
- Possible weakness in IR’s, adductors
- Possible hypertonus in ipsilateral hamstrings
Rule IN’s/OUT’s
Provocation Tests:
L/S:
Hip:
(+) Thigh Thrust Test
(+) Gaenslen’s Test
Possibly will find L5/sacrum rotated towards
Spring and Mobility Tests
ROM (decreased hip extension), Scour and FABER Tests
In-Flared Innominate Dysfunction
Objective Findings:
Gait: - May toe-in with increased ipsilateral pelvic anterior rotation
Standing:
- Ipsilateral ASIS medial
- Decreased ipsilateral ASIS → umbilicus distance compared to opposite side
- (+) Standing Flexion Test
- (+) Gillet Test
Supine:
- Decreased ipsilateral ASIS → umbilicus distance compared to opposite side
- Ipsilateral ASIS medial
Prone:
- Ipsilateral sacral sulcus wide
- Ipsilateral PSIS lateral
- Tender posterior SI ligaments
- Possible hypertonus in ipsilateral rectus femoris/iliacus
- Possible weakness in ER’s and gluteals
Rule IN’s/OUT’s
Provocation Tests:
L/S:
Hip:
(+) Thigh Thrust Test
(+) Gaenslen’s Test
Spring and Mobility Tests
ROM, Scour and FABER Tests
Out-Flared Innominate Dysfunction
Objective Findings:
Gait: - May toe-out with contralateral pelvic anterior rotation
Standing:
- Ipsilateral ASIS lateral
- Increased ipsilateral ASIS → umbilicus distance compared to opposite side
- (+) Standing Flexion Test
- (+) Gillet Test
Supine:
- Increased ipsilateral ASIS → umbilicus distance compared to opposite side
- Ipsilateral ASIS lateral
- Tenderness at pubes and inguinal ligament
- Possible weakness in hip flexors
Prone:
- Ipsilateral sacral sulcus narrow
- Ipsilateral PSIS medial
- Possible hypertonus in ER’s and gluteals
Rule IN’s/OUT’s
Provocation Tests:
L/S:
Hip:
(+) Thigh Thrust Test
(+) Gaenslen’s Test
Spring and Mobility Tests
ROM, Scour and FABER Tests
Upslip with Anterior Rotation Dysfunction
Objective Findings:
Standing:
- Ipsilateral ASIS slightly anterior and inferior
- Ipsilateral iliac crest superior
- Ipsilateral PSIS superior
- (+) Standing Flexion Test
- (+) Gillet Test
Sitting:
- Ipsilateral iliac crest superior
Supine:
- Ipsilateral ASIS slightly anterior and inferior
- Ipsilateral symphysis pubis slightly anterior-inferior
- Ipsilateral functionally short leg
Prone:
- Ipsilateral PSIS superior
- Ipsilateral ischial tuberosity superior
- Ipsilateral sacral sulcus shallow
- Tender posterior SI ligaments
Rule IN’s/OUT’s
Provocation Tests:
L/S:
Hip:
(+) Thigh Thrust Test
(+) Gaenslen’s Test
Spring and Mobility Tests
ROM, Scour and FABER Tests
Upslip with Posterior Rotation Dysfunction
Objective Findings:
Standing:
- Ipsilateral ASIS superior
- Ipsilateral iliac crest superior
- Ipsilateral PSIS slightly posterior and inferior
- (+) Standing Flexion Test
- (+) Gillet Test
Sitting:
- Ipsilateral iliac crest superior
Supine:
- Ipsilateral ASIS superior
- Ipsilateral symphysis pubis posterior- superior
- Ipsilateral leg functionally short
- Tender at inguinal ligament and adductor insertion
Prone:
- Ipsilateral PSIS slightly posterior and inferior
- Ipsilateral ischial tuberosity superior
- Ipsilateral sacral sulcus deep
- Ipsilateral sacrotuberous ligament normal
Rule IN’s/OUT’s
Provocation Tests:
L/S:
Hip:
(+) Thigh Thrust Test
(+) Gaenslen’s Test
Spring and Mobility Tests
ROM, Scour and FABER Tests
Up/Down Pubic Dysfunction
Objective Findings:
Supine:
- Pubic rami asymmetrical
- Pubic rami tenderness
- (+) Pubic Spring Test