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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