Dear Dr. Sood,
I think you're making a (typing) mistake here. Shouldn't point 1) have read:
"if pelvis is seen to rise from bed in the cases where both the rectus
femoris and the quadriceps have undergone what we call adaptive shortening
and as the treatment stretching of both is advised."?
Whether yes or no, hamstrings shortening is of course better checked with
the SLR.
Furthermore, the quadriceps are almost never shortened. The rectus femoris
and the iliopsoas however frequently are. They can be checked with the
following procedure:
Have the pt. stand at the short end of the table. Have the table on just
below buttock height. Have the patient lie back on the table, thereby
holding one leg, fully flexed in knee and hip, by the knee. As the pt. lies,
assess the other leg: if the knee does not reach 90 degrees, the rectus
femoris is (relatively) shortened. If the upper leg does not lie
horizontally, the iliopsoas is (relatively) shortened. If both phenomena
occur, both are shortened.
R.,
Frank
----- Original Message -----
From: "Dr. S.C. Sood" <[log in to unmask]>
To: <[log in to unmask]>
Sent: dinsdag 4 december 2001 3:55
Subject: interpretation & test
Dear friends,
Please let me know the interpretation of following test.
Patient is prone on bed and we ask him to touch his/her heels to buttocks
,then when he/she attempts to do
1)if pelvis is seen to rise from bed in the cases where both hamstrings and
the quadriceps has undergone what we call adaptive shortening and as the
treatment stretching of both is advised.
2) if he/she is unable to touch heels to the buttocks only without any
rise of Pelvis then only Quadriceps is short.I wish to know what is the
opinion of list regarding this.
Thanking you,
DrSarveshwar Chander Sood
Orthopaedic Surgeon & Head Department of Physical
Medicine & Rehabilitation,
Member American Academy Of Pain Management.
S.B.L.S.Hospital
812/1,Housing Board Colony
Model Town,Jalandhar city
Punjab State.India
E-mail [log in to unmask]
http://personal.vsnl.com/sarveshwar
"Physicians add years to life whereas physiotherapist add life to years.
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