Standing Gillet
Stand behind the patient, with thumbs monitering the PSIS and hand on curve
of iliac crest. 1) have patient flex knee to 90 degrees
2) then have them flex 90-120 or so
Typically the PSIS will drop and the ilium will posterior rotate from 0-90,
after 0-90 the SIJ on the opposite side will extend.
Test for symmetry of both sides. I would also perform a standing flexion
test and a sitting flexion test ( feet supported) while monitering the PSIS.
A complete M/E evaluation of the pelvis may be in in order if any of these
tests are positive.
The method described with the adducters is a "shotgun" technique. Convenient
but not always fully responsive. You then need to palpate the symphisis
pubis, and determine if it is elevated (superior inferior) or
anteior/posterio occasionally you may see a torsional stress here as well.
let me know if any of these tests are positive and I can give you some more
technique ideas. Yes I would use muscle energy techniques if they were. I
would also check for scarring or tissue tenderness along the adducter
tuberacle. I do a lot of strething of this muscle in FLEXION, EXTERNAL
ROTATION gradually increasing the abduction.
Julie Baclene PT ATC
UC DAVIS
%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%
|