Hshdh

1. Dr.Vijaya Krishnan (PT)

2.  Resting position: neutral
 Capsular pattern: pain when joints are
stressed
 Close pack: Nutation
 Loose pack: Counternutation

8.  DEMOGRAPHIC DATA
 CHIEF COMPLAINTS
 HISTORY
 OBSERVATION & PALPATION
 EXAMINATION
 SPECIALTESTS

9.  Posture of hand
 Skin creases
 Muscle wasting
 Localised swellings
 Deformities & contractures
 Abnormal movement patterns
 Autonomic changes- vasomotor, pilomotor,
sudomotor, trophic changes
 Nail pathologies

10. NUTATION
 Sacral locking
 Forward motion of the
base of the sacrum into the
pelvis
 Posterior rotation of ilia on
sacrum
 Eg. Supine lying to
standing
COUNTER-NUTATION
 Sacral unlocking
 Backward motion of base
of sacrum out of the pelvis
 Anterior rotation of ilia on
sacrum
 Eg. Anterior pelvic tilt

11.  Angle between a line joining ASIS and PSIS,
and a horizontal line.
 Avg angle- 11+4

12.  Upslip: ASIS & PSIS on one side higher than
the other.
 Short leg on opp. side, muscle spasm by
lumbar pathology.

13.  Anterior: ASIS on one side higher, PSIS of the
same side lower.
 Result:
 Spinal scoliosis
 Altered limb length

14.  Posterior: PSIS on one side higher, ASIS of
the same side lower.
 Result:
 Hyperflexion
 Abduction of hips

15.  Sacrovertebral/ Lumbosacral- 140
 Pelvic angle- 30
 Sacral angle- 30
 Lordotic angle- 50

16.  Form closure: close packed position.
 Intrinsic factors- joint shape, friction, ligaments
 Force closure: loose packed
 Extrinsic factors: muscles, neuro control, capsule.
 Check lumbar spine & hip movements

17.  Forward flexion:
 0-45- sacral nutation
 60 counternutation

18.  Outflare: pt in sidelying, ant ilium backwards,
post ilium posteriorly
 Inflare:
 Approximation test:
 Sacroiliac rocking/ knee to shoulder:
sacrotuberous lig.
 Femoral shear test/ faber:

19.  SLR: form closure compress pelvis dring test
 Force closure: trunk sideflexion, rotation resisted
 GILLET/ MARCH: PSIS moves downwards
 Flamingo: caudal shift of sacrum
 Gaenslen’s:
 Limb length test
 Trendelenburg’s sign:
 Thoracolumbar facia tightness:

20.  Meralgia Paraesthetica: lateral femoral
cutaneous nerve entrapment nearASIS.