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Tucson Low Back/Hip
Low Back and Hip
| Question | Answer |
|---|---|
| Name of Assessment | Side Bend |
| What Is It Used For? | Hypertonic Quadratus Lumborum |
| Client Presenting Problems | Pain in the hips, buttocks or around the sacroiliac joint at the base of the spine, possible unilateral elevated hip |
| Positive Sign | Looking for differences between right and left side, pain, or discomfort on the side client is bending away from |
| Techniques Used/Muscle To Be Worked | Trigger points with client engagement, MET, SCS work associated muscles-lower erectors, psoas, quads, external rotators, glutes |
| Name of Assessment | Drog Leg |
| What Is It Used For? | Hypertonic Quadratus Lumborum |
| Client Presenting Problems | Pain in the hips, buttocks or around the sacroiliac joint at the base of the spine, possible unilateral elevated hip |
| Positive Sign | Looking for differenc between right and left side, pain or discomfort, does the leg stay parallel to the table. Pain or discomfort with this movement in the QL |
| Techniques Used/Muscles To Be Worked | Trigger points with client engagement, MET, SCS work associated muscles-lower erectors, psoas, quads, external rotators, glutes |
| Name of Assessment | Piriformis Length Assessment |
| What Is It Used For? | Hypertonic and Shorter Piriformis |
| Client Presenting Problems | Sharp shooting pain down posterior leg, pain in the gluteus region, possible numbness, painful to sleep on affected side, possible external rotation of the feet |
| Positive Sign | Reproduction of sciatic pain. Tight piriformis is compressing on the sciatic nerve resulting sciatica |
| Techniques Used/Muscle To Be Worked | Stripping, SCS, XFF, trigger point therapy, MET, client active engagement |
| Name of Assessment | Piriformis Assessment |
| What Is It Used For | Hypertonic and Shorter Piriformis |
| Client Presenting Problems | Sharp shooting pain down posterior leg, pain in the gluteus region, possible numbness, painful to sleep on affected side, possible external rotation of the feet |
| Positive Sign | Reproduction of sciatic pain. Tight piriformis is compressing on the sciatic nerve resulting sciatica |
| Techniques Used/Muscle To Be Worked | Stripping, SCS, XFF, trigger point therapy, MET, client active engagement |
| Name of Assessment | Straight Leg Raise |
| What Is It Used For | Possible Disc Pathology |
| Client Presenting Problems | Radiating leg pain, numbness and tingling, and/or weakness of the lower extremities |
| Positive Sign | Looking for sharp shooting pain that runs down the posterior leg |
| Techniques Used/Muscle To Be Worked | Refer to PCP, reduce excess compression on vertebra, SCS, trigger point therapy erectors, psoas, QL, glutes, external rotators of the hip. Pin and stretch with client engagement, myofascial |
| Name of Assessment | Thomas Test |
| What Is It Used For | Hypertonic Psoas |
| Client Presenting Problems | Groin pain, inability to stand up straight, possible anterior pelvic tilt. |
| Positive Sign | Difference between right and left side, the positive leg is parallel or above the table, and or pain with the movement |
| Techniques Used/Muscle To Be Worked | Pin and stretch psoas, compression with client active engagement (PIR & RI), trigger point therapy, working associated structures, QL, quads, external rotators of the hip, lower erectors |
| Name of Assessment | Trendelenberg Test |
| What Is It Used For | Testing integrity of the gluteus medius |
| Client Presenting Problems | SI pain, gluteal pain, possible pain with walking |
| Positive Sign | Pelvis to ship upwards on the ipsilateral side of the weak muscle, trunk will lurch to the contralateral side, weak gluteus medius muscles, possible SI dysfunction |
| Techniques Used/Muscle To Be Worked | SI stabalization, MET, trigger point, strip, XFF attachments, myo using client engagement, lower erectors, QL, psoas, gluteals, piriformis, strengthen inhibited tissue. SCS decrease pain and increase ROM |
| Name of Assessment | Valsalva |
| What Is It Used For | Disc Pathology |
| Client Presenting Problems | Radiating leg pain, numbness and tingling, and/or weakness of the lower extremities |
| Positive Sign | Increased spinal or radicular pain |
| Techniques Used/Muscle To Be Worked | Refer to PCP, reduce excess compression on vertebra, SCS, trigger point therapy erectors, psoas, QL, glutes, external rotators of the hip. Pin and stretch with client engagement, myofascial |
Created by:
mohitchc
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