Pelvic Ligaments Tests

What is Pelvic Ligaments Tests?

The pelvic ligament tests are the set of tests that are used for the assessment of the pelvic ligaments. There are four pelvic ligaments

The procedure of Performing The Pelvic Ligaments Tests

The examiner performs three separate procedures for the assessment of these pelvic ligaments. The most common thing about these three procedures is that the starting position of the patient remains the same. The starting position is mentioned below.

Starting Position of the Patient – The patient lies in a supine position. As explained above, it remains the same in all three procedures.

For the assessment of Iliolumbar ligament

The patient’s hip and knee are flexed. Then after that, the examiner adducts the leg to the contralateral (opposite side’s) hip.

While performing this maneuver, the examiner presses on the knee to exert axial pressure on the femur.

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For the assessment of Sacrospinous and Sacroiliac ligament

The patient’s hip and knee are maximally flexed. Then after that, the examiner adducts the leg towards the contralateral (opposite side’s) shoulder. While performing this procedure, the examiner presses on the knee to exert axial pressure on the femur.

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For the assessment of Sacrotuberal ligament

The patient’s hip and knee are maximally flexed. Then after that, the examiner moves the leg towards the ipsilateral (same side) shoulder.

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Test Results

Stretching pain occurring within a few seconds can signify that there is functional shortening & excessive stress on the ligaments. However, it can also happen in a motion-restricted sacroiliac joint or hypermobile joint.

Pain caused by stretching the iliolumbar ligament is referred to the inguinal region (the differential diagnosis includes a hip disorder).

Pain caused by stretching the sacroiliac and sacrospinous ligament is felt within the S1 dermatome from a point posterolateral to the hip as far as the knee.

The pain caused by stretching the sacrotuberal ligament radiates into the posterior side of the thigh.

You May Also Read 

Sacroiliac Joint Tests

Laguerre Test or Laguerre’s Test – help in differentiating hip pain from saroiliac pain.

Springing Test – To detect functional impairment in the Thoracic & Lumbar spine & Sacroiliac Joint

Gaenslen’s Test – To detect any pathology or dysfunction around the sacroiliac joint.

Standing Flexion Test/ Standing Forward Flexion Test – To assess sacroiliac joint dysfunction.

Faber Test / Patrick’s Test – Used to assess the pathology or dysfunction at the hip joint, muscles around the hip joint, and at the sacroiliac joint.

Cervical Tests 

Cervical Flexion Compression Test –  To identify if there is a Herniated disk in the Cervical spine.

Jackson Compression Test –  To Detect Cervical Radiculopathy (Cervical Nerve Root Compression).

Spurling Test – For Diagnosing Cervical Radiculopathy.

Cervical Distraction Test – To detect the presence of cervical radiculopathy.

O’Donoghue Test – Helps in differentiating between muscular pain (strain) and ligamentous pain (articular problem) in the cervical spine.

Soto Hall Test – For Detecting Problem in Patient’s Neck (Cervical Spine).

Maximum Compression of the Intervertebral Foramina Test of Cervical Spine – For Detecting Facet Joint Dysfunction in the Cervical Spine.

Some other Releated Tests

Sternum Compression Test – indicates rib fracture or rib dislocation or strain in the intercoastal muscles or imapaired vertebral or coastal mobility.

Supported Forward Bend Test (Belt Test) – helps in differentiating lumbar pain and sacroiliac pain.

Adam’s Forward Bend Test – For detecting the presence of scoliosis (either functional or structural).

Noble Compression Test/Noble Test –  To assess pain coming from iliotibial band syndrome.

Neer Test –  For detecting the presence of shoulder impingement syndrome.

Resources

Clinical Tests for the Musculoskeletal System: Examinations-Signs-Phenomena by K. Buckup

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