Recognition, Management and Assessment of Injuries to the Lower Extremity

HuP 268 – Recognition, Management and Assessment of Injuries to the Lower Extremity
Presentation by:San Jose State University

Spine, Pelvis and Hip Evaluation and Injuries
Lumbo-Sacral Plexus Anatomy and Evaluation

History

* Location of pain
* Onset of pain
* Mechanism of injury
* Consistency of pain
* Prior history
* Aggravating/alleviating factors
* Activity changes
Location of Pain - LBP
Onset of Pain - LBP
Mechanism of Injury - LBP
Consistency of Pain - LBP
Prior History – LBP
Aggravating/Alleviating Factors - LBP
History Overview – Pelvis/SI
Location of Symptoms - Hip
Onset of Symptoms - Hip
Mechanism of Injury - Hip
Prior History - Hip
Activity Changes
Inspection - LBP
Postures/Curvatures
Inspection – Pelvis/SI
Inspection - Hip
Palpation - LBP
Palpation – Pelvis/SI
Palpation – Pelvis/Hip
Range of Motion - LBP
Active ROM - LBP
Passive ROM - LBP
Resisted ROM - LBP
Hip Flexion
Hip Extension
Hip Abduction
Hip External Rotation
Hip Internal Rotation
Special Tests - LBP
Spring Test
Increased Intrathecal Pressure
Kernig’s Test
SLR and Well SLR Tests
Quadrant Test
Slump Test
Hoover Test
Stress Tests – Pelvis/SI
SI Joint Compression/Distraction
Patrick’s (FABER) Test
Gaenslen’s Test/Sign
SI Rocking Test
Long Sit Test
Special Tests - Hip
Ligamentous Stress Tests - Hip
Pathologies - LBP
Erector Spinae Strains
Facet Joint Injuries
Intervertebral Disc Injuries
Sciatica
Spondylopathies
Pathologies – Pelvis/SI
* SI joint dysfunction
* Osteitis pubis
* Avulsion fractures (ASIS, AIIS, pubis, ischial tuberosity)
SI Joint Dysfunction
Osteitis Pubis
Avulsion Fractures

* ASIS – sartorius
* AIIS – rectus femoris
* Pubis – adductors
* Ischial tuberosity - hamstrings
Pathologies - Hip
* Muscle strains
* Femur fracture/stress fractures
* Hip dislocation
* Iliac crest contusion
* Quadriceps contusion
* Bursitis
* Degenerative hip changes
* Piriformis syndrome
Muscle Strains
Femur Fractures
Stress Fracture
Hip Dislocation
Iliac Crest Contusion
Quadriceps Contusion
Bursitis
Degenerative Hip Changes
Piriformis Syndrome
Vascular Evaluation
Lumbo-Sacral Plexus
Neuroanatomy
Lumbar Plexus
Sacral Plexus
Neurological Evaluation
Dermatomes
Myotomes
Reflexes
Peripheral Nerves - Sensory
Peripheral Nerves - Motor

Recognition, Management and Assessment of Injuries to the Lower Extremity.ppt