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Pelvic girdle pain and relevance of ASLR testing: A ... - Cindy Verheul

Pelvic girdle pain and relevance of ASLR testing: A ... - Cindy Verheul

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- Pubis test<br />

Initial posture therapist 1: The therapist st<strong>and</strong>s at the height <strong>of</strong> the pelvis. At the level <strong>of</strong> the<br />

pubic symphysis she gives a perpendicular pressure towards the examination couch.<br />

In the second test she puts her h<strong>and</strong>s on the lateral side <strong>of</strong> the pelvis on the level <strong>of</strong> the<br />

anterior superior iliac spine (ASIS) to direct a from lateral to medial compression.<br />

Initial posture therapist 2: during the second test also at the height <strong>of</strong> the pelvis. She will give<br />

a vertical pressure on the pubic symphysis in direction <strong>of</strong> the examination couch.<br />

Starting Position subject: supine on the examination couch, with her feet spread 20cm apart,<br />

resting on the bench.<br />

Execution: The examiner gives a perpendicular pressure downwards (towards the<br />

examination couch) on the pubis.<br />

Deduction: This test is positive if the first test (without compression to the pelvis) local <strong>pain</strong> is<br />

experienced in the lower back or pelvic region, which is absent when compression is added<br />

to the basin.<br />

4.4.2 Maintaining the results<br />

Of each client the author has an excel spreadsheet with the following entries:<br />

An ID for the subject by filling in the first letter (in upper case) <strong>of</strong> the first name <strong>and</strong> the<br />

surname.<br />

The physical tests that were done subsequently. There is a column representing the results<br />

<strong>of</strong> the test without added compression to the pelvis, <strong>and</strong> a column representing the results <strong>of</strong><br />

the test with added compression to the pelvis. The results <strong>of</strong> the physical tests, I have filled<br />

with the digit 0 <strong>and</strong> 1. Where 0 is a negative score was (no <strong>pain</strong>) <strong>and</strong> 1 had a positive score<br />

(<strong>pain</strong>).<br />

The next column indicates whether there is a proven instability (disregarding weather this<br />

was the result <strong>of</strong> the tests). Again I use 0 for no <strong>and</strong> 1 for instability stability. Whether there is<br />

a demonstrated instability by the <strong>ASLR</strong> test you find in the next column. Also here use was<br />

made <strong>of</strong> the scores 0 <strong>and</strong> 1.<br />

Osteopathie Schule Deutschl<strong>and</strong><br />

Dresden International University Page 43

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