Evaluation of the Ability of Physical Therapists to Palpate Intrapelvic Motion With the Stork Test on the Support Side

Background and Purpose Clinical indicators of pelvic girdle dysfunction are limited. However, research has shown that the pattern of intrapelvic motion is altered during single-leg support in subjects with pelvic girdle pain (PGP). Functionally, no relative motion should occur within the pelvis during load transfer, whereas anterior rotation of the innominate bone relative to the sacrum occurs during weight bearing in the presence of PGP. The aim of this study was to investigate whether the pattern of intrapelvic motion could be detected reliably during a new clinical assessment test for functional load transfer: the Stork Test on the support side. Subjects and Methods Three physical therapists were randomly assigned to palpate the motion of the innominate bones and sacrum in 33 subjects during the Stork Test on the support side. The direction of bone motion was indicated on 2-point and 3-point scales. Results When a 2-point scale was used, intertherapist agreement on the pattern of intrapelvic motion occurring during load transfer showed good reliability (left κ=.67, right κ=.77), and the percentage of agreement was high (left=91.9%, right=89.9%). A 3-point scale resulted in moderate reliability for both the left and the right sides (left κ=.59, right κ=.59), and the percentage of agreement decreased to 82.8% (left) and 79.8% (right). Discussion and Conclusion The ability of the physical therapists to reliably palpate and recognize an altered pattern of intrapelvic motion during the Stork Test on the support side was substantiated. The ability to distinguish between no relative movement and anterior rotation of the innominate bone during a load-bearing task was good. Further research is needed to determine the validity of this test for detecting pelvic girdle dysfunction.

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Development and Reliability of a Measurement Device for Flexion Force of the First Metatarsophalangeal Joint

Journal of Applied Biomechanics ◽

10.1123/jab.19.3.271 ◽

2003 ◽

Vol 19 (3) ◽

pp. 271-278 ◽

Cited By ~ 1

Author(s):

Jaap Swanenburg ◽

Karel H. Stappaerts ◽

Bart Tirez ◽

Daniel Uebelhart ◽

Geert Aufdemkampe

Keyword(s):

Hallux Valgus ◽

Weight Bearing ◽

Metatarsophalangeal Joint ◽

Measurement Device ◽

Good Reliability ◽

First Metatarsophalangeal Joint ◽

Healthy Female ◽

The Right ◽

Leg Dominance ◽

Flexion Force

The purpose of this study was to present a method for repeated measurement of flexion force of the hallux in the metatarsophalangeal joint. The reliability of this measurement device was also examined. This device is suitable for situations where weight-bearing is contraindicated or when it is not possible for patients to bear load on their toes, such as hallux valgus patients. Since most such patients are female, the participants in this study were 24 healthy female volunteers. Age, weight, height, and leg dominance were determined for each. Muscle strength was measured using a device with a built-in MicroFET dynamometer. The result for the left hallux was ICC(3,1).89 (95% CI .77–.95). The result for the right hallux was ICC(3,1).94 (95% CI .87–.97). In the Bland and Altman plots, the reliability again appeared to be sufficient. The Pearson product-moment correlations gave poor results for the association between body weight, height, age, and mean force of the four trails. The test results indicate good reliability of the measurement device as used in this study. The advantage of this testing device is that it makes it easier to standardize measurements as opposed to the MicroFET used as a hand-held dynamometer. Also, patients can be tested in a nonload situation, which makes it possible to test hallux valgus at any time, and therefore it is possible to monitor variations in progression (or regression).

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Perinatal Sacroiliitis Diagnostic Challenges: A Case Report

Journal of Clinical Case Reports and Studies ◽

10.31579/2690-8808/083 ◽

2021 ◽

Vol 2 (5) ◽

pp. 01-06

Author(s):

Emam M. Kheder ◽

Hussain H. Sharahili ◽

Salma y. Albahrani ◽

Abdullah M. Alfarhan ◽

Abdulrahman M. Alquraynis ◽

...

Keyword(s):

Pathogenic Bacteria ◽

Post Partum ◽

Vital Signs ◽

Symphysis Pubis ◽

Pelvic Girdle ◽

Pelvic Girdle Pain ◽

Clinical Impression ◽

X Rays ◽

Lower Back ◽

The Right

Background: Lumbo-pelvic (LPP) pain is common and non specific problem during pregnancy and post partum. Despite the fact that perinatal pyogenic sacroiliitis (PSI) during this period is rare, it should be considered as a vital differential diagnosis in women who have debilitating lower back and pelvic girdle pain. Case: A 34 years old primigravida presented to the emergency department with extreme right sided lower back pain radiating to the right gluteal region and down to the back of the right thigh. This pain began twelve days prior to her presentation and eventually worsened to the point that she couldn't stand or walk. Her vital signs were within normal limits, and she was febrile. Apart from a slight widening of the symphysis pubis, her pelvic and lumbo-sacral plain x-rays revealed no important findings. With the clinical impression of right LPP, the patient was admitted for pain management and further inquiries. Conclusion: Despite the fact that lower back and pelvic girdle pain are normal throughout pregnancy and the postpartum period, perinatal PSI is uncommon. It's a tough diagnosis to make because the symptoms and signs aren't clear, and the tests aren't definitive. When pathognomonic clinical and radiologic signs indicate an infectious process and isolation of pathogenic bacteria is not possible, medical management with empirical antibiotics should not be delayed.

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The Impact of Myofascial Release over Pregnancy-Induced Pelvic Girdle Pain

International Journal of Advanced Trends in Computer Science and Engineering ◽

10.30534/ijatcse/2019/1381.42019 ◽

2019 ◽

Vol 8 (1.4) ◽

pp. 83-89

Author(s):

Susmitha Govind Govind ◽

Keyword(s):

Pelvic Girdle ◽

Pelvic Girdle Pain ◽

Myofascial Release ◽

The Impact

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A Research Analysis of Current Trends in Manual Therapy for Low Back and Pelvic Girdle Pain as Regards Pregnancy

Korean Society of Chuna Manual Medicine Spine and Nerves ◽

10.30581/jkcmm.2020.15.1.101 ◽

2020 ◽

Vol 15 (1) ◽

pp. 101-114

Author(s):

Na-Ri Park ◽

Yun-Jin Lee ◽

Hui-Yeong Chu ◽

Hee-Duk An ◽

Doo-Hwa Yang

Keyword(s):

Manual Therapy ◽

Pelvic Girdle ◽

Pelvic Girdle Pain ◽

Low Back ◽

Current Trends ◽

Research Analysis

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Severe Pelvic Girdle Pain Early Postpartum: Underlying Condition and Associated Factors

Case Medical Research ◽

10.31525/ct1-nct03835650 ◽

2000 ◽

Author(s):

Keyword(s):

Associated Factors ◽

Pelvic Girdle ◽

Pelvic Girdle Pain ◽

Underlying Condition ◽

Early Postpartum

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Unprecedented tibial bone lengthening of 33.5 cm by distraction osteogenesis for the reconstruction of a subtotal tibial bone defect. A case report and literature review

BMC Musculoskeletal Disorders ◽

10.1186/s12891-021-03950-1 ◽

2021 ◽

Vol 22 (1) ◽

Author(s):

Abdulnassir Ali ◽

Ying Ren ◽

Chun-Hao Zhou ◽

Jia Fang ◽

Cheng-He Qin

Keyword(s):

Bone Defect ◽

Distraction Osteogenesis ◽

Chronic Osteomyelitis ◽

Weight Bearing ◽

Lower Leg ◽

Bone Lengthening ◽

Case Presentation ◽

Tibial Length ◽

Tibial Bone ◽

The Right

Abstract Background We present a case of an immense unprecedented tibial bone lengthening of 33.5 cm. The management of chronic osteomyelitis of the right tibia with subtotal tibial bone defect, talus defect and equinus ankle deformity. We demonstrate limb reconstruction by distraction osteogenesis and correction of ankle deformity with the Ilizarov technique. Limb salvage was preferred as an alternative to amputation to restore basic limb function. Case presentation A 16-year-old male patient fell and injured his right lower leg. He attempted to treat the symptoms with traditional home remedies. During 15 months of self-treating, he developed osteomyelitis of the right tibia and had lost function in his foot. Radiology revealed immense bone defect of the right tibia, including talus bone defect and equinus deformity of the calcaneus. The patient’s right tibia was non weight-bearing, had drainage sinus just below his knee and a large scar anteriorly along the entire length of the tibia. Conclusion Upon completion of treatment, the patient was able to avoid amputation of his leg with partially restored function for weight-bearing. He carried himself without assistance after 3 years of lost function in his right leg. Tibial bone distraction osteogenesis of 33.5 cm was done after 90% of the tibial length was defected. To the best of our best knowledge, this case is one of a kind to achieve distraction of tibial bone to such length.

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