Showing posts with label assessment. Show all posts
Showing posts with label assessment. Show all posts
Ever since accidentally discovering A Novel Way to Correct Ipsilateral Lumbar Lateral Shifts, I have been messing around with arm pulls as a way of testing lateral chain and single leg stance stability.
It's a simple way for you and the patient to feel and somewhat quantify how well the lateral chain can stabilize single leg stance. I use it after I have restored ability to load the lumbar spine according to the Lower Quarter Clinical Practice Patterns I teach in MMT Premium and Seminars. Lateral chain stability should be part of your stability phase of rehab after the patient is pain free, but before you're ready to discharge. If their is a difference, one of my favorite exercises would be unilateral Farmer's Carries with the kettlebell or dumbbell placed in the hand opposite the side of stability loss.
Let me know what you think!
The LCAP - Lateral Chain Arm Pull Test
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Assessing and treating a lack of mobility in lateral tibial glide can help with ankle mobility, particular in dorsiflexion. It also helps knee stability when there is valgus with closed chain activities. Patients need not only self treatment, but also self assessment, so they have baselines to know if they are appropriately dosing their home exercise program.
For quick refence- previous posts.
Self Lateral Tibial Glide Assessment
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Testing Weakness vs Inhibition
Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Manual Therapy!
Keeping it Eclectic...
I learned the variation of this test from Jay Dicharry's course on MedBridge, Clinical Examination of the Runner: Assessment, Testing, Gait Correlations, and Corrections. A great course with lots of clinical pearls on assessment and treatment for runners and many other lower quarter conditions.
If you want to save $225 on the best deal on online continuing education, use this link and get unlimited CEUs! Or sign up anytime using promo code OMPT. Now back to our blog post!
Jay's variation is a step down rather than lateral step down from a step, but the scoring is very similar. Many of us just use our oculometers and some sort of random good, fair, or poor score; I thought this was a great way to make single leg squat/step down test objective.
The original articles can be found here Reliability of measures of impairments associated with patellofemoral pain syndrome
The scoring is based on x/6 (in the video I say deduct, but really add from 0) - higher is worse quality movement.
0-1 is considered good quality movement
2-3 is considered fair quality movement
4+ is considered poor quality movement
Single Leg Step Down Test
Want an approach that enhances your existing evaluation and treatment? No commercial model gives you THE answer. You need an approach that blends the modern with the old school. Live cases, webinars, lectures, Q&A, hundreds of techniques and more! Check out Modern Manual Therapy!
Keeping it Eclectic...
