correction technique, inferior, isometric, modified shotgun, muscle energy, pubic, pubic symphysis, pubic symphysis dysfunction, pubic symphysis malalignment, shotgun, treatment

Purpose

Provocation tests used to identify pubic symphysis malalignment and dysfunction. Also treatment techniques used to correct pubic symphysis malalignment.

Technique

Shotgun

Patient is positioned supine.

Clinician abducts the patient’s legs.

Clinician places his forearm just above the superior surface of the medial malleoli in between the patient’s leg.

Clinician asks the patient to adduct her legs, while the Clinician provides resistance to adduction.

Modified Shotgun

Patient is positioned in hooklying with feet about 4 inches apart.

Clinician places his fist between the patient’s knees and asks the patient to squeeze her knees together.

Clinician then moves his hands to the lateral surfaces of the patient’s knees and asks her to abduct her knees. Clinician provides resistance to abduction.

Interpretation

Production of pain with either of these techniques indicates pubic symphysis dysfunction. These techniques can be used to help correct pubic symphysis malalignment.

References

1. Dutton, M. (2008). Orthopaedic: Examination, evaluation, and intervention (2nd ed.). New York, NY: The McGraw-Hill Companies, Inc.

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