Gaenslen’s Test

 Gaenslen’s Test

What is Gaenslen’s Test?

  • Gaenslen’s test can indicate:

    1. The presence or absence of a sacro-iliac joint lesions.
    2. Pubic symphysis instability.
    3. Hip joint pathology
    4. L4 nerve root lesion.
    5. It can also stress the femoral nerve.

How it's Performed?

  • The patient begins positioned in supine with the painful leg resting on the edge of the treatment table.
  • The examiner sagitally flexes the non symptomatic hip, while the knee also flexed (up to 90 degrees).
  • The patient should hold the non-tested (asymptomatic) leg with both arms while the therapist stabilizes the pelvis and applies passive pressure to the leg being tested (symptomatic) to hold it in a hyperextended position.
  • A downward force is applied to the lower leg (symptomatic side) putting it into hyperextension at the hip, while a flexion based counterforce is applied to the flexed leg pushing it in the cephalad direction causing torque to the pelvis.

What does a positive Gaenslen’s Test mean?

  • The Gaenslen’s test is considered positive if the patient’s normal pain is reproduced.


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