The presence or absence of a sacro-iliac joint lesions.
Pubic symphysis instability.
Hip joint pathology
L4 nerve root lesion.
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.