Figure Four (4) Maneuver or Patrick’s Fabere Test (SI Compression)

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Individual Position: The individual is lying supine with the leg of the affected side flexed, externally rotated with their ankle resting on the patella of the straight leg, of the non-affected side (this resembles the figure four).

Practitioner Position: The practitioner stands inferiorly to the flexed knee, with their inside hand making contact with the anterior superior iliac spine of the non-affected side. Their outside or lateral hand makes contact with the medial aspect of the knee on the affected side.

Description of Muscle Test: The practitioner applies gentle downward force to the knee. Should significant discomfort ensue at the SI joint of the side being tested consider SI compression. If deep aching pain ensues in the hip, which can initiate cramping, consider iliopsoas or pelvic floor involvement. If pulling or aching pain occurs in the groin, consider adductor involvement. If pain is diffuse, suspect malingering, unless the individual was unable to relax or there is accompanying hip or knee pathology. Perform this bilaterally. (This would be contraindicated if there is hip/knee pathology or implants). (Tight pants prohibit effective testing).

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