The pаtient is а 22-yeаr-оld female with cоmplaints оf bilateral medial leg pain. She started “boot camp” at the regional army training facility 3 weeks ago and the pain has been progressively increasing since that time. She states she has had similar pain before but it has always resolved on its own. This time it seems to be getting worse, and she really wants to get back to her squad. The current pain ranged from 4/10 to 7/10 increasing with activity. The pain can be mostly described as a relative ache but local to the medial side of her leg. She is overweight with a BMI of 29 but has been losing weight over the last year after she decided to enlist with the army. She also starting running. She quit smoking 6 months ago. Tibial stress fracture is a concern for this patient and in the differential diagnosis of medial tibial stress syndrome. Factors that may be suggestive of stress fracture include:
Use this infоrmаtiоn fоr the next three questions. A 32‐yeаr‐old recently post‐pаrtum female presents to outpatient therapy with widespread left buttockpain. She is positive for concordant pain during sacral thrust, left thigh thrust, sacroiliac joint gapping,and sacroiliac joint compression. She has vague, nonconcordant pain and tenderness with lumbar jointaccessory mobility assessment. Quantitative sensory testing reveals widespread reduced pressure painthresholds. She also expresses signs of post‐partum depression. She reports difficulty managing herweight since she recently stopped breast‐feeding. Prior to and during pregnancy she enjoyed walkingand Pilates; however, she now is fearful of returning to previous levels of activity due to her pain. Shereports a lack of sleep due to frequent feedings for her newborn during the night. Which of the following special tests during pregnancy is most associated with greater post‐partum disability and lower post‐partum health‐related quality of life?