2-QL, Piriformis, Psoas

Question 1

O/I of quadratus lumborum?

Answer 1

O- iliac crest

I- 12th rib and tp of L1-4

Question 2

Quadratus lumborum fxn?

Answer 2

assist in respiration

Question 3

What happens if both QL contract? only 1?

Answer 3

Both- extension

1- extension and sidebending ipsilaterally

Question 4

A sapsm of the QL causes what Sx?

Answer 4

low back pain, referred to hip and groin, exhalation disfxn of 12th rib, diaphragm restriction

Question 5

What bad disease must you differentiate QL spasm from?

Answer 5

Renal disease

Question 6

What are the causes of psoas syndrome?

Answer 6

Irritation of the psoas muscle, nonneutral disfxn of L1 or 2

Question 7

O/I of psoas?

Answer 7

O-L1-4

I- extends over pubic ramus under inguinal ligament, inserts on lesser trochater on medial side of femur

Question 8

Psoas innervation?

Answer 8

lumbar nerves 2/3

Question 9

Psoas action?

Answer 9

flexes trunk on thigh, flexes lumbar spine, and laterall flexes lumbars unilaterally. also shortens and externally rotates leg

Question 10

What types of things must yourule out before you Dx psoas syndrome?

Answer 10

Since it runs over a lot of important stuff, rule out femoral bursitis, iliac/femoral phlebitis, lymphadenopathy, diverticulitis, cancer of the colon, renal disfxn, or inflmmaton of lower GI

Question 11

Eitology of psoas syndrome?

Answer 11

sitting in soft chair for slumped in hard chair, bending at waist for long period, then the pt RETURNS TO NORMAL SUDDENLY (still firing when ur sitting)

Question 12

What type of disfxn will the findings be for L1 and 2 for psoas syndrome?

Answer 12

Type II- they will rotate and sidebend to the same side

Question 13

If you injure yourself in a nonneutral position, what type of disfxn will you have?

Answer 13

type II

Question 14

What happens to the pelvis is psoas syndrome?

Answer 14

pelvic side shift to the opposite side

Question 15

What big nerve can be irritated in psoas syndrome?

Answer 15

Sciatic nerve on opposite side (the opposite piriformis gets irritated from the pelvic shift)

Question 16

What is the key lesion in psoas syndrome?

Answer 16

L1 and 2

Question 17

Sx of psoas syndrome?

Answer 17

Pain when sitting straight up or standing, vague pain in lumbar or lumbosacral area, pain in opposite leg (because opposite piriformis can get irritated)

Question 18

Tx of psoas syndrome?

Answer 18

counterstrain on iliopsoas point, ice, HVLA of key lesion

Question 19

O/I of piriformis?

Answer 19

O-anterolater border of sacrum and sacroiliac joint

I- greater trochanter of femur

Question 20

Etiology of piriformis syndrome?

Answer 20

local trauma to butt, running, sacral base unleveling, pelvic instability

Question 21

Sx of piriformis syndrome?

Answer 21

hip and butt pain with radiation to the thigh, usually no neurological defects

Question 22

Tx of piriformis syndrome?

Answer 22

OMT, muscle energy