2- QL, Psoas, Piriformis

Question 1

origin/insertion, function, and dysfunction of the quadratus lumborum

Answer 1

 iliac crest and iliolumbar ligament–> 12th rib, iliac crest, and transverse process L1-4
assist respirtation, bilateral extension, unilateral sidebending
hip and groin pain, exhalation 12th rib dysfunction

Question 2

origin/insertion, function, and dysfunction of the psoas

Answer 2

 Psoas origin L1-4 (L5)–> lesser trochanter on the medial side of the femur
flexes trunk and lumbar, laterally flex lumbar unilaterally and shortens/externally rotates the leg
ipsilateral L1 L2 dysfunction and special cases

Question 3

Left psoas spams engages the ____ oblique axis, in neutral creates_____ and in non-neutral creates______

Answer 3

Left, right pole moves forward, left on left; right pole moves backwards, right on left

Question 4

Left psoas, left oblique axis, non-neutral, sacrum rotates_____, right pole moves_____, deep sulcus on the ______, ILA on the _____, meaning it is a _____ dysfunction, NNR_S_

Answer 4

Right, backwards, Left, Right, Right on Left

Question 5

pelvic shift occurs to the _____ causing ____ spasm and pain that radiates_____

Answer 5

opposite side, piriformis, no further then the knee

Question 6

Somone with a leg that is externally rotate and shorter is indicative of _____ syndrome and can be caused by a tight _____

Answer 6

piriformis, psoas

Question 7

QL is treated by

Answer 7

pulling on ASIS as they push it towards the table

Question 8

what can cause a tight psoas

Answer 8

bending for a long time then returning to neutral

Question 9

when a person is bent over the ____ fibers tightens, then when the pt returns to neutral the body thinks the psoas is over stretched before the ____ fibers have reached their usual resting length

Answer 9

Intrafusal, extrafusal

Question 10

What test do you use to diagnose a tight psoas

Answer 10

Thomas Test

Question 11

ME for psoas

Answer 11

Prone and resit them pushing leg into table

Question 12

treatment of chronic shortening of psoas

Answer 12

push affected knee into table and opposite leg to chest

Question 13

how to treat a weak psoas, what does it cause in the lumbar

Answer 13

increases lordosis and protruding abdomen, have them push their pelvis into the table

Question 14

origin/insertion, function, and dysfunction of the piriformis

Answer 14

 Anterolateral border of the sacrum at the sacroiliac joint capsule; Anterior portion of the sacrotuberous ligament–> Superomedial aspect of the greater trochanter of the femur
- External rotator
piriformis syndrome, hip pocket neuritis

Question 15

Piriformis syndrome can cause perineural inflammation due to

Answer 15

the release of vasoactive substances from an inflamed piriformis

Question 16

In what % do pt’s have a piriformis with 2 tendinous origins or separate components of the sciatic nerve with it passing through the piriformis

Answer 16

10%

Question 17

origin/insertion, function, and dysfunction of the hamstring

Answer 17

 Ischial Tuberosity Lateral condyle tibia, lateral aspect of fibula
 Hip Extension
 Knee Flexion
 Tight= posterior innominate dysfunction

Question 18

how to treat a tight hamstring

Answer 18

leg on should and have them push down

Question 19

origin/insertion, function, and dysfunction of the quadriceps

Answer 19

 Rectus femoris/ASIS tibial tuberosity via patellar ligament
 Extends leg at knee
 Rectus femoris cross so hip flexor as well
 Positive Thomas Test

Question 20

innervation of the QL

Answer 20

T12-L3

Question 21

what goes over the pubuc ramus and under the inguinal ligament

Answer 21

psoas

Question 22

a tight psoas does what to the lumbar curvature

Answer 22

flattens it

Question 23

If a chronic psoas is left untreated the pt can get

Answer 23

fibrosis of muscle

Question 24

what is the key between a psoas syndrome and disc problem

Answer 24

the stature of the pt, bent over and side bent

Question 25

Low back pain is not common in ____

Answer 25

piriformis syndrome