6. Sacral Lecture Flashcards
Review the diagnosis slides on slide 3 and 4
:)
What are the 4 points of static testing?
- Sacral sulcus 2. L5 (rotation) 3. Inferior lateral angle 4. 4 digit examination
How would you palpate for the sacral sulcus?
- Palpate the Posterior Superior Iliac Spine (PSIS) with thumbs 2. Move thumbs medially and inferiorly 3. Check for symmetry (Deep or Shallow Sacral Sulcus)
How do you test for L5 rotation?
1.Palpate Lumbar Spine at the level of L5 2.Check for symmetry (L5 Rotation)
How do you palpate for the inferior lateral angle?
- Palpate with the heel of the hand in midline down sacrum until it drops anteriorly 2. Place one thumb near the thenar eminence to feel the inferior lateral angle of the sacrum 3. Place the other thumb roughly symmetrical to the first 4. Adjust slightly to find the inferior lateral angle 5. Compare each side for posterior/anterior and cephalad/caudal (inferior/superior)
Describe the 4 digit evaluation
- place fingers int eh sacral sulk 2. place thumbs on the ILAs 3. evaluate for symmetry
Review the documentation part 1 portion to see her diagrams that she had laid out
IT doesn’t make a lot of since to make it into a flashie
What are the steps of sacral testing?
- static testing 2. motion testing 3. diagnosis
What are the 3 aspects involved in static testing?
- lateralization 2. active motion 3. passive motion
how do you test for lateralization?
seating forward bending test
How do you test for active motion?
Backward bending test Respiratory motion test
How do you test for passive motion?
Lumbosacral spring test Oblique axis passive motion
What is the function of the lateralization test?
Tells the side of the dysfunction
A _______ seated forward bending test results in a positive test on the side of the dysfunction
unilateral
A _______ seated forward bending test results in a positive test on the opposite side of the axis
Torsion
Describe the seated forward bending test steps
- The patient is seated on a stool or treatment table with both feet flat on the floor. 2. Thephysician’s eyes at the level of the patient’s PSISs. 3.The physician’s thumbs are placed on the inferior aspect of the patient’s PSISs, and a firm pressure is directed on the PSISs. 4. The patient is instructed to forward bend as far as possible within a pain-free range. 5. The test is positive on the side where the thumb (PSIS) moves more cephalad at the end range of motion. A positive seated flexion test identifies the side of sacroiliac dysfunction (motion of the sacrum on the ilium), not the specific type of dysfunction.
What is the function of the active motion tests?
The examine the flexion and extension motion
A negative BBT indicates a ________ sacrum
flexed
A positive BBT indicates a ______ sacrum
extended
The bilateral sacral base should move ______ during inhalation and ______ during exhalation
posteriorly anteriorly
What is the function of the lumbar spring?
Defines flexion and extension
What is the function of the oblique axis passive motion
Defines the dysfunctional oblique axis
A negative lumbar spring is a ______ sacrum
flexed