Assessment of Pelvis and Sacrum

Question 1

standing forward flexion positive

Answer 1

PSIS drags up or doesn’t move

Question 2

Gillet’s positive

Answer 2

doesn’t move or goes up

Question 3

Which bone is the issue with IS

Answer 3

ilium

Question 4

Which bone is the issue with SI

Answer 4

sacrum

Question 5

what is nociceptive pain

Answer 5

damaged or threatened non-neural tissue

Question 6

3 types of nociceptive pain

Answer 6

mechanical
inflammatory
ischemic

Question 7

mechanical pain

Answer 7

trauma or repetitive use

Question 8

inflammatory pain

Answer 8

chemically caused
may be swelling, redness, heat
pain at night
not moving makes it better

Question 9

ischemic pain

Answer 9

tendinopathy, lack of tissue perfusion
achy
better with motion

Question 10

central sensitization

Answer 10

pathophysiological process in which the CNS undergoes changes that alter its processing of pain and other sensory stimuli

Question 11

SIJ disorders are associated with what

Answer 11

unilateral and repetitive biomechanical forces

Question 12

SIJ common in what population

Answer 12

people who participate in lifting and twisting activities
sports with repetitive unilateral loads
pregnancy

Question 13

what is dyspareunia

Answer 13

pain with penetration

Question 14

what are contributing factors to dyspareunia

Answer 14

tissue trauma
pelvic floor muscle spasm
central sensitization
underlying conditions

Question 15

pelvic girdle pain

Answer 15

more with pregnancy (20-58%)

Question 16

contributing factors to pelvic girdle pain (8)

Answer 16

central/local sensitization
history of trauma
previous pregnancy
increased BMI
smoking
work dissatisfaction
muscle tension
L/S dysfunction

Question 17

endometriosis

Answer 17

tissue similar to uterus lining implants abnormally outside the uterus to form lesions, cysts, nodules
can be found in any pelvic organ

Question 18

what causes pain with endometriosis (5)

Answer 18

sexual activity
bowel movements
menstrual cycles
pelvic pain at any time of the cycle
back or leg pain during menstruation

Question 19

GI symptoms with endometriosis

Answer 19

constipation
diarrhea
cycling between the two
abdominal bloating
nausea/vomitting
painful bowel movements

Question 20

bladder symptoms of endometriosis

Answer 20

increase pain
urgency
frequency

Question 21

diastasis rectus abdominus

Answer 21

increased distance between RA muscles bellies due to a stretch of linea alba
more than 2 cm at one or more opnts of the linea alba

Question 22

classification of diastasis rectus abdominus

Answer 22

mild<3cm
moderate 3-5cm
severe >5cm

Question 23

assessment of diastasis

Answer 23

have them do a crunch

Question 24

tests to diagnose SIJ pain

Answer 24

FABER
posterior shear/ thigh thrust
sacral compression
active SLR
sacral thrust tests
3/5 positive

Question 25

SIJ movement dysfunction tests

Answer 25

sphynx to childs pose
sitting forward flexion
long sitting
gillet
standing forward flexion

Question 26

why is gillets better than StFFT

Answer 26

unilateral
doesn’t force L/S into flexion

Question 27

other SIJ tests (4)

Answer 27

Gossip
Flamingo
Gapping test
Thoracolumbar fascia length

Question 28

Iliosacral dysfunctions

Answer 28

Question 29

Sacral torsions

Answer 29

Question 30

best test to determine phys/non-phys

Answer 30

sphynx and childs pose

Question 31

what are sacral torsions

Answer 31

combined movement between the sacrum and ilium