Assessment of Pelvis and Sacrum Flashcards
standing forward flexion positive
PSIS drags up or doesn’t move
Gillet’s positive
doesn’t move or goes up
Which bone is the issue with IS
ilium
Which bone is the issue with SI
sacrum
what is nociceptive pain
damaged or threatened non-neural tissue
3 types of nociceptive pain
mechanical
inflammatory
ischemic
mechanical pain
trauma or repetitive use
inflammatory pain
chemically caused
may be swelling, redness, heat
pain at night
not moving makes it better
ischemic pain
tendinopathy, lack of tissue perfusion
achy
better with motion
central sensitization
pathophysiological process in which the CNS undergoes changes that alter its processing of pain and other sensory stimuli
SIJ disorders are associated with what
unilateral and repetitive biomechanical forces
SIJ common in what population
people who participate in lifting and twisting activities
sports with repetitive unilateral loads
pregnancy
what is dyspareunia
pain with penetration
what are contributing factors to dyspareunia
tissue trauma
pelvic floor muscle spasm
central sensitization
underlying conditions
pelvic girdle pain
more with pregnancy (20-58%)
contributing factors to pelvic girdle pain (8)
central/local sensitization
history of trauma
previous pregnancy
increased BMI
smoking
work dissatisfaction
muscle tension
L/S dysfunction
endometriosis
tissue similar to uterus lining implants abnormally outside the uterus to form lesions, cysts, nodules
can be found in any pelvic organ
what causes pain with endometriosis (5)
sexual activity
bowel movements
menstrual cycles
pelvic pain at any time of the cycle
back or leg pain during menstruation
GI symptoms with endometriosis
constipation
diarrhea
cycling between the two
abdominal bloating
nausea/vomitting
painful bowel movements
bladder symptoms of endometriosis
increase pain
urgency
frequency
diastasis rectus abdominus
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
classification of diastasis rectus abdominus
mild<3cm
moderate 3-5cm
severe >5cm
assessment of diastasis
have them do a crunch
tests to diagnose SIJ pain
FABER
posterior shear/ thigh thrust
sacral compression
active SLR
sacral thrust tests
3/5 positive
