Case 4

Question 1

Diagnose an anterior inominate rotation

Answer 1

standing flexion + on side of dysf

PSIS higher on side of dsyf

ASIS lower on side of dysf

Malleoli longer on side of dysf

Iliac crest even

Question 2

Treat anteiror inominate rotation with MET

Answer 2

Pt supine

Flex knee and hip to barrier

Doc pushes on knee and pt pushes into hand

hold for 3-5s and then release

repeat 3-5x

Reassess

Question 3

Abdominal ganglia inhibition tx

Answer 3

Celiac Ganglia 3/4 up from ublicus

SM ganglia 1/2 up from umbilicus

IM ganglia 1/4 up from umbilicus

HOld direct posterior force very still until softening occurs (30-90s)

Question 4

Teach a QL stretch

Answer 4

Stand with feet hip widht apart

elbow bent behind back

slide long arm down side of leg and look up or down