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OS IV Exam II SG > CBL: LBP & Muscle Imbalance > Flashcards

CBL: LBP & Muscle Imbalance Flashcards

1
Q

HVLA for inferior innominate shear in which pt is lateral recumbent, straightens bottom leg and places foot on top leg just distal to popliteal fossa

A

Cephalad hand monitors SI joint, caudal forearm is placed inferior aspect of ipsilateral ischial tuberosity

Roll pelvis anterior to induce axial rotation until movement of SI joint is palpated

HVLA force delivered with caudal forearm, parallel to table in a cephalad direction

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2
Q

HVLA for anterior innominate rotation

A

Pt lateral recumbent

Cephalad hand between L5 and S1 SP, caudal hand flexes pts hips and knees until L5 and S1 SP separate

Drop pt’s top leg off table. Cephalad hand moves to antecubital fossa with forearm on shoulder. Caudal forearm is placed along pelvis between PSIS and trochanter. Roll pelvis anterior to induce axial rotation until movement of SI joint is plapated

HVLA force delivered with caudal forearm, directed DOWN SHAFT OF FEMUR

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3
Q

HVLA posterior innominate rotation

A

Pt lateral recumbent

Cephalad hand between L5 and S1 SP, caudal hand flexs pts hips an dknees until L5 and S1 SP separate

Pt straightens bottom leg, places foot on top of leg just distal to popliteal fossa of bottom leg. Cephalad hand moves to antecubital fossa with forearm on shoulder. Roll pelvis anterior to induce axial rotation until movement at SI joint.

HVLA delivered with caudal forearm; directed TOWARDS UMBILICUS

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4
Q

HVLA for pubic restrictions

A

MET alternating between abduction and adduction of knees

With final abduction cycle, induce HVLA force towards further ABDUCTION while pt is still adducting

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5
Q

HVLA for bilateral sacral flexion

A

Abduct and internally rotate both legs

Heel of hand on apex of sacrum

Have pt breathe in/out, accentuating INHALATION and resisting exhalation to reach barrier

As pt INHALES, apply anterior/superior HVLA thrust

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6
Q

HVLA for bilateral sacral extension

A

Abduct and EXTERNALLY rotate both legs

Heel of hand on base of sacrum

As pt breathes, accentuate EXHALATION and resist inhalation

As pt exhales, apply anterior/inferior HVLA thrust

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7
Q

HVLA for R/L ST

A

Pt supine with hands clasped together, doc on side of involved axis (L)

Sidebend pts lower extremity and torso AWAY, creating C chape

Thenar eminence of caudal hand on pts R ASIS, cephalad hand grasping pts lateral distal bicep

Using cephalad hand, induce rotation of upper torso as far as possible into barrier by pulling opposite elbow towards self, while stabilizing and preventing motion at opposite ASIS with caudal hand

During exhalation, apply rotational thrust of pts upper body while stabilizing ASIS

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8
Q

HVLA for L1-5 extension/neutral dysfunctions: Long-lever rotational emphasis “walk-around”

A

Pt supine with hands clasped behind neck; doc standing opposite PTP

Monitor at segment and sidebend pt toward restrictive barrier (make “C” TOWARDS physician)

Cephalad hand grasping lateral distal bicep, caudal hand stabilizing ASIS, on exhalation exert rotational HVLA thrust

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9
Q

HVLA type 1 Lumbar lateral recumbent

A

Pt lateral recumbent PTP Up

Grasp pts bottom arm and pull anterior to rotate to dysfunction and cephalad to engage sidebending

Flex hips and knees, pt straightens bottom leg and places top foot in bottom leg’s popliteal space

Cephalad arm against pts anterior shoulder, caudal forearm contacts along line between pts PSIS and greater trochanter. Simultaneously push shoulder posterior and roll pelvis anterior, HVLA thrust on exhalation

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10
Q

HVLA type 2 lumbar lateral recumbent

A

Lateral recumbent PTP up

Grasp pts bottom arm and pull anterior to rotate to dysfunctional segment and CAUDALLY to engage sidebending

Flex hips and knees. For EXTENDED dysfunctions, leave bottom leg SLIGHTLY BENT with superior leg crossed over the bottom. For FLEXED dysfunctions, pt STRAIGHTENS bottom leg and places top foot into bottom leg’s popliteal space

Caudal forearm contacts posterior aspect of pts pelvis, spanning from greater trochanter to SI joint while cephalad hand is at anterior shoulder

HVLA rotational thrust on exhalation

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11
Q

What anatomical structures are dysfunctional with an abnormal pseudoparesis perception test with stabilization at the iliac crests?

A

Multifidus

Lat dorsi

Levator scapulae

Lumbar vertebrae

Structures above and including lumbosacral junction

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12
Q

What anatomical structures are dysfunctional with an abnormal pseudoparesis perception test with stabilization midway between iliac crests and greater trochanters?

A

Gluteals

SI joints

Sacrum

Innominate

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13
Q

What anatomical structures are dysfunctional with an abnormal pseudoparesis perception test with stabilization at greater trochanters?

A

Pelvic diaphragm
Hamstrings
STL
Structures below pelvic diaphragm

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14
Q

Correct firing pattern with LE extension muscle balance test

A
  1. Ipsilateral hamstring
  2. Ipsilateral glut max
  3. Contralateral e.spinae
  4. Ipsilateral e.spinae
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15
Q

Correct firing pattern with LE abduction muscle balance test

A
  1. Ipsilateral glut med
  2. Ipsilateral TFL
  3. Ipsilateral QL
  4. Ipsilateral e.spinae
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16
Q

CS for scalenes

A

F St Rt

17
Q

Levator scapula CS

A

Monitor TP with index finger

Grasp ipsilateral wrist and extend arm, placing it under traction or compression

Arm is held in position of ease for 90 seconds

18
Q

Levator scapulae still-ish technique

A

Abduction of UE to 180 degrees

Distraction, adduction to 90 degrees, and finally to 0 degrees

Hold to back of chair, flex head to opposite knee

3 deep breaths and follow fascial release

Reevaluate

19
Q

SCM CS

A

F St Ra

20
Q

AC-1 location and treatment

A

Posterior aspect of ascending ramus of mandible at level of earlobe

Tx: RA

21
Q

AC 2-6 CS tx

A

F Sa Ra

22
Q

Location and CS tx for AC7

A

On posterior superior surface of clavicle at clavicular attachment of SCM m.

Tx: F St Ra

23
Q

Location and CS tx for AC8

A

On medial head of clavicle at sternal attachment of SCM

Tx: F Sa Ra

24
Q

Pectorals CS

A

Adduct arm across midline

25
Q

HVLA is particularly effective when there is a distinctive _____ with a _____ end feel

A

Barrier; firm

26
Q

During a pelvic TART eval, what muscle groups indicate sacral vs. innominate vs. pubic SD?

A

Sacral SD — indicated by piriformis and erector spinae TART; SI joint TART

Innominate SD — indicated by quadriceps (anterior rotation), hamstrings (posterior rotation), quadratus lumborum (superior shear); SI joint TART

Pubic SD: indicated by rectus abdominis, adductor TP/TART

OS IV Exam II SG (21 decks)

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