Diagnosis Overview Flashcards
Type 1 mechanics
Multiple segments
Rotate and side bend to the opposite side
No flexion or extension
Gradual onset
Type 2 mechanics
Single segment
Rotate and side bend to the same side
Flexion or extension
Abrupt onset
Posterior transverse process
Direction of rotation
Translating to the left
Side bending to the right
Translating = opposite side bending
Major motions of OA
*Flexion and extension
Also rotate and side bend opposite sides
Major motion of AA
Rotation
Motion of C2-C7
Rotate and side bend same side
Rule of threes
T1-T3 (and T12) = same level as spinous process
T4-T6 (and T11) = half segment above spinous process
T7-T9 (and T10) = full segment above spinous process
Inferior angle of scapula marks
Spinous process of T7
Superior angle of scapula marks
Spinous process of T2
Iliac crest marks
Body of L4
PSIS marks
Body of S2
Pump handle motion
Ribs 1-5
Bucket handle motion
Ribs 6-10
Caliper motion
Ribs 11-12
Inhalation dysfunction
Ribs “stuck up”
Restricted in exhalation
Exhalation dysfunction
Ribs “stuck down”
Restricted in inhalation
Group dysfunction - BITE
Bottom inhalation
Top exhalation
L5 Rules
L5 rotates opposite sacrum
L5 side bends toward axis
Posterior sacral movement
Bending forward
Inhalation
Anterior sacral movement
Bending backward
Exhalation
Engage left sacral axis
Standing on left leg
Bilateral deep sulci
Bilateral sacral flexion
Bilateral deep ILA
Bilateral sacral extension
Naming axis
Opposite positive seated flexion test
R on L
L on R
Backward torsion
Extension
L on L
R on R
Forward torsion
Flexion
Deep sulci and ILA same side
Torsion
Rotation on axis
Deep sulci and ILA opposite side
Shear
Deep sulci same side of +SFT with sheer
Flexion
Deep sulci opposite side of +SFT with sheer
Extension
Negative spring test
Motion is not restricted
Sacrum is flexed
Sphinx test shows improvement
Sacrum flexed
Forward sacral torsion
Deep sulci and ILA same side +SFT
Sphinx improves
Backward sacral torsion
Deep sulci and ILA opposite side +SFT
Sphinx worsens
Anterior innominate rotation
Inferior ASIS and Superior PSIS same side +SFT
Posterior innominate rotation
Superior ASIS and inferior PSIS same side +SFT
Superior innominate sheer
ASIS and PSIS superior same side +SFT
Inferior innominate sheer
ASIS and PSIS inferior same side +SFT
Outflare
ASIS more lateral same side +SFT
Inflare
ASIS more medial same side +SFT
Superior pubic sheer
Pubic tubercle superior same side +SFT
Inferior pubic sheer
Pubic tubercle inferior same side +SFT