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SOT > Exam 2 > Flashcards

Exam 2 Flashcards

1
Q

Category 2

A

Sacro iliac weight-bearing dysfunction

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2
Q

Cat 2 flow

A

Lower extremity psoas and iliofemoral, scaral cup, trap fibers

UMS/LLL - yes = block cat 2,

no = check and adjust C1 and L5

UMS/LLL - yes = block cat 2

No = manually adjust SI joint

Strong arm fossa? Yes = stairstep and figure 8 long leg, short leg

No = basic II cranial

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3
Q

Thickest and strongest ligament of the joint

A

Interosseous ligament of the sacroiliac joint

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4
Q

Largest syndesmosis in the body and dwarfs the relative size of the auricular surfaces

A

Interosseous sacroiliac ligament

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5
Q

This ligament is thought to strongly resist joint separation as well as vertical and anteroposterior translations

A

Interosseous sacroiliac ligament

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6
Q

Cycle initiated by chronic somatic dysfucntion, which may result in muscle atrophy which can be further expected to reduce proprioceptive output from atrophied muscles. The lack of proprioceptive inhibition of nociceptors at the dorsal horn of the spinal cord would result in chronic pain and a loss of standing balance

A

Study suggest relationship between chronic pain, somatic dysfucntion, muscle atrophy and standing balance

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7
Q

Discs are not a significant cause of ___ SI joint dysfucntions are very common cause of __

A

Low back pain

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8
Q

The ___ is 20 times more vulnerable to axial compression and twice as susceptible to axial overloading as lumbar segment

Bending, lifting, twisting

A

SI joint

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9
Q

SI joint dysfunction have been demonstrated to be the major biomechanical cause of

A

Lumbar disc degeneration

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10
Q

In study of 1000 consecutive patients with low back pain, ___ had a mechanical dysfunction of the sacroiliac joints as a major cause of their LBP

A

98%

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11
Q

The presence ofunilateral low back pain alerts the clinician that a patient may have a

A

SI problem

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12
Q

Of 88 patient with LBP, __ had evidence of SI joint dysfunction

A

71

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13
Q

If a dysfunction of the SIJ’s were to compromise the movement of the sacrum, this would cause a

A

Considerable increase in the shear forces on the disc

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14
Q

SIJ dysfunction has been demonstrated to be the major cause of

A

Lumbar disc degeneration

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15
Q

In sports requiring repetitive, unidirectional movement, _____ is understandable

A

Pelvic shear and/or torsional force is understandalbe

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16
Q

The SI joint is reported as a common source of __ in school children

A

LBP

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17
Q

If the SIJ is incompetent, the NS is intact, the muscle strength to control pelvic position will be inhibited due to reflex activity. Can be implied by

A

Diminished motor performance of muscles which control pelvic position

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18
Q

Leg length differences may be the prime cause of ___

A

SIJ complaints

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19
Q

Only tests for ___ had consistently acceptable results

A

Palpation for pain

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20
Q

Lumbar mopal might be valid but had poor

A

Reliability

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21
Q

SI joint mopal seems slightly reliable, but literature does not show

A

Validity

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22
Q

Leg checks correlated with radiographic measurements, but consensus on method and interpretation is

A

Lacking

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23
Q

In females, pelvic floor muscles have the capacity to

A

Increase stiffness of the pelvic ring. And can generate a backward rotation of the sacrum in both sexes

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24
Q

Tucking chin exacerbates

A

Posterior occiput and reduces atlas dysfunction

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25
Q

Cross arms crunch exacerbates

A

Lumbar posteriority, creastes short leg and weak muscle

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26
Q

Cross arms crunch corrects

A

Antero or spondylo, legs balance

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27
Q

Cat 2 blocking

A

High block = top of iliac crest horizontal

Low block = LLL 45 degrees

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28
Q

Trap fiber palpation

A

Ruffinispray endings
7 fibers
Mechanical fixation associated with cat 2

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29
Q

Trap fiber 1

A

C1

T1,2,10

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30
Q

Trap fiber 2

A

C2,

T3, 11, 12

31
Q

Trap fiber 3

A

C3
T4/5
L1

32
Q

Trap 4

A

C4
T6
L2

33
Q

Trap fiber 5

A

C5
T7
L3

34
Q

Trap fiber 6

A

C6
T8
L4

35
Q

Trap fiber 7

A

C7
T9
L5

36
Q

Psoas procedure

A

Test - arms overhead, fingers point toward doc, one short = psoas

Correction - opposite knee up, doc grabs lateral butt, hand on lateral belly button breathe in an out as out, push in and repeat

37
Q

Iliofemoral procedure

A

Test - internally rotate both feet

Correction - pull on greater trochanter on opp side

38
Q

Dejarnette leg check

A

Use traction, thumbs on medial malleolus

39
Q

Maintain head and eye coordination, upright posture and balance, and conscious realization of spatial orientation and motion

A

Vestibulospinal tracts

40
Q

Vestibulospinal tracts Stabilizes head position by

A

Innervating the neck muscles, which helps with head coordination and eye movement

41
Q

Vestibulospinal tract controls antigravity extensor muscles in the legs that help maintain

A

Upright and balanced posture

42
Q

Leg checks and posture analysis are based on actions of the

A

Vestibulospinal tracts

43
Q

UMS

A

PI ilium

44
Q

LLL

A

AS ilium

45
Q

Upper fossa pain
Medial knee pain
Short leg side

A

PI ilium

46
Q

Lower fossa pain
Lateral knee pain
Long leg side

A

AS ilium

47
Q

Most reliable analysis

A

Palpatory pain

48
Q

Gold standard of cat 2 tests and gold standard of determining PI or AS ilium

A

UMS and LLL

49
Q

The sacral cup adjustment affects a posteriorly subluxated sacral segment which might otherwise interfere with

A

Proper SI joint re-alignment subsequent to cat 2 blocking

50
Q

A posterior sacral segment may affect the strength of the ___ hip extensors

A

Ipsilateral and/or contralateral

51
Q

Restores tone to hip extensors. It is sometimes useful when blocking alone cannot stablize the fossae

A

Sacral cup adjustment

52
Q

Whichever cup strengthens the weakened leg receives a

A

Rapid thumb toggle or activator adjustment

53
Q

Cat 2 blockign removes

A

Sagittal plane iliac rotation (PI and AS)

54
Q

Cat 2 blocking does not stress

A

The sacro iliac ligaments

55
Q

anterior pelvic stabilization

A

Palpate sartorius and rectus abdominus in the arm fossa test

56
Q

Allow ligaments to heal via collagen gelation

A

Blocks

57
Q

Placing the blocks produces an angular torque to teh ligaments that hvae been stretched are allowed to

A

Tighten and shorten

58
Q

Blocks ligaments which have become shortened are allowed to

A

Stretch, which causes capillaries to release a hydrosol into the area which condenses to hydrogel permitting stabilization adn a nutritive medium thereby facilitating regrowth of affected ligament and/or disc tissues

59
Q

Pre and post cat 2 blocking muscle strength evaluation performed on patients

A

Data collected on 16 patients
8 muscles tested bilaterally
15/16 mucles tested stronger post blockign

60
Q

SI joint laxity values _____ during both applications of pelvic belt

A

Decreased significantly

61
Q

Significantly decreases moblility of SI joints

A

Application of pelvic belt

62
Q

Decrease of mobility is larger with the belt positioned just

A

Cuadal to the ASIS than at level of pubic symphysis

63
Q

Cat 2

A 
SI subluxation
Unilateral body drop
Dural sutural subluxation
Temporomandibular/maxillary subluxation
Lateral sway
Medial and lateral knee tension
Medial and lateral heel tension
64
Q

Cat 1

A 
SI fixation
Bilateral 
Dural meningeal respiratory fixation
Anteroposterior sway
AP heel tension
65
Q

Used to balance the cranium after cat 2 blockign

A

Basic 2 cranial

66
Q

Basic 2 cranial flexes

A

The sphenobasilar synchondrosis

67
Q

Basic 2 cranial

A

S-I on inhale

I-S on exhale

68
Q

Used if arm fossa does not strengthen on blocking

A

Basic 2 cranial

69
Q

Basic 2 cranial contacts

A

Frontal and occiput

70
Q

Dejarnette cervical mobilization

A

Cervicla stairstepping

71
Q

Cervicla stairstepping balances

A

Cervical musculature

72
Q

Cervical stairstepping performed in ___ plane

A

Mid-sagittal

73
Q

More info on cervical stairstepping can be found during

A

Lateral translation (transverse plane

74
Q

Restriction getting from one step to the next gives you

A

Level of fixation

SOT (5 decks)

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