Exam I Flashcards

1
Q

What are the three bones of the pelvis?

A

illium
ischium
pubus

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2
Q

what are the landmarks/bones for the ischium

A

PIIS, ischial tuberosities and ischial rami

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3
Q

what are the landmarks/bones of ilium

A

iliac crest (ASIS to PSIS)

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4
Q

what are the landmarks/bones of the pubus

A

AIIS, pubic rami, tubercles, symphysis

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5
Q

what are the two ligaments of the sacrum

A

sacrotuberous and sacrospinal

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6
Q

muscles that make up the pelvic diaphragm?

A

levator ani, coccygeous

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7
Q

when skull is in flexion the sacrum

A

extends

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8
Q

what is the dural connection

A

occiput/C1/C2 to S2

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9
Q

where is repiratory cranial postion on the sacrum

A

S2, superior transverse axis

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10
Q

the innominates follow the __________

A

sphenoid/temporal

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11
Q

what is the motion of the pelvis about the SI joint

A

shearing/gliding

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12
Q

what is the motion of the pelvis about the pubic symphysis

A

shearing/gliding

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13
Q

what is the pelvis is adducuted or abducted what is this called?

A

inflare or outflare

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14
Q

what is the middle transverse axis of the sacrum represent

A

sacral postural flexion/extension

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15
Q

what is the inferior transverse axis of the sacrum represent

A

innominate rotation, dynamic/walking

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16
Q
ASIS superior
PSIS superior
standing flexion positive ipsilaterally (usually)
pubic rami may be involved
iliac crest superior
ischial tuberosity superior
A

superior pelvic shear

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17
Q

Standing flexion test positive ipsilaterally Usually
Ipsilateral inferior ASIS
Ipsilateral inferior PSIS
Pubic rami may be involved
inferior ipsilaterally
Iliac Crest inferior ipsilaterally
Ischial tuberosity inferior ipsilaterally

A

inferior pelvic shear

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18
Q

what is the significance of superior pelvic shear with hip replacement hisoty

A

cannot internally rotate then as it risks dislocation of the hip so external rotation will alllow some packing of the hip joint to allow for traction then pull of the lower extremity to translate to the pelvis

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19
Q

abducted pubic symphysis common in what population

A

8-9 month pregnant people

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20
Q

what happens to pelvis with inflare

A

superior

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21
Q

what happens to pelvis with outflare

A

inferior

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22
Q

Distance of ipsilateral ASIS to midline decreased
Standing flexion test positive ipsilaterally
Superior ASIS ipsilaterally
Equal to superior PSIS ipsilaterally
Pubic rami equal
Iliac Crest superior ipsilaterally
Ischial tuberosity equal

A

inflare

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23
Q

Distance of ipsilateral ASIS to midline increased
Standing flexion test positive ipsilaterally
Inferior ASIS ipsilaterally
Equal to superior PSIS ipsilaterally
Pubic rami equal
Iliac Crest inferior ipsilaterally
Ischial tuberosity equal

A

outflare

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24
Q

what are the leading cause of fatal and nonfatal injuries in older adults

A

falls

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25
Q

what are common fall related risk factors

A

vitamin D deficiency
multiple prescritpion meds
environmental hazards and impaired strength and balance

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26
Q

pain with sitting should key you into

A

pelvis problems

27
Q

upper extremity pain is usually related to

A

latissimus dorsi

28
Q

what usually accompanies cystitis

A

pubic dysfunction (improving blood flow to and from can help)

29
Q

what may inhiit kidney stone from passing

A

fascial torsions

30
Q

what type of dysfunction is typically found with incontinence and ED

A

pubic dysfunction

31
Q

BPH

A

pubic dysfunction and pelvic diaphragm

32
Q

what two things can impeded respiration

A

pelvic diaphragm restriction

sacral restriction

33
Q

what is the 2nd most common pain complaint to see a doctor

A

low back pain

34
Q

what percent of Low back pain is mechanical in origin

A

97%

35
Q

what percent of the population experiences LBP each year

A

50%

36
Q

what is the treatment sequence for elvic dysfunction

A

treat non-neutral thoracic and lumbar, treat innomnate pubic shears, treat SI dysfunction, treat illiosacral dysfunction

37
Q

for outflare you will want to

A

adduct leg

38
Q

for infalre you will want ot

A

abduct leg

39
Q

how does the sacrotuberous ligament affect sacral torsoin

A

adds anterior support and will be tight on side of posterior ILA

40
Q

what does the ASIS compression test test for

A

side of the dysfunction

41
Q

what are the two forward torsions

A

Lon L Ron R

42
Q

what are the two backward torsions

A

L on R, R on L

43
Q

where is your heel of your hand in the spring test

A

lumbosacral junction

44
Q

in a torsion

A

L5 rotates in opposite direction of the sacru, Deep sulcus and posterior ILA on opposite sides

45
Q

in a rotation

A

L5 rotates in same direction and deep sulcus and posterior ILA on opposite sides

46
Q

L5 sidebending side on

A

oblique axis

47
Q

what are the levels for muscle strength

A

0/5–no contraction
1/5 slight contraction
2/5 movement with gravity eliminated
3/5 movement against gravity
4/5 movement against gravity with some resistance
5/5 movement against gravity with full resistance

48
Q

nerve roots hip flexion

A

l2-3

49
Q

nerve roots knee extension

A

3-4 (kick the door)

50
Q

l4-l5

A

ankle dorsiflexion, hip extension

51
Q

l5-S1

A

knee flexion

52
Q

ankle plantar flexion

A

s1-s2

53
Q

nerve root for illiopsoas

A

l1

54
Q

nerve root for illiopsoas adductors and quads

A

l2

55
Q

nerve root for quads and adductors

A

l3

56
Q

l4

A

anterior tibilais

57
Q

back of the leg dermatome

A

s2

58
Q

pain with 35-70 degree straight leg raise then

A

sciatic pain

59
Q

pain with greater than 70 degree straight leg raise

A

hip/joint pain

60
Q

in pain occurs a 35

A

dorsiflex foot and confirm sciatic

61
Q

if 35-70 probably

A

joint pain

62
Q

what are signs and symptoms assoc with coccygodynia

A

pain with sitting, intercourse and bowel movements

63
Q

what is treatment for coccygonynia

A

sacrococcygeal joint mobiliation
couter strain of related tender points
myofascial release of the pelvic diaphragm