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
what are common fall related risk factors
vitamin D deficiency multiple prescritpion meds environmental hazards and impaired strength and balance
26
pain with sitting should key you into
pelvis problems
27
upper extremity pain is usually related to
latissimus dorsi
28
what usually accompanies cystitis
pubic dysfunction (improving blood flow to and from can help)
29
what may inhiit kidney stone from passing
fascial torsions
30
what type of dysfunction is typically found with incontinence and ED
pubic dysfunction
31
BPH
pubic dysfunction and pelvic diaphragm
32
what two things can impeded respiration
pelvic diaphragm restriction | sacral restriction
33
what is the 2nd most common pain complaint to see a doctor
low back pain
34
what percent of Low back pain is mechanical in origin
97%
35
what percent of the population experiences LBP each year
50%
36
what is the treatment sequence for elvic dysfunction
treat non-neutral thoracic and lumbar, treat innomnate pubic shears, treat SI dysfunction, treat illiosacral dysfunction
37
for outflare you will want to
adduct leg
38
for infalre you will want ot
abduct leg
39
how does the sacrotuberous ligament affect sacral torsoin
adds anterior support and will be tight on side of posterior ILA
40
what does the ASIS compression test test for
side of the dysfunction
41
what are the two forward torsions
Lon L Ron R
42
what are the two backward torsions
L on R, R on L
43
where is your heel of your hand in the spring test
lumbosacral junction
44
in a torsion
L5 rotates in opposite direction of the sacru, Deep sulcus and posterior ILA on opposite sides
45
in a rotation
L5 rotates in same direction and deep sulcus and posterior ILA on opposite sides
46
L5 sidebending side on
oblique axis
47
what are the levels for muscle strength
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
nerve roots hip flexion
l2-3
49
nerve roots knee extension
3-4 (kick the door)
50
l4-l5
ankle dorsiflexion, hip extension
51
l5-S1
knee flexion
52
ankle plantar flexion
s1-s2
53
nerve root for illiopsoas
l1
54
nerve root for illiopsoas adductors and quads
l2
55
nerve root for quads and adductors
l3
56
l4
anterior tibilais
57
back of the leg dermatome
s2
58
pain with 35-70 degree straight leg raise then
sciatic pain
59
pain with greater than 70 degree straight leg raise
hip/joint pain
60
in pain occurs a 35
dorsiflex foot and confirm sciatic
61
if 35-70 probably
joint pain
62
what are signs and symptoms assoc with coccygodynia
pain with sitting, intercourse and bowel movements
63
what is treatment for coccygonynia
sacrococcygeal joint mobiliation couter strain of related tender points myofascial release of the pelvic diaphragm