Final Exam Notes Flashcards
Anterior Rotated Innominate MOI
Tight RF
Weak hamstrings
Posterior Rotated Innominate MOI
Tight Hamstrings
Weak RF
Pelvic Inflare MOI
Tight Iliacus/weak glute med
Tight internal obliques/weak glute min,TFL
Pelvic out flare MOI
Tight glute min,med,TFL
Weak Iliacus, internal oblique
Inferior Pubic Sublux
Tight adductors
Superior pubic Sublux
Weak adductors
Axis of sacral rotation is the ________ of seated flexion results
opposite.
positive RT seated flexion = LT axis of rotation
Sacral Sulcus palpation tells the therapist
The Rotation of the sacrum
what position is the sacrum in a Rt on Rt
rotated right on a right oblique axis.
the sacrum is flexed/anterior
What position is the sacrum in a Lt on Lt
Rotated left on a left oblique axis.
the sacrum is flexed/anterior
What position is the sacrum in a Rt on Lt
Rotated right on a left Oblique axis.
The sacrum is extended/posterior
What position is the sacrum in a Lt on Rt
Rotated left on a right oblique axis.
the sacrum is extended/posterior
The MOI of a RT on RT
multif has 2 actions here
Rt multif - extends the lumbar and rotates it Lt resulting in right sacral rotation and flexion
Lt piriformis - supports the Rt oblique axis when the sacrum is flexed.
Rt psoas - rotates the lumbar to the Lt causing the sacrum to rotate Rt.
Lt QL - extends the lumbar and rotates it to the left, flexing the sacrum and causing Rt sacrum rotation
The MOI of a LT on LT
Multif has 2 actions here
Lt multif - extends the lumbar and rotates it Rt resulting in left sacral rotation and flexion
Rt piriformis - supports the Lt oblique axis when the sacrum is flexed.
Lt psoas - rotates the lumbar to the Rt causing the sacrum to rotate Lt.
Rt QL- extends the lumbar and rotates it to the right, flexing the sacrum and causing Lt sacrum rotation
The MOI of a Rt on Lt
Pirformis has 2 actions here
Lt piriformis - rotates the sacrum to the right in extension and pulls it onto a left oblique axis
Rt multif - rotate the lumbar left resulting in right sacral rotation.
Rt psoas - flexes the lumbar and rotes it left, resulting in right sacrum rotation and sacral extension
Lt QL - rotates the lumbar left resulting in right sacral rotation
The MOI of a Left on RT
Piriformis has 2 actions here
Rt piriformis - rotates the sacrum to the left in extension and pulls it onto a Rt oblique axis
Lt multif - rotates lumbar Rt resulting in left sacral rotation.
Lt Psoas - flexes the lumbar and rotates it Right, resulting in Left sacrum rotation and sacral extension
Rt QL - rotates the lumbar left resulting in right sacral rotation.
Palpate for rotation
sacral sulcus
sacral ILA
Standing sacrum/SI assessments
Posture (static & dynamic)
active hip ROM
Standing Flexion
Trendelenburg
Seated sacrum/SI assessments
active lumbar ROMs
Slump
seated flexion test
Supine sacral/SI assessments
Assess for tight hamstings causing a false + standing flexion
Assess tight/weak adductors
SLWL
Palpate ASIS for rotation and flairs
Check for apparent short leg
Prone sacrum/SI assessments
Sacral Sulcus for Rotation
Sacral ILA for rotation
Springy lumbar for sacral extension. (check)
SIM is when
the therapist uses the clients muscle action to make adjustments to their dysfunctional side.
ex. using their RF to anteriorly rotate the innominate.
Consultation questions
What brings you in today?
Any new injuries to that area?
Any old injuries to that area?
Have you seen a Dr. in regards to your pain, and or gotten any imaging done or received a diagnosis?
Are you on pain medication?
Can you describe your pain?
On a scale from 1 to 10, 10 being that absolute worst in your life, what would you rate your current pain and does the number change depending on activity or time of day?
Medical history?
When there is an ACUTE injury how does massage help
Massage above and below the site of the injury may reduce swelling, prevent excessive splinting by surrounding muscles, and speed the healing process
ART acronum
A: asymmetry
R: ROM
T: tissue texture
Two Key Findings to watch for while assessing:
Pain
Asymmetry
Extrinsic treatment of hypertonicity in the hamstrings
LCF
Stripping
triggerpoints
Extrinsic treatment of RF
Stripping
LCF
Trigger points
GCF
Strain-counter strain
valgus
pushes medial
MCL
Varus
puches lateral
LCL
Collateral ligament tests
Apleys distraction
Valgus and varus stress test
Crucitare ligament tests
Drawer
apleys distraction
Meniscus
Apleys compression
McMurrays
bounce (if no bounce, its a sign of muslce garding)
Petella-femoral articulation
Petellar grind
IT band
Noble’s compression
Ober’s (tightness, contraction, inflammation)
DVT, pain in the calf/numbness/coldness of the foot
Homan’s sign
Scap assessment standing posture
- Posterior note the level of the acromion and inferior angle height and motion.
- anterior AC joint motion
Scap Elevators
Agonists
would restrict ____
if tight?
Upper trap
Levator scap
(RH minor less)
would restrict depression if tight.
Scap Depressors
Agonists
would restrict ____
if tight?
Lower trap
Pec minor
Lower seratus ant.
would restrict elevation if tight
Scap Protractors
agonist
would restrict ____
if tight?
serratus ant.
(Pec Maj)
would restrict retraction
if tight
Scap Retractors
would restrict ____
if tight?
Rhomboids
middle trap
would restrict protraction
if tight
Upward scap rotators
would restrict ____
if tight?
Upper trap
Lower trap
Lower Serratus Ant.
would restrict downward rotation if tight
Downward scap rotators
would restrict ____
if tight?
Rhomboids
Lev Scap
Pec minor
would restrict upward rotationif tight
Scap Ant. tilters
would restrict ____
if tight?
Pec minor
would restrict elevation and upward rotation if tight
Scap ant. tilt can be restricted do to
Weak pec minor
or
tight Ant. serratus.
GH flexors
Pec maj (cavicular)
LH bicep (FA supinator)
Ant. Delt
Coracobrachialis (secondary)
GH Extensors
Lat dorsi
Post. delt
Teres maj
LH triceps
GH ABductors
Supraspinatus
Middle Deltoid
GH Horizontal ABduction
Post delt
LH tricep
Lat dorsi
GH horizontal ADduction
Ant. delt
Pec maj
Ant. delt
LH bicep (secondary)
GH external/lateral rotators
Infraspinatus
Teres minor
posterior delt
GH internal/medial rotators
subscapularis
pec maj
Lat dorsi
Teres maj
ant. delt
In acute flare ups_____ should be avoided
Rheumatoid arthritis