HVLA Innominate sacrum

Question 1

steps for hvla

Answer 1

engage rb in all 3 segments, breathing, thrust, reassess

Question 2

Pelvis tart evaluation

Answer 2

Palpate Hamstrings, lower back muscles, quadriceps, adductors. , spring test for lateralization. Check for height of asis, medial malleoli, psis. Can also do inflare and outflare with distance to belly button.

Question 3

Hamstring hypertonicity SD ME/MFR

Answer 3

One leg on your shoulder, you holding that leg and other arm pressing down at contralateral asis. have them push down, you resists, etc

Question 4

LE: ITB Syndrome lateral recumbent,

Answer 4

They lateral recumbent with legs flexed, you running fist up the it band

Question 5

LE: ITB Syndrome prone

Answer 5

They prone with foot flexed 90, push leg out and pull thigh towards you

Question 6

MFR Lumbosacral region

Answer 6

They prone, you put one hand on back other on sacrum, do mfr in the different directions and rotations

Question 7

HVLA superior innominate shear

Answer 7

They supine, grab above ankle, abduct then internally rotate, dont be on pants in way her pants will come down, do breathing cycles whyle applying some traction, then on last exhale pull down.

Question 8

HVLA Inferior innominate shear

Answer 8

They lateral recumbent facing you, with top leg straight. Grab ASIS and PSIS with hands open, breath in out press up, keep doing, then on last exhale push up.

Question 9

HVLA Anterior rotation

Answer 9

They lateral recumbent with top leg off table with top shoulder leaning back, pull on other hand to rotate them, then have them grab their other wrist with that hand. Put one hand under their hands above the psis, other arm along their psis to the trocanter, breathe in out then thrust upward with lower arm to rotate posteriorly.

Question 10

HVLA Posterior rotation

Answer 10

They lateral recumbent with top leg triangle flexed with top shoulder leaning back, pull on other hand to rotate them, then have them grab their other wrist with that hand. Put one hand under their hands above the psis, other arm along their psis and lateral ridge, breathe in out then thrust towards you to make it do an anterior rotation.

Question 11

HVLA Pubic restrictions

Answer 11

They supine knees flexed. Do ME in, out, in out, last time have their legs open, they pushing in, then when they relax quick thrust outwards

Question 12

Sacrum TART evaluation

Answer 12

Lower back muscles, piriformis, hamstrings. Check sacral sulci depths and ILA depths.

Question 13

MFR Lumbosacral region

Answer 13

Hands one above other on patients lower back, do mfr

Question 14

Sacral rocking

Answer 14

Bottom hand is pointed towards feet, other one on top of it, Inhalation sacrum downwards, exhalation upwards, repeat ten times with their breathing

Question 15

HVLA: Bilateral sacral flexion

Answer 15

They prone, bring legs out and internaly rotate them, palm of hand to apex of sacrum pointed upwards, breathing accentuating inhalation and exhalation, on inhalation do your thrust anterior and kind of superior. (making them more into extension)

Question 16

HVLA Bilateral sacral extension

Answer 16

Abduct and externally rotate, hand at base pointed downwards, they take deep breaths resist inhalation and accentuate exhalation, on last exhale do thrust anterior and inferior.

Question 17

HVLA Right on a left axis sacral torsion

Answer 17

They supine, you on axis side, C shape sidebend them away from you, they grab their neck with both hands, one hand grab their upper arm on opposite side, other hand stabilize opposite asis, with breathing pull their arm and upper torso towards you, thrust is on the asis downward. C shape is away from u

Question 18

Lumbar prone pressure

Answer 18

They prone, you in lumbar region pressing down on opposite lumbar musculature

Question 19

Lumbar prone pressure with counterleverage

Answer 19

They prone, one hand grabbing opposite asis pulling up, other hand pushing down on lumbar musculature going up and down

Question 20

Lumbar: paraspinal perpendicular stretch lateral recumbent

Answer 20

They lateral recumbent facing you, you grab upper back musculature and pull up.

Question 21

L1-5 Extension/neutral dysfunctions

Answer 21

They supine with hands on back neck elbows up, you on opposite of ptp, make c away from physician for neutral and towards for extension, grab bicep away from you and pull towards you, other hand on their iposite asis, the thrust is rotateion pulling bicep towards youl

Question 22

HVLA: Type 1 lumbar- lateral recumbent

Answer 22

Ptp always up, they in lateral recumbent facing you (pull on lower arm to rotate their back onto table) top leg flexed so foot is at knee of lower leg, one hand monitoring the ptp, have her grab her hands on top of her body, top arm is on her greater trochanter/illiac crest pulling to you, other hand is in between her arms pushing the other way, thrust is on illiac crest towards you.

Question 23

HVLA Type 2 Lumbar lateral recumbent

Answer 23

They lateral recumbent, pull lower arm so they get onto their back, (for extended top leg off table, for flexed top leg slightly flexed to have foot in popliteal space), bottom leg slightly flexed, their arms grabbing each other, your arm on their hip pulling and thrust toward you, other hand on upper torso pushing down.