Innominates II

Question 1

anterior rotation

motions of innominate on sacrum

Answer 1

ASIS = inferior
PSIS = superior
ON SAME SIDE

extension

Question 2

posterior rotations

motions of innominate on sacrum

Answer 2

ASIS = superior
PSIS = inferior
ON SAME SIDE

flexion

Question 3

superior shear

motions of innominate on sacrum

Answer 3

ASIS and PSIS superior
ON SAME SIDE

Question 4

inferior shear

motions of innominate on sacrum

Answer 4

ASIS and PSIS inferior
ON SAME SIDE

Question 5

inflare

motions of innominate on sacrum

Answer 5

ASIS = medial
PSIS = lateral
ON SAME SIDE

Question 6

outflare

motions of innominates on sacrum

Answer 6

ASIS = more lateral
PSIS = more medial
ON SAME SIDE

Question 7

Innominate Rotation Test

Answer 7

evals innominate rotation supine and seated

in conjuction w/ superior or inferior position of ASIS = anterior/posterior rotation diagnosis

position of ease

so don’t have to flip pt to check PSIS

Question 8

lumbo-pelvic-femoral rhythm

Answer 8

1. innom follows thigh V/V
2. lumbar spine follows sacrum V/V
3. innom locks movement on sacrum and moves it = moving lumbar with it

aka move lumbar spine by moving thigh

stop thigh at certain point to isolate PSIS

Question 9

outflare

sacroiliac joint

Answer 9

opens anterior
closes posterior

if sacrum stuck backward

Question 10

inflare

sacroiliac joint

Answer 10

closes anterior
opens posterior

if sacrum stuck forward

Question 11

history for innominate SD

Answer 11

low back pain
hip pain
knee pain
foot and ankle pain
leg swelling
pelvic organ problems

Question 12

diagnoses for innominate eval

Answer 12

injury/disease of low back, pelvis, hip, knee, ankle, foot
disc herniation/bulging
sciatica (sciatic nerve distribution pain)
lower extremity edema
pregnancy
chronic (6 mo) upper body conditions

headache, neck pain, shoulder problems, upper back pain

Question 13

test options in structural exam

Answer 13

1. standing flexion test OR
2. ASIS compression test
3. innominate rotation test

Question 14

standing flexion or ACT landmark

Answer 14

L/R ASIS position
superior/inferior on side of +St FT or ACT

Question 15

anterior rotation RIGHT

indications

Answer 15

StFT/ACT + R
ASIS inferior R
IRT right anterior ease

Question 16

anterior rotation LEFT

indicatios

Answer 16

StFT/ACT + L
ASIS inferior L
IRT left anterior ease

Question 17

posterior rotation RIGHT

indications

Answer 17

StFT/ACT + R
ASIS superior R
IRT right posterior ease

Question 18

posterior rotation LEFT

indications

Answer 18

StFT/ACT + L
ASIS superior L
IRT left posterior ease

Question 19

if rotations don’t match..

Answer 19

look for upslipped innominate instead of rotation problem

Question 20

anterior treatments

Answer 20

1. muscle energy
2. HV/LA
3. stretching muscles of joint
4. removing strains of muscles on joint

Question 21

HVLA

targets

Answer 21

joint capsules
if HVLA doesn’t treat the SD then the problem is not joint
NO PAIN

Question 22

HVLA

how to anterior

Answer 22

1. supine
2. ABduct leg
3. lift/flex 30 degrees
4. do pre-test for pain check
5. pull quickly

direct treatment

Question 23

Muscle Energy

how to anterior

Answer 23

uses hip extensors
1. hand on PSIS
2. flex hip until PSIS moves
3. normal cycle

Question 24

posterior treatment

Answer 24

1. takes innominate from initial posterior to final anterior
2. muscle energy
3. HVLA
4. stretch tight muscles on joint
5. remove strains of muscles on joint

Question 25

Muscle Energy

how to posterior

Answer 25

hip flexors
1. pt supine on side of bed so leg can hang off
2. Dr hand on knee and other on ASIS to stabilize
3. normal cycle

Question 26

HVLA

how to posterior

Answer 26

1. supine
2. ABduct leg
3. pre-HVLA to check pain
4. quick pull

Question 27

Muscle Energy

targets

Answer 27

tight muscles OR
uses muscles to move bones

Question 28

Counter Strain

targets

Answer 28

specific muscle injury/strain
i.e muscle tear