Innominates II Flashcards
anterior rotation
motions of innominate on sacrum
ASIS = inferior
PSIS = superior
ON SAME SIDE
extension
posterior rotations
motions of innominate on sacrum
ASIS = superior
PSIS = inferior
ON SAME SIDE
flexion
superior shear
motions of innominate on sacrum
ASIS and PSIS superior
ON SAME SIDE
inferior shear
motions of innominate on sacrum
ASIS and PSIS inferior
ON SAME SIDE
inflare
motions of innominate on sacrum
ASIS = medial
PSIS = lateral
ON SAME SIDE
outflare
motions of innominates on sacrum
ASIS = more lateral
PSIS = more medial
ON SAME SIDE
Innominate Rotation Test
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
lumbo-pelvic-femoral rhythm
- innom follows thigh V/V
- lumbar spine follows sacrum V/V
- 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
outflare
sacroiliac joint
opens anterior
closes posterior
if sacrum stuck backward
inflare
sacroiliac joint
closes anterior
opens posterior
if sacrum stuck forward
history for innominate SD
low back pain
hip pain
knee pain
foot and ankle pain
leg swelling
pelvic organ problems
diagnoses for innominate eval
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
test options in structural exam
- standing flexion test OR
- ASIS compression test
- innominate rotation test
standing flexion or ACT landmark
L/R ASIS position
superior/inferior on side of +St FT or ACT
anterior rotation RIGHT
indications
StFT/ACT + R
ASIS inferior R
IRT right anterior ease