Innominates II Flashcards

1
Q

anterior rotation

motions of innominate on sacrum

A

ASIS = inferior
PSIS = superior
ON SAME SIDE

extension

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2
Q

posterior rotations

motions of innominate on sacrum

A

ASIS = superior
PSIS = inferior
ON SAME SIDE

flexion

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3
Q

superior shear

motions of innominate on sacrum

A

ASIS and PSIS superior
ON SAME SIDE

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4
Q

inferior shear

motions of innominate on sacrum

A

ASIS and PSIS inferior
ON SAME SIDE

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5
Q

inflare

motions of innominate on sacrum

A

ASIS = medial
PSIS = lateral
ON SAME SIDE

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6
Q

outflare

motions of innominates on sacrum

A

ASIS = more lateral
PSIS = more medial
ON SAME SIDE

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7
Q

Innominate Rotation Test

A

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

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8
Q

lumbo-pelvic-femoral rhythm

A
  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

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9
Q

outflare

sacroiliac joint

A

opens anterior
closes posterior

if sacrum stuck backward

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10
Q

inflare

sacroiliac joint

A

closes anterior
opens posterior

if sacrum stuck forward

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11
Q

history for innominate SD

A

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

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12
Q

diagnoses for innominate eval

A

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

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13
Q

test options in structural exam

A
  1. standing flexion test OR
  2. ASIS compression test
  3. innominate rotation test
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14
Q

standing flexion or ACT landmark

A

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

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15
Q

anterior rotation RIGHT

indications

A

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

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16
Q

anterior rotation LEFT

indicatios

A

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

17
Q

posterior rotation RIGHT

indications

A

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

18
Q

posterior rotation LEFT

indications

A

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

19
Q

if rotations don’t match..

A

look for upslipped innominate instead of rotation problem

20
Q

anterior treatments

A
  1. muscle energy
  2. HV/LA
  3. stretching muscles of joint
  4. removing strains of muscles on joint
21
Q

HVLA

targets

A

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

22
Q

HVLA

how to anterior

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

direct treatment

23
Q

Muscle Energy

how to anterior

A

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

24
Q

posterior treatment

A
  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
25
Q

Muscle Energy

how to posterior

A

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

26
Q

HVLA

how to posterior

A
  1. supine
  2. ABduct leg
  3. pre-HVLA to check pain
  4. quick pull
27
Q

Muscle Energy

targets

A

tight muscles OR
uses muscles to move bones

28
Q

Counter Strain

targets

A

specific muscle injury/strain
i.e muscle tear