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OS-II CPA 1 > Inominate Rotation > Flashcards

Inominate Rotation Flashcards

1
Q

TART

A

check for TTA on abdomen, quads, thights, lower back, back thighs, butt, hamstrings

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2
Q

Trendelenburg tests

A
  1. Pt stands
  2. Lifts one foot by ending at the knee.
  3. Get behind pt and look at their pelvis.
    • test: pelvis of unsupported side drops telling us glut medius weakness on standing leg.

Ex. L hip drops= R gluteus medius weakness

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3
Q

Thomas Test

A
  1. Pt lays on back
  2. Pulls knees to chest
  3. Lowers one leg to take

+ test: gap is present tell us tight hip flexor

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4
Q

Ober Test

A
    1. Pt lays on side with hips and knees flexed
    1. Stabilize hip
    1. Abduct and extend upper leg
    1. Bring leg back to the table
      * + test: leg does not adduct back to the table -> IT band contracture
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5
Q

Osteopathic Evaluation of Innominate

A
  1. Standing Flexion Test OR ASIS Compression Test to determine side of dysfunction
  2. RESET HIPS
  3. Evaluate for rotations and/or shears
  • PSIS Height
  • ASIS Height
  • Iliac Crest Height
  • Medial Malleoli Height
  1. Evaluate for inflares or outflares
    * a. ASIS to Midline
  2. Evaluate for pubic dysfunction
    * a. Pubic Tubercles
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6
Q

Standing Flexion Test

A
  1. Pt stands up and youre behind them bent down with your hands on their PSIS.
  2. Have pt bend forward and try to touch toes
  3. Watch movement of your fingers

+ test: one PSIS moves further than the other, indicating an SI joint dysfunction on that side.

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7
Q

What do you do before a supine eval?

A

RESET hip; bend knees, place feet flat on the table and lift hips off the table; go back down

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8
Q

ASIS compression test

A

+ test: hard end feel indicated SI joint dysfunction on that side

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9
Q

PSIS height

A

Have patient lay down on stomach and place thumbs BELOW the PSIS.

Push UP and note which one is more superior.

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10
Q

ASIS height

A
  • Have patient lay down on back and place thumbs on inferior part of ASIS.
  • Push up and note which one is more superior.
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11
Q

Iliac crest heights

A
  1. check heights of iliac crest and note is one is more superior than the other.
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12
Q

Medial malleoli height.

A
  • Touch inferior part of medial malleoli and note which is more superior.
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13
Q

ASIS to midline

A
  1. tell pt to touch BB
  2. measure the distance between ASIS and umbilicus
  3. Note which has an increase in distance.
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14
Q

Pubic tubercles

A

Use palm to move down to the public tubercles, starting at the suprapubic area

Note any pain upon palpation

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15
Q

L/R Anterior Innominate Rotation

A
  • Standing flexion: + on side of dysfunction
  • PSIS- more superior on side of dysfunction
  • ASIS- more inferior on side of dysfunction
  • Malleoli- inferior
  • Iliac crests: even
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16
Q

L/R Posterior inominate rotation

A
  • Standing flexion: + on side of dysfunction
  • PSIS- more inferior on side of dysfunction
  • ASIS- more superior on side of dysfunction
  • Malleoli- superior
  • Iliac crests: even
17
Q

Superior Innominate Shear

A
  • Standing flexion: + on side of dysfunction
  • Everything (PSIS, ASIS, malleoli, iliac crests, pubic tubercles) are all superior.
18
Q

Inferior Inominate Shear

A

Standing flexion: + on side of dysfunction

Everything (PSIS, ASIS, malleoli, iliac crests, pubic tubercles) are all inferior.

19
Q

Outflare of Innominate

A
  • Standing flexion: + on side of dysfunction
  • ASIS to midline distance: longer on the side of the dysfunction
20
Q

Inflare of inominate

A
  • Standing flexion: + on side of dysfunction
  • ASIS to midline distance: shorter on the side of the dysfunction
21
Q

Superior public shear

A
  1. Standing flexion: + on side of dysfunction
  2. Pubic tubercle: superior on side of dysfunction
22
Q

Inferior pubic shear

A
  • Standing flexion: + on side of dysfunction
  • Pubic tubercle: inferior on side of dysfunction
23
Q

Pubic compression (Adduction)

A

Tenderness over pubic rami and symphysis

24
Q

Pubic sublaxation

A

Very painful often occurs after giving birth or pelvic fracture.

25
Q

Anterior inominate rotation MET/ART

A

Pt lays down and doc is on the same side of the dysfunction.

26
Q

Posterior inominate rotation MET/ART

A
  1. Pt on back, laying near the side of the table. Doc on same side

2.

27
Q

Superior innominate shear MET/ART

A
  • Doc internally rotate and abducts patients leg
  • Pull down ABOVE the patients ankle, while patient pulls up
28
Q

Inferior inominate shear MET/ART

A
  • Doc internally rotate and abducts patients leg
  • Push up on the the patients ankle, while patient pushes towards thigh.
29
Q

Inflare of innominate SD MET/ART

A
    1. Pt is laying on back
    1. Doc is standing on opposite side
    1. Put pt in FABER.
    1. Push out while holding the opposite ASIS for 3-5 seconds while pt resists.
30
Q

Outflare of innominate rotation SD MET/ART

A
  1. Pt is laying on back
  2. Doc is standing on opposite side
  3. Put pt in FABER.
  4. Bring leg in while holding the same PSIS (so pt will not tip towards you) for 3-5 seconds while pt resists
31
Q

Pubic Dysfunctions MET aka “Shotgun Approach”

A
  1. Tell patient to bend knees, making sure both heels are equal distance from the pelvis.
  2. Fixed compression: put forearm in between their knees and tell them to bring knees together.

Fixed gapping: hug their knees and tell them to pull apart.

Alternate.

OS-II CPA 1 (7 decks)

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