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MSK LQ > Lab 4 > Flashcards

Lab 4 Flashcards

1
Q
A
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2
Q

If you suspect a patient has a LBP+SI joint problem, what should you do first

A

First preform lumbar spine exam

never preform only an SIJ exam

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3
Q

Pain with transitional movements is a common sign of what

A

SIJ problems

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4
Q

If a patient clearly has neurological symptoms and has back pain, should you still do a scanning exam?

A

yes because you need to know to what extent the neurological system is involved

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5
Q

Pt has pain w/ coughing/sneezing and symptoms decrease with walking

A

lumbar disc pathology

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6
Q

Pt has pain with flexion or extension and pain with Posterior-anterior joint glides

A

Lumbar joint pathology

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7
Q

Pt has trendelenburg sign

Pain and decreased ability to squat

positive sign of buttock

A

Hip joint problem

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8
Q

What are the 4 reasons to preform a full SIJ exam?

A

Fortin’s sign

Positive SI joint test (gapping or compression)

Tenderness at posterior SI ligaments

Pain/weakness w/ single leg stance

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9
Q

How is the fortin’s sign evaluated?

A

Pain localized w/ 1 finger point

area is 1cm near PSIS

patient consistently points to same spot in 2 trials

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10
Q

The SIJ gapping test should _______ symptoms

the SIJ compression test should _______ symptoms

A

recreate symptoms for both

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11
Q

Sacral Thrust test

A

Pt is prone

Up to 6 thrusts applied straight down to inferior aspect of sacrum (S3)

Postive test - recreation of symptoms

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12
Q

Gaenslen’s test

A

Pt is in Thomas test position.
Pt pushes one hip further into flexion and the other further into extension.

The test hip is the one with the leg in extension

Positive test- reproduction of symptoms at SI joint or pubic symphysis

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13
Q

If you’re examining R sided SIJ pain, and one of the 5 tests comes back positive on the L side, can this contribute to the CPG?

A

Yes, positive test on either side can contribute to CPG

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14
Q

Where does your hand need to be placed for the Thigh Thrust test?

A

Place hand beneath patient’s sacrum, NOT their SIJ

positive test is reproduction of symptoms

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15
Q

What tests are a part of the positive SIJ dysfunction CPG?

A

Compression

Distraction

Sacral Thrust

Gaeslen Test

Thigh Thrust

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16
Q

What tests are a part of the negative SIJ dysfunction CPR

A

Compression

Distraction

FABER

Gaeslen

Thigh Thrust

17
Q

How many tests have to be true for the Positive SIJ CPR?

A

3 or more

18
Q

How many tests need to be true for the negative SIJ CPR?

A

3 or less

19
Q

Where do you push for the pubic stress test

What kind of SIJ pain is it for?

A

Pubic rami

Anterior SIJ pain

20
Q

What is sign of buttock

A

Pain w/ passive SLR

THEN Pain with passive hip flexion with knee bent to same ROM

Indicates neoplasm, Fracture, Infection, Septic arthritis

21
Q

Where should you place your fingers to check the alignment of the ASIS?

A

Inferior to ASIS

22
Q

What is the advantage of the seated flexion test?

A

Rules out leg length discrepancy or hamstring length

23
Q

For the seated and standing flexion tests, which side is hypomobile?

A

The side the moves more with flexion because it’s stuck and moving with the spine, cant move independently like it’s suppose to

24
Q

When using the longsitting test what will a longer limb appear as

what about a shorter limb?

A

Longer Limb- Posterior innominate

Shorter limb- Anterior innominate

25
Q

What is the landmark to compare leg length with the long sitting test

A

medial malleoli

26
Q

Which leg are you testing with Gillet’s (stork) test?

A

The SLS leg

27
Q

What is assessed during Gillet’s (Stork) test

A

Assessing whether or not the PSIS of the elevated leg moves inferior t the sacrum, if it does not then it is a positive test

also a positive test if it reproduces pain

28
Q

What are the 3 steps of the active SLR test

can you do them out of order?

A
  1. Raise leg, see if pain happens
  2. Apply compression and raise leg, see if pain happens
  3. activate abdominals and raise leg, see if pain happens

note: You must preform the steps in order

29
Q

Which part of the active SLR tests for form closure problems?

A

Part 1 and 2: If they have less pain with manual compression

a compression belt may be indicated as treatment

30
Q

What part of the active SLR test tests for force closure?

A

Part 3: If activating their abdominals makes the pain less

31
Q

How do you interpret the active SLR if both part 2 and part 3 makes the pain better

A

Combination of force and form closure issues

32
Q

Review last 9 slides of Lab 4 to learn the manipulations we didn’t cover in lab

A

MSK LQ (26 decks)

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