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OS 2 Midterm > Lab Innominate Dx and Tx > Flashcards

Lab Innominate Dx and Tx Flashcards

1
Q

trendelenburg test

A

patient stands on one leg, if opposite hip drops, abductors on standing leg are dysfunctional

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2
Q

thomas test

A

patient supine
patient pulls knee to chest and lowers one leg to the table
+ test = inability to fully extend at hip
indicates psoas (hip flexor) tightness contractor

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3
Q

ober test

A

lateral recumbent with hips and knees flexed, stabilize hip
passively abduct and extend the upper leg and let it passively adduct

+ test - leg will not fully adduct or cannot easily press down the leg
indicates IT band contracture

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4
Q

structures to evaluate on the innominate

A 
standing flexion test or ASIS compression test 
PSIS height 
ASIS height 
Iliac crest height 
medial malleoli height 
ASIS to midline 
Pubic tubercles
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5
Q

standing flexion test and ASIS test are used to

A

lateralize dysfunction to one side

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6
Q

before doing a supine innominate evaluation what should be performed

A

ask patient to reset hips by lifting them off table

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7
Q 
name the dysfunction 
standing flexion test on the right 
PSIS superior on the right 
ASIS inferior on the right 
Malleoli long on the right 
iliac crests even
A

right anterior innominate rotation

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8
Q 
name the dysfunction 
standing flexion on the left
PSIS inferior on the left 
ASIS superior on the left 
malleoli short on the left 
iliac crests even
A

left posterior innominate rotation

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9
Q 
name the dysfunction 
standing flexion on the right 
PSIS high on the right 
ASIS high on the right 
Malleoli short on the right 
iliac crest superior on the right
A

Superior right innominate shear

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10
Q 
name the dysfunction 
standing flexion on the left 
PSIS high on the right
ASIS high on the right
malleoli short on the right
iliac crest superior on the right
A

inferior right innominate shear

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11
Q

name the dysfunction
standing flexion on the right
ASIS to midline distance long on right

A

right outflare

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12
Q

name the dysfunction
standing flexion test on the left
ASIS to midline distance long on the right

A

left inflare

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13
Q

pubic dysfunctions

A

superior/inferior shear

compression subluxation

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14
Q

Anterior Innominate SD ME

A

Patient supine
Flex hip and leg and apply ME principles 3-5x
Reassess

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15
Q

Posterior Innominate SD MET

A

Patient prone
Extend leg at hip and have patient try to flex leg
Apply principles of ME 3-5x
Reassess

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16
Q

Superior innominate shear SD MET

A

Supine with feet off table
IR and abduct leg to gap SI joint (close packing of hip joint)
Have patient pull hip toward ipsilateral shoulder and apply principles of MET 3-5x
Reassess

17
Q

Inferior innominate sheer MET

A

Supine with feet off table, dysfunctional foot resting on physicians leg
IR and abduct leg to gap SI joint and close pack the hip joint
Pt resists superior compression by physician by principles of MET 3.5x
Reassess

18
Q

Inflare of the innominate SD MET

A

Patient in FABER with dysfunctional leg flexed
Patient internally rotates against physician force
3-5x
Reassess

19
Q

Outflare of the Innominate SD MET

A

FABER with leg of dysfunctional side
Patient abducts and ER against physician’s force (IR and adduction)
3-5x
Reassess

20
Q

Pubic dysfunction MET

A 
Hips flexed to 45. Knees to 90 
Fixed compression - pt tries to adduct  
Fixed gapping - pt tries to abduct 
3-5x 
Reassess
21
Q

Sacral lateralization tests

A

Seated flexion test or pelvic compression test

22
Q

Positive finding on a seated flexion test is the side that

A

PSIS moves farther superiorly at the end of option

Usually first to move too

23
Q

ASIS compression test positive finding

A

Hard end feel or restriction of motion on one side

24
Q

Active motion testing of the sacrum

A

Backward bending/sphinx test

Sacral mobility during respiration

25
Q

In what direction does the sacral base move during inspiration? The Apex?

In what direction does the sacral base move during expiration? The apex?

A

During inspiration the base moves posteriorly and the apex moves anteriorly

During expiration the base moves anteriorly and the apex moves posteriorly

26
Q

If a pt has a bilaterally flexed sacrum, what motion at the sacral base is restricted?

A

Posterior motion at sacral base

27
Q

If a pt has a bilaterally extended sacrum, what movement at the sacral base is restricted?

A

Anterior movement of the base is restricted

28
Q

Passive motion testing of the sacrum

A

4 point sacral eval
Load and spring
Lumbosacral spring test
Sacral rock (oblique axis passive evaluation)

29
Q

Gapping the posterior SI joint facilitates what movement

A

Extension

30
Q

Gapping the anterior SI joint facilitates what movement

A

Flexion

31
Q

Extended sacrum === ______ rotation

A

External

32
Q

If the sacrum is extended, the backward bend test makes it better/worse

A

Makes it worse

33
Q

Setup for unilaterally extended sacrum E

A

Prone
Monitor SI joint, abduct leg until motion is felt as SI
ER leg to gap anterior SI joint
Place heel of hand on sacral base

ART: spring anteriorly and inferiorly
MME : apply anterior/inferior force to engage RB
Encourage exhalation and resist inhalation
3-5x

Reassess

34
Q

Unilaterally flexed sacrum ART/ME setup

A

Monitor SI joint
ABduct leg until motion is felt
IR to gap the posterior aspect of SI joint

ART: spring anterior/superior
ME: force anterior/superior to engage RB
Encourage inhalation and resist exhalation
3-5x
Reassess

35
Q

L/L or R/R ME treatment

A

Modified sims with axis side down
Hips/knees flexed to 90, arms hugging table
Flex hips and knees until motion is felt at SI joint
Lower patients ankles towards floor by pushing until reaching sidebending restrictive barrier
Pt raises feet to ceiling
3-5
Reassess

36
Q

L/R Sacral torsion ME

A

Lateral recumbent with axis side down
Flex hip and knees to 90, and place top leg on docs leg

Pull lower arm toward physician and induce posterior rotation

Have patient reach back with top arm and take 2-3 breaths

Stand facing patient, monitor L5-s1 and induce further flexion of top hip/knee. Press patients knee towards floor and have patient abduct

3-5x

Reassess

OS 2 Midterm (7 decks)

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