Lab- Sacrum

Question 1

what is the treatment position for a piriformis counterstrain?

Answer 1

flexion, abduction, and external rotation

Question 2

how do you find the piriformis ternderpoint?

Answer 2

it is halfway between the greater trochanter and the sacral ILA

Question 3

what does the seated forward bending test tell us?

Answer 3

which sacral base is stuck

Question 4

what is important to make sure your patient does during the seated forward bending test?

Answer 4

they must have their feet flat on the ground

Question 5

how do you get a positive seated forward bending test?

Answer 5

one PSIS moves father superiorly at the end range of motion

Question 6

for a torsion, what side will the positive seated forward bending test be on?

Answer 6

on the non-axis side

Question 7

what could a positive seated forward bending test on the left indicate?

Answer 7

a left unilateral flexion, a left unilateral extension, or a right axis torsion

Question 8

what happens to the lumbar lordotic curve during inhalation?

Answer 8

it decreases (flattens)

Question 9

what happens to the sacral base during inhalation?

Answer 9

it moves posteriorly

Question 10

what happens to the sacral apex during inhalation?

Answer 10

it moves anteriorly

Question 11

what happens to the lumbar lordotic curve during exhalation?

Answer 11

it increases

Question 12

what happens to the sacral base during exhalation?

Answer 12

it moves anteriorly

Question 13

what happens to the sacral apex during exhalation?

Answer 13

it moves posteriorly

Question 14

what does the lumbar spring test tell us?

Answer 14

whether the sacrum will move anteriorly

Question 15

what does a positive lumbar spring test indicate?

Answer 15

a preference for posterior/backward sacral base motion

Question 16

what could a negative lumbar spring test indicate?

Answer 16

flexed dysfunction- right or left unilateral flexion; or a flexed/forward torsion: right on right sacral torsion or left on left sacral torsion; bilateral flexion

Question 17

what does the backward bending test/sphinx test tell us?

Answer 17

whether the sacral base will move anteriorly

Question 18

what should happen when the patient pushes up on their hands into an extended position?

Answer 18

the sacral base should move anteriorly and the ILAs should move posteriorly

Question 19

what does a positive backward bending test indicate?

Answer 19

posterior/backward dysfunction

Question 20

what does a negative backward bending test indicate?

Answer 20

a flexed/forward dysfunction

Question 21

whenever we are treating either a unilateral or bilateral sacral dysfunction, what should we do first?

Answer 21

we need to gap the SI joint

Question 22

if the sacrum is flexed, how do we gap the SI joint?

Answer 22

we need to abduct and internally rotate in order to gap the posterior SI joint

Question 23

if the sacrum is extended, how do we gap the SI joint?

Answer 23

abduct and externally rotate in order to gap the anterior SI joint

Question 24

when is the one time that the results of the BBT and the lumbar spring are not the same?

Answer 24

when you have a bilaterally extended sacrum

Question 25

how do you treat a bilaterally extended sacrum (after gapping the SI joint)?

Answer 25

you place your hand at the sacral base; push down with exhalation; resist with inhalation

Question 26

how do you treat a bilaterally flexed sacrum (after gapping the SI joint)?

Answer 26

you place your hand at the apex of the sacrum; push down with inhalation; resist with exhalation

Question 27

how do you treat a left unilateral flexed sacrum?

Answer 27

you place your hand at the left ILA; push on inhalation and resist on exhalation

Question 28

if we have a left on left sacral torsion, where is the barrier??

Answer 28

you must maintain the axis- rotate right on left axis- just switch the direction of rotation

Question 29

when treating torsions, how should you decide which hip goes down on the table?

Answer 29

the hip of the axis side is always on the table

Question 30

what would be the compensated L5 of a left on left Sacral torsion?

Answer 30

L5 N Rr Sl

Question 31

when treating a flexed/forward sacral torsion with ME/ART, what position should the patient be in?

Answer 31

a modified sims position

Question 32

what would be the compensated L5 of a left on right sacral torsion (extended/backward)?

Answer 32

L5 F/E Rr Sr