Lecture 3: Sacral Somatic Dysfunction Flashcards

1
Q

What is included in static testing?

A

Sacral Sulcus
L5 Rotation
ILA
4 Digit exam

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2
Q

Where is sacral sulcus found?

A

Medial to PSIS

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3
Q

L5 rotation should normally be ____ to sacrum rotation.

A

opposite

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4
Q

If a landmark is deep, it donates rotation to the ____ side.

A

opposite

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5
Q

How do you lateralize a sacral somatic dysfunction?

A

Seated Forward Bending Test

-Positive test: PSIS moves more cephalad

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6
Q

What do the Sphinx and Respiratory motion test examine?

A

Flexion and extension

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7
Q

What does a positive Sphinx test indicate?

A

Extended sacrum

-sacral sulcus is asymmetrical throughout backwards bending

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8
Q

When should the respiratory motion test be used?

A

Testing bilateral flexion/extension

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9
Q

The sacral base moves _____ during inhalation.

A

Posteriorly

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10
Q

The sacral base moves _____ during exhalation.

A

Anteriorly

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11
Q

What does a positive Lumbar Spring test indicate?

A

Extended sacrum

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12
Q

What type of motion does the superior transverse axis have?

A

Respiratory and craniosacral motion

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13
Q

Where is the superior transverse axis located?

A

S2 posteriorly

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14
Q

What type of motion does the medial transverse axis have?

A

Postural

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15
Q

Where is the medial transverse axis located?

A

S2 anteriorly

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16
Q

Dysfunction along the medial transverse axis indicates what?

A

Bilateral findings

17
Q

What type of motion does the inferior transverse axis have?

A

Innominate rotations

18
Q

Where is the inferior transverse axis located?

A

S3

19
Q

In a sacral dysfunction with an oblique axis, the deep sacral sulcus and posterior ILA will be on the ____ side.

A

Opposite

20
Q

In a sacral dysfunction with an vertical axis, the deep sacral sulcus and posterior ILA will be on the ____ side.

A

Same

21
Q

Torsions will be restricted along an ____ axis.

A

Oblique

22
Q

Unilateral dysfunctions will be restricted along a ____ axis.

A

Vertical

23
Q

Bilateral dysfunctions will be restricted along a ____ axis.

A

Middle Transverse

24
Q

Torsions held anteriorly are known as what type of torsions?

A

Flexed/forward

25
Q

Torsions held posteriorly are known as what type of torsions?

A

Extended/backwards

26
Q

In a L/L sacral torsion:
Where is lateralized?
Where is the deep sulcus?
Where is the posterior ILA?

A

Lateralized: Right
Deep Sulcus: Right
Posterior ILA: Left

27
Q

In a R/R sacral torsion:
Where is lateralized?
Where is the deep sulcus?
Where is the posterior ILA?

A

Lateralized: Left
Deep Sulcus: Left
Posterior ILA:Right

28
Q

In a R/L sacral torsion:
Where is lateralized?
Where is the deep sulcus?
Where is the posterior ILA?

A

Lateralized: Right
Deep Sulcus: Left
Posterior ILA: Right

29
Q

In a L/R sacral torsion:
Where is lateralized?
Where is the deep sulcus?
Where is the posterior ILA?

A

Lateralized: Left
Deep Sulcus: Right
Posterior ILA: Left

30
Q

In a flexed right sacrum:
Where is lateralized?
Where is the deep sulcus?
Where is the posterior ILA?

A

Lateralized: Right
Deep Sulcus: Right
Posterior ILA: Right

31
Q

In a flexed left sacrum:
Where is lateralized?
Where is the deep sulcus?
Where is the posterior ILA?

A

Lateralized: Left
Deep Sulcus: Left
Posterior ILA: Left

32
Q

In an extended right sacrum:
Where is lateralized?
Where is the deep sulcus?
Where is the posterior ILA?

A

Lateralized: Right
Deep Sulcus: Left
Posterior ILA: Left

33
Q

In an extended left sacrum:
Where is lateralized?
Where is the deep sulcus?
Where is the posterior ILA?

A

Lateralized: Left
Deep Sulcus: Right
Posterior ILA: Right

34
Q

In a bilateral flexed sacrum:
Where is lateralized?
Where is the deep sulcus?
Where is the posterior ILA?

A

Lateralized: none
Deep Sulcus: bilateral
Posterior ILA: bilateral

35
Q

In a bilateral extended sacrum:
Where is lateralized?
Where is the deep sulcus?
Where is the posterior ILA?

A

Lateralized: none
Deep Sulcus: none (both shallow)
Posterior ILA: none (both anterior)

36
Q

L5 _____ toward the oblique axis of a torsion

A

Sidebends

37
Q

Rotation of the sacrum should be in the _____ direction of L5

A

Opposite