LL neurodynamics Flashcards
What is the Stork test used for?
Assess SIJ function during weight-bearing.
What does the FABER test evaluate?
Flexion, abduction, and external rotation of the hip.
Which test involves applying shear force to assess SIJ pathology?
Femoral shear test.
What does the anterior gapping test assess?
SIJ stability by opening the anterior joint.
What does the posterior gapping test involve?
Assessing SIJ by opening the posterior joint.
What indicates reduced closing dysfunction in SIJ?
Same-side movement is provocative; opposite-side postural defect opens the interface.
What are common symptoms of excessive closing dysfunction in SIJ?
Lumbar extension aggravates symptoms, often transient.
How does reduced opening dysfunction present?
Opposite-side movement is provocative; restricted due to same-side muscle spasm.
What is a hallmark of excessive opening dysfunction in SIJ?
Opposite-side movement provocative; linked to hypermobility and excessive postures.
Why are cauda equina symptoms critical?
S2-S4 compression may cause permanent sphincter paralysis, requiring urgent referral.
What does saddle anesthesia suggest?
Compression of S3/S4; requires prompt referral.
What does the slump test evaluate?
Neurological function and tension along the spinal cord and lower limbs.
What normal responses occur during the slump test?
Pain or tingling in the posterior thigh or calf, decreased with neck flexion release.
What is the purpose of the straight leg raise (SLR) test?
Assess nerve tension or irritation in the lower limb.
How is the tibial nerve assessed during SLR?
TED: tibial nerve tension with eversion and dorsiflexion.
What is the nerve tension test for the sural nerve?
SID: sural nerve tension with inversion and dorsiflexion.
How is the peroneal nerve tested during SLR?
PIP: peroneal nerve tension with inversion and plantarflexion.
What is the prone knee bend test used for?
Assess femoral nerve tension with passive knee flexion.
How is the saphenous nerve tested?
Prone position, with plantarflexion, eversion, and hip extension.
What does the femoral slump test target?
Femoral nerve tension with side-lying hip and knee movements.
How is the obturator nerve tested?
Side-lying hip abduction and extension with spinal flexion.
What is the protocol for using sliders in neural treatments?
2-ended or 1-ended sliders, 5-30 reps, rest 10 seconds to 2 minutes.
What distinguishes tensioners from sliders in neural treatments?
Tensioners involve holding the stretch for 5-6 seconds, 5-20 reps, 1-minute rest.
What is the goal of manual therapy for SIJ dysfunction?
Desensitize hypersensitivity and mobilize stiff joints.
What normal response occurs during the prone knee bend test?
Pull in the anterior thigh.
What does lumbar extension often aggravate in SIJ dysfunction?
Symptoms of excessive closing dysfunction.
What movement is provocative in reduced opening dysfunction?
Opposite-side movement due to muscle spasm.
How are trigger points managed in SIJ dysfunction?
Through manual therapy techniques like massage and mobilization.
What is the purpose of neural sliders?
Reduce nerve tension by gentle movement without sustained stretching.
What should be done if bowel/bladder disturbances occur in lumbar issues?
Refer promptly due to possible cauda equina syndrome.
