Lumbosacral Flashcards

1
Q

Which sacral axis is impacted by respiration?

A

Superior transverse

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2
Q

Which sacral axis is impacted by lumbosacral motion?

A

Middle transverse

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3
Q

Which sacral axis is impacted by gait?

A

Inferior transverse

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4
Q

During heal strike to foot flat, the inferior transverse axis of the sacrum is rotated…

A

Posteriorly

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5
Q

During midstance to toe off the inferior transverse axis is rotated

A

Anteriorly

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6
Q

What are the 2 directions for forward sacral torsion?

A

R/R

L/L

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7
Q

What are the 2 directions for backward sacral torsion?

A

R/L

L/R

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8
Q

If L5 is in the position of FRS R, where is the sacrum?

A

L/R BST

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9
Q

If L5 is in the position of FRS L, what is the position of the sacrum?

A

R/L BST

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10
Q

If L5 is in the position of ERS R, where is the sacrum?

A

L/L FST

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11
Q

If L5 is in a position of ERS L, what is the position of the sacrum?

A

R/R FST

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12
Q

When L5 extends, the sacrum…

A

Nutates

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13
Q

When L5 flexes, the sacrum…

A

Counter-nutates

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14
Q

When the sacrum rotates L and side bends R, L5…

A

Rotates right and side bends left

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15
Q

When the sacrum rotates right and sidebends left, L5…

A

Rotates left and side bends right

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16
Q

When the lumbar spine extends, SB left and rotates left, the sacrum…

A

Anteriorly nutates on the left, rotates right on the right oblique axis

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17
Q

When the lumbar spine is in extension and right side bending and right rotating, the sacrum…

A

Anteriorly nutating on the right rotating left on left oblique axis

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18
Q

Forward sacral torsion can be described as (anterior/posterior) sacral base nutation

A

Anterior

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19
Q

What is the position of an R FST?

A

Right sacral base nutated anteriorly

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20
Q

What is the restriction of a R FST?

A

Right sacral base counter-nutation (lower> upper SIJ)

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21
Q

What is the L5 adaptation for a R FST?

A

Extended, SB and rotated R

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22
Q

What is the spine doing above a R FST?

A

SB left rotates R

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23
Q

What is the position of a R BST?

A

Left sacral base counternutated

24
Q

What is the restriction of a R BST?

A

Left sacral base nutated (upper> lower SIJ)

25
Q

What is the L5 adaptive response of a R BST?

A

Flexed, SB and rotated R

26
Q

What is the spine doing above a R BST?

A

SB L and rotates R

27
Q

Which direction does trauma come from to induce unilateral sacral flexion?

A

Superiorly

28
Q

Which direction does trauma come from to induce unilateral sacral extension?

A

Inferiorly

29
Q

What is the position of a L unilateral sacral flexion?

A

Flexed left sacral base (inferior shear)

30
Q

What is the restriction of a L unilateral sacral flexion?

A

Extension of the L sacral base (lower> upper SIJ)

31
Q

What is the L5 adaptive response of a L unilateral sacral flexion?

A

Extended, SB and rotated L

32
Q

What is the spine doing above a L unilateral sacral flexion?

A

SB R and rotated L

33
Q

What is the position of a R unilateral sacral extension?

A

Extended right sacral base (superior shear)

34
Q

What is the restriction of a R unilateral sacral extension?

A

Flexion of the right sacral base (lower>upper SIJ)

35
Q

What is the L5 adaptive response of a R unilateral sacral extension?

A

Flexed, SB/ rotated L

36
Q

What is the spine doing above a R unilateral sacral extension?

A

SB R and rotated L

37
Q

In a L/L FST, the R sacral base is where?

A

Anterior

38
Q

In a L/L FST, which ILA is posterior and inferior?

A

Left

39
Q

In a L/L FST, asymmetry is worse in…

A

L spine flexion

40
Q

In a L/L FST, asymmetry is absent during…

A

L spine extension

41
Q

Which tests would you use to assess a L/L FST? Which would be (+)? (-)?

A

+ sitting flexion test R
+ stork R
- L spine spring test

42
Q

In a L/R, which sacral base is posterior?

A

Left

43
Q

In a L/R BST, whichwhich ILA is posterior and inferior?

A

Left

44
Q

For a L/R BST, asymmetry is worse in…

A

L spine extension

45
Q

For a L/R BST, asymmetry is absent in…

A

Flexion

46
Q

Which tests would you use to asses L/R BST? Which would be (+)? (-)?

A

+ Sitting flexion test L
+ Stork L
+ L spine Spring test

47
Q

In a unilateral sacral flexion L, the sacral base is anterior on…

A

Left

48
Q

In a unilateral sacral flexion L, ILA is inferior and posterior on the …

A

Left

49
Q

True or false; A unilateral sacral flexion L will become symmetrical throughout range of L spine flexion and extension

A

FALSE- it remains asymmetrical throughout range of L spine flexion and extension

50
Q

Which tests might you use to assess a unilateral sacral flexion L? Which would be (+)? (-)?

A

+ sitting flexion test L
+ stork test
- L spine spring test

51
Q

In a unilateral sacral extension R, the sacral base is posterior on the…

A

Right

52
Q

In a unilateral sacral extension R, the ILA is superior and anterior on the…

A

Right

53
Q

In a unilateral sacral extension R, the ILA is inferior and posterior on the…

A

Left

54
Q

A unilateral sacral extension R remains (symmetrical/ asymmetrical) throughout range of L spine flexion and extension?

A

Asymmetrical

55
Q

Which tests might you use to assess a unilateral sacral extension R? Which would be (+)? (-)?

A

+ sitting flexion test R
+ stork test R
+ L spine spring test