Midterm Flashcards
SLR tibial nerve bias
DF -> eversion -> toe ext
SLR sural nerve bias
DF -> inversion
SLR common fibular bias
PF -> inversion
Where is the dura tethered to the spinal cord (pinch points)
C6 T6 L4
Upper lumbar spine facets are in the ____ plane
Lower lumbar are in the ____ plane
Sagittal
Coronal
Anterior pelvic tilt causes
Sacral:
Lumbar:
Sacral: Counternutation
Lumbar: increased lordosis (ext)
Posterior pelvic tilt causes:
Sacral:
Lumbar:
Sacral: Nutation
Lumbar: Less lordosis (flexion)
The interosseius ligament of the Sacrum resists what
Anterior and inferior motion of the Sacram
Pain with Palpation of what ligament in the SIJ is indicative of SIJ problems
Interossei ligament
What is the best kind of reasoning used for clinical decision making
Collaborative reason
If a patient has R sided SIJ pain and you find hyper mobility of the R side and hypomobility of the L side.. what is your first treatment
Manual techniques to fix hypomobility of the left side.
Always treat hypomobility first
Female pelvic arch is ____ shaped
Male pelvic arch is ____ shaped
u shaped
V shaped
Where is the origin of the piriformis
Anterior aspect of S2 s3 and S4
Where is a common source of groin pain, particularly in athletes
Pubic symphysis
What 2 muscles can produce SIJ motion directly
Piriformis
Pubococcygeal
What muscles are in the posterior oblique system
Lats, contra lateral glute max, TL fascia
What muscles are in the anterior oblique system
both obliques and contralateral hip adductors w/ the anterior abdominal fascia
What muscles are in the lateral muscle system
Glute med/min w contralateral hip adductors
What muscles are in the inner muscle system that stabilize the SI joint
Multifudus, TA, Pelvic floor, and diaphragm
What ligaments limit sacral nutation
Sacrotuberous and sacrospinous
What are the 4 stages of healing
Hemostasis, inflammation, repair, remodeling
What is tested first AROM or PROM?
AROM
What should we treat first: Adverse neural tension or Mobility Deficits
Mobility deficits and pain BEFORE adverse neural tension
What should we treat first: Adverse neural tension or Mobility Deficits
Mobility deficits and pain BEFORE adverse neural tension
Normal voiding
4-8 times per day
Every 3-4 hours
None at night unless over 65
Can pelvic health therapy cure a prolapse?
Yes it can make the prolapse downgrade to less severe stages
What do we do first: Joint play or ROM/MMT?
ROM/MMT
How long is it recommended to wait b4 someone can return to running post natal
3 months
How do I gap L4/L5?
Lies on opposite side you want to treat
Stack and Flex knees toward trunk until you feel movement at L4/L5
Have patient straighten out bottom LE
Use bottom UE to rotate patient trunk down to L3 L4 segment
Put top arm through pts arm and place thumb on the side of L4 (to lock it)
Place other arm on patients glute mm
Now only l4 l5 can move and therapist takes up slack by rotating trunk away from hips
PT drops body weight to apply compression at L4 to gap L4-L5
