Module 1 Sacro-Pelvic Canine

Question 1

PI Ilium how to tell

Answer 1

Fixed SI joint
Short leg on affected side
Rear leg lameness, puppy sitting
SI pain
Dog will not want to flex the hip and bring the leg forward

Question 2

PI Ilium Patient standing 1

Answer 2

SCP: tuber sacrale (PSIS)
CP: thenar eminence or guarded thumb
ST: Adjuster is behind and to the side of the dog OPPOSITE then subluxation
STAB: Hand under the abdomen of the standing animal
LOC: PA IS ML, thrust toward the ipsilateral ASIS

Question 3

PI Ilium patient standing 2

Answer 3

SCP - tuber sacrale
CP - thenar eminence
ST - Adjuster is behind dog
STB - cupped fingers of opposite hand grasping onto opposite tuber coxae
LOC - PA IS ML thrust toward the ipsilateral ASIS. Opposite hand stabilizes opposite tuber coxae - NOT a scissor move

Question 4

PI Ilium patient in lateral recumbency

Answer 4

SCP - tuber sacrale
CP - thenar eminence or pisiform of the inferior hand
ST - dog is in lateral recumbency with PI ilium side up. Adjuster brings the SI joint to tension by extending the rear leg
STAB - inherent in the technique
LOC - PA IS ML thrust toward ipsilateral ASIS

Question 5

AS Ilium how to tell

Answer 5

fixed SI joint

dog is hesitant to jump and resists rear leg extension or bringing the limb caudally

Question 6

AS Ilium

Answer 6

SCP - tuber coxae - ASIS
CP - cupped fingers of adjusting hand
ST - adjuster is behind and to the side opposite of the subluxation
STAB - with the dog standing, support the contralateral tuber sacrale
LOC - AP SI LM pull thrust toward the ipsilateral PSIS

Question 7

Sacral Base Posterior how to tell

Answer 7

Lack of normal depression between tuber sacrale and spinous process of last lumbar
Decreased motion in lumbosacral and SI joints

Question 8

Sacral Base Posterior

Answer 8

SCP - midline of the sacrum at the first sacral tubercle
CP - guarded thumb or pisiform
ST - behind or beside the dog in a position that will allow the forearm to be in the proper LOC
STAB - hand under the abdomen as close to pelvis as possible
LOC - PA, perpendicular to the sacral base

Question 9

Sacral Base Posterior technique 2

Answer 9

SCP - midline of the sacrum at the first sacral tubercle
CP - guarded thumb or pisiform
ST - behind or beside the dog in a position that will allow the forearm to be in proper LOC
STAB - handler’s leg under dog, table or drop table
LOC - PA perpendicular to the sacral base

Question 10

Sacral Base Posterior Left or Right how to tell

Answer 10

will usually see decreased ROM in SI joints with rotation of sacrum being opposite the PI side (Right PI often has L sacral base)

Question 11

Sacral Base Posterior Left or Right

Answer 11

SCP - lateral edge of the sacral tubercles on the side of the posterior rotation
CP - guarded thumb or pisiform
ST - adjuster is on the opposite side of the posterior rotation in the standing dog. Keep forearm perpendicular to angle of sacrum/croup
STAB - opposite hand under the abdomen as close to the pelvis as possible or handler’s leg under dog, or drop table
LOC - PA, perpendicular to the sacrum/croup

Question 12

Sacral apex L or R, how to tell

Answer 12

sacral apex becomes fixed in lateral position
Dog will usually hold tail toward affected side
Dog will exhibit pain when sacral apex is pushed further into subluxation
Dog will exhibit pain when sacral apex is palpated
Dog show resistance to tail being lifted
Dog may have chronic anal gland issues

Question 13

Sacral Apex

Answer 13

SCP - lateral portion of caudal sacrum. The adjuster’s thumb will drop into the notch present on the caudal sacrum
CP - guarded thumb or guarded thumb with open hand
ST - adjuster is behind the dog
STAB - support the contralateral tuber sacrale
LOC - LM, perpendicular to axis of the sacrum