Motion Palpation Flashcards
8pt. check
SCP: PSIS/S2 (upper), PIIS/S4 (lower)
CP: drs thumbs
NEM: When pt raises ipsilateral leg, PSIS will rotate posterior/inferior without P/I rotation of sacrum.
When pt raises contralateral leg, scarum will rotate P/I without P/I rotation of the ilium.
Iliolumbar Ligament
SCP: L5 SP and across on the iliac crest (1/2” above PSIS)
CP: drs thumbs
NEM: for ilium to move P/I without rotation of L5 spinous to opposite side
Sacrotuberous Ligament
SCP: non-specific contact, holding pt pelvis
CP: drs hands
NEM: ilium flexion to occur without supporting leg buckling
Sacrospinous Ligament
SCP: ischial tuberosity
CP: fingers
NEM: for ischial tuberosity to deviate laterally.
Sitting Axial Rotation of SI joint
PSIS w/middle finger, S2 w/index finger
Rotate pt towards you
NEM: ilium and sacrum to separate
Sitting Lateral Flexion of SI joint
“I’m going to contact your pelvis and you will bend either to the right or the left depending what I tell you, without lifting your buttocks off the chair”
Contact both PSIS w thumbs
NEM: PSIS’s to remain level
Sitting Forward Flexion of SI joint
“I’m going to contact your pelvis and have you crunch forward, without lifting your buttocks off the chair”
Thumbs on each PSIS
NEM: PSIS’s to remain level
Standing Forward Flexion of SI joint
“I’m going to contact below your waistband, is that okay? When I say so, please bend forward and touch your toes”
Contact S4 and PSIS on one side
NEM: for PSIS and S4 to separate
*S4 touch the floor
Lumbar Flexion
SCP: 2-3 interspinous spaces
CP: 2-3 fingers
SH: dr’s arms across the back of pts neck
NEM: separation of SPs
Lumbar Extension
SCP: 2-3 interspinous spaces
CP: 2-3 fingers
SH: dr’s arms across the back of pts neck
NEM: closing of SPs
Lumbar Hyperextension
SCP: SP of involved segment
CP: pincher hold using thumb and index
SH: still holding on the pts elbows as in extension
NEM: P-A jt play of the ALL
Lumbar Facetal Extension
SCP: mamillary process of facet, superior and lateral to SP
CP: dr’s thumb
SH: pts elbows
NEM: P-A jt play of capsular ligament
Lumbar Axial Rotation, using MP of facet
SCP: mamillary process of facet
CP: drs thumb and dr sits on side they will be rotating towards
SH: the doctor contacts pt elbow
NEM: P-A rotation of facet past inferior vertebra
Lumbar Lateral Flexion
SCP: 2-3 SP
CP: drs fingertips of hand opposite side of LF
SH: across back of pts neck along shoulders
NEM: spinous should deviate (rotate) to the opposite side (convexity)
Cervical Flexion
SCP: 2 SP
CP: index/chiro index
SH: knife edge contact on forehead
NEM: flaring/opening of SP
Cervical Extension
SCP: 2 SP
CP: index/chiro index
SH: knife edge contact on forehead
NEM: closing of SPs
Cervical Axial Rotation
SCP: 2 SP
CP: index/chiro index
SH: knife edge contact on forehead
NEM: rotation of SP to opposite side
Cervical Lateral Flexion
SCP: 2 SP
CP: index/chiro index
SH: knife edge contact on forehead
NEM: SP to rotate to opposite side of rotation
Occiput-C1 Extension (Jaw jut)
SCP: under the mastoid at C1 TP or behind mastoid
CP: index finger
SH: on top of pt head, fingers pointing forward or knife edge if contacting behind mastoid
NEM: P-A/S-i glid of occipital condyles on the lateral masses of C1
C1-C2 Rotation
SCP: C1-C2 TP
CP: index and chiro index
SH: lightly on top of pts head or forehead
NEM: C1 rotates anterior to C2 TP
Thoracic Flexion
SCP: 3 SP or spinous/interspinous spaces
CP: 3 fingers
SH: drs arm across pts back of neck across shoulders
NEM: SPs to separate
Thoracic Extension
SCP: 3 SP or spinous/interspinous spaces
CP: 3 fingers
SH: drs arm across pts back of neck across shoulders
NEM: SPs to close
Thoracic Hyperextension (not at T1-T2)
SCP: SP of involved segment
CP: pincher grasp w thumb and index
SH: holding onto pts elbows
NEM: P-A joint play of the ALL
Thoracic Facetal Extension
SCP: facet at appropriate level
CP: dr thumb
SH: grasping pts elbows
NEM: P-A joint play of the capsular ligament
Thoracic Axial Rotation, using TPs
SCP: TP opposite side pt rotation
CP: drs thumb
SH: dr grasps pt elbow
NEM: TPs to rotate P-A past the TPs of inferior vertebra
Thoracic Axial Rotation, using SP
SCP: top of SP
CP: drs fingertips
SH: dr grasps pt elbows
NEM: SP to rotate to opposite side
Thoracic Lateral Flexion
SCP: on top of 2-3 SPs
CP: 3 fingers if using 3 SPs
SH: dr arm across back of pt neck across shoulders
NEM: SP to rotate to opposite side
