MS1SP EXAM 1 Flashcards

1
Q

ASIS Superior, PSIS Superior, Pelvic Pain

A

Superior Shear

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2
Q

ASIS Inferior, PSIS Superior, Freedom of motion anteriorly

A

Anterior Innominate

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3
Q

Anterior Ilium Rotator Muscles (5)

A
Tensor Fascia 
Quadriceps 
Lat. Dorsi
Illiocostalis
Internal Oblique
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4
Q

Tensor Fascia Latae

Origin and Insertion

A

O: Anterior Iliac Crest
I: Antrolateral tibia below plateau

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5
Q

Quadriceps

A

O: AIIS
I: Tibial Tuberosity via Patellar Ligament

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6
Q

ASIS superior, PSIS inferior, Groin/Medial Knee Pain

A

Posterior Innominate Rotation

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7
Q

Posterior Ilium Rotator Muscles (6)

A
Glute Maximus
Semitendinosus
Biceps Femoris 
Semimembranosis
Piriformis
External Oblique
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8
Q

Dorsiflex foot, which way does the fibular head move?

A

Anteriorly

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9
Q

Plantar flex foot.. which way does the fibular head move?

A

Posteriorly

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10
Q

Quadratus Lumborum O & I

Function?

A

O: Iliac Crest and Iliolumbar Ligament
I: 12th rib, iliac crest and transverse processes of L1-4
Stabilize diaphragm origin, functions in respirations

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11
Q

Piriformis O & I

A

O: L1-4(5)
I: Lesser trochanter (medial side of the femur)

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12
Q

Innervation of Quadratus Lumborum?

A

T12 - L3

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13
Q

Symptoms of quadratus lumborum spasm?

A

LBP, Referred pain to hip and groin, exhalation 12th rib dysfunction, diaphragm restriction,

Note: must differentiate from renal disease

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14
Q

What is the key somatic dysfunction/ lesion in the event of a psoas syndrome?

A

a non-neutral dysfunction at L1 or L2

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15
Q

Psoas innervation?

A

L2/3

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16
Q

Physiology of a tight psoas?

A

Often seen in people who sit a lot, intrafusal fibers of the spindle tighten/shorten to better monitor the relaxed fibers of the psoas muscle A rapid return to neutral length can produce confusion and send muscle into spasm

17
Q

Dx/ and treatment for chronic psoas shortening?

A

Dx/ Thomas Test

Tx/ Stretch it

18
Q

Name the man who is credited for first using muscle energy techniques?

A

Fred L. Mitchell

19
Q

What type of treatment is muscle energy?

A

Direct and Active

20
Q

What is the definition of respiratory assistance?

A

Physician directs forces of respiration which simultaneously using a fulcrum (hand) to direct the somatic dysfunction through the barrier

21
Q

What is post-isometric relaxation?

A

immediately following an isometric contraction the neuromuscular apparatus is in a refractory state; during which a passivre stretch may be performed without encountering myotactic reflex opposition

22
Q

what is it in the muscle that causes post isometric lengthening?

A

golgi tendon organ

23
Q

What is reciprocal inhibition?

A

Contraction of a muscle used to relax the antagonist group of that muscle

24
Q

Contraindications of muscle energy?

A

Fracture, dislocation, or severe joint instability
Uncooperative patient
Moderate to severe muscle strains
Advanced osteoporosis
Severe Illness - e.g post surg, ICU for MI

25
Q

Which spinal level is even with the iliac crest?

A

L4

26
Q

Lat. Dorsi O/I/Innerv

A

O: T7-12, Iliac crest, Thoracolumbar fascia
I: Humerus (intertubecular groove)
Innervation: Thoracodorsal Nerve

27
Q

Gluteus Maximus O/I/Innerv

A

O: Thoracolumbar Fascia, Sacrum, Sacrotuberous ligament, Ilium
I: IT band, Gluteal tuberosity of the femur
Extends hip
Inferior gluteal nerve

28
Q

What ligament is a contributing factor in the increased incidence of disc herniation in the lumbar region and why?

A

Posterior longitudinal ligament, narrows in the lumbar region and provides less support

29
Q

Iliolumbar ligament attaches what to what?

A

L4/5 to the Iliac crest, it is most commonly the first ligament to become tender with lumbar postural changes.

30
Q

Describe the difference between sacral torsions and sacral rotations

A

Sacral torsion: L5 rotation opposite sacral rotation

Sacral rotation: L5 rotation opposite sacral rotation

31
Q

In what population is bilateral sacral flexion common? Which sacral axis is this dysfunction about?

A

Common following child birth

Middle Transverse Axis

32
Q

Define autogenic training

A

a set of visualizations that can lead to a state of relaxation