Pelvic ME: Lecture Material Flashcards

Question 1

Q

Treatment Sequence for ME of the Pelvis

What is this sequence? (7)

Answer

A

HIP-L-SIT

Question 2

Q

Area of Greatest Restriction (AGR)

What osteopathic model does this fit under?
Who developed this?

Question 3

Q

Movements of the Innominates

When do the physiologic movements of these become dysfunctional?
- What 2 rotational dysfunctions exist?
- What 2 flare dysfunctions exist?

Question 4

Q

Movements of the Innominates

What are non-physiologic movements induced by?
- What are the 2 anatomical pieces of evidence that would lead you to believe this?
What kind of innominate shears exist? (2)
What kind of pubic shears exist? (4)

Question 5

Q

Sacral Axis’s

What axis as 1?
- 2?
- 3?

Question 6

Q

Innominate Rotation

Which sacral axis do innominates rotate around?
- Where is this located, relative to teh SI joint?

Question 7

Q

Standing Flexion Tests

Where do the physician’s thumbs go? Fingers? Be specific.
What do you tell the patient to do?
What do you need to do as the patient leans forwards?
What is a positive test?

Question 8

Q

Standing Flexion Tests

What is a negative test?
What are the 4 reasons that someone can have a false (+) or false (-) test?

Question 9

Q

Standing Flexion Tests

As the patient moves into flexion forward, what does the sacrum do?
- When do the innominates begin to move forward?
Why do the sacrum and innominate move together when there is a dysfunction?
- How does this relate to the PSI?

Question 10

Q

Extensors of the hip and Flexors of the knee

What 3 muscles make up the Hamstrings?

Question 11

Q

Extensors of the hip and Flexors of the knee

For the muscle below, list off everything in the picture.
- Semitendinosus

Question 12

Q

Extensors of the hip and Flexors of the knee

For the muscle below, list off everything in the picture.
- Semimembranosus

Question 13

Q

Extensors of the hip and Flexors of the knee

For the muscle below, list off everything in the picture.
- Biceps Femoris

Question 14

Q

Muscles that Flex the Hip

What are the 9 flexors of the hip?

Answer

A

Iliopsoas: Iliacus
Iliopsoas: Psoas Major
Sartorius
Tensor Fascua Latae
Rectus Femoris
3 adductors
Pectineus

Question 15

Q

Flexors of the hip

For the muscle below, list off everything in the picture.
- Iliopsoas: Psoas Major

Question 16

Q

Flexors of the hip

For the muscle below, list off everything in the picture.
- Psoas Minor

Question 17

Q

Flexors of the hip

For the muscle below, list off everything in the picture.
- Iliacus

Question 18

Q

Flexors of the hip

For the muscle below, list off everything in the picture.
- Pectineus

Question 19

Q

Flexors of the hip

For the muscle below, list off everything in the picture.
- Sartorius

Question 20

Q

Reseating the Pelvis

Why is this performed?
How does the procedure change if the patient has knee pain/dysfunction?

Question 21

Q

Leg Length-Supine

What do you do before checking the position of the malleoli?

Question 22

Q

ASIS Compression Test

At what angle do you want to compress the ASIS?
What does a positive test indicate?
When is this useful?
- What is important to note about this test?

Question 23

Q

ASIS Levels

Where do you place your thumbs when checking these?
Where do you place your fingers?
What are the 2 things you check/note when looking at ASIS levels?

Question 24

Q

Innominate Flares

When the patient is supine, what 2 anatomical landmarks do you visualize a line between?
What indicates an outflare?
What indicates an inflare?

Question 25

Q

Pubic Rami Levels

Where do you place your fingers?
- Why do you move your fingers side to side and palpate?
What are you looking for when assessing this?

Question 26

Q

Pubic Symphysis

What do you always evaluate?
- What does bulging symphyseal cartilage indicate?
- What does a deep sulcus indicate?

Question 27

Q

What is this?
What is an alternative to it?
How should this be done?

Answer

A

Done when before assessing in prone position

Question 28

Q

Leg Length - Prone

Where should the patient’s feet be positioned?
Where do you place your thumbs?
What are you checking for?

Question 29

Q

Leg Length Discrepancies

Anatomic Short or Long Leg
- How do you screen for this?
  - How many times do you screen for this?
- Definite Dx
  - What 2 tests can be performed?
  - Which is the most accurate?
    - Why would it not be performed?
- Tx
  - What are 2 methods to treat this, aside from OMT?

Question 30

Q

Leg Length Discrepancies

Functional Short or Long Leg
- What two assessments need to be done?
- What 5 things can be contributing factors for BOTH of these (Functional Long Leg Correlations are on another card?)
- When is lift therapy used?

Question 31

Q

Leg Length Discrepancies

Functional Long Leg
- What kind of innominate shear is this associated with?
- What kind of innominate rotation is this associated with?
- What is the “consensus” among physicians?
- Where is the ASIS going to be, relative to the (+) standing flexion test?

Question 32

Q

PSIS Levels

Where do you place your thumbs?
What 2 things are you checking when assessing this?

Question 33

Q

Ischial Tuberosities

Methods of Assessment
1. What can you ask the patient to do so that you can assess these?
2. What can you do with our palms as an alternative?
Where do you place your thumb pads?
What are you looking for when assessing these?
Would differences in the Ischial Tuberosities be more indicative of innominate shears or rotations?