Pelvic/ sacrum

Question 1

what is the area for LBP

Answer 1

pain between the 12th rib and gluteal fold

Question 2

what is the area for PGP

Answer 2

pain between the PSIS and the gluteal fold, particularly in SIJ area. pain may radiate to posterior thigh and pubic symphysis regions

Question 3

motion at the SIJ occurs at a ___ Level

Answer 3

Minute level

Question 4

symptoms that may warrant RTMD

Answer 4

-pain varies with menstrual cycle
-pain unvaried with menstrual cycle
-pain during urge to void
-bleeding after intercourse
postmenopausal bleeding
-postmenopausal pain onset
prior abdominal surgery/infection

Question 5

how does the sacrum move in the ilia?

Answer 5

initially sacrum nutates (flexes) then counternutates (extends) within the ilia
synchronously there is a backward translation of pelvis and hips in horizontal plane

Question 6

in forced forward bending movement shifts more to ____

Answer 6

superior transverse axis.

base moves posteriorly and superiorly and the apex more anteriorly

Question 7

Tests for Sacroiliac Dysfunction

Answer 7

standing or unilateral standing
gillet test
sitting forward bend test
standing forward bend test
long sit test
lunge test

Question 8

test for SI pain associated with pregnancy-related

Answer 8

ASLR

PSLR

Question 9

Laslet
suggests
the use of 2
of 4
positive
tests to
outline SIJ
pain

Answer 9

Thigh thrust
distraction
compression
sacral thrust test

Question 10

pelvic stress fracture are more common in _____

Answer 10

female runners

Question 11

test for pelvic ring fracture

Answer 11

posterior pelvic palpation
hip flexion test
pubic compression test
active hip ROM

Question 12

Axial spondyloarthritis

Define:

Answer 12

Inflammation of the spine that frequently involves the SIJ

Presents: Am buttock pain, spine stiffness, fatigue, less than 40 yo

Question 13

Pregnancy related PGP target muscles

Answer 13

ES, multifidus, Tra, gluteus max, biceps femoris

Question 14

when bending forward the PSIS____

Answer 14

PSIS go superior, go up

Question 15

What are common motion that cause anterior rotation

Answer 15

• golf or baseball swing
• horizontal thrust of knee (dash board injury)
• any forceful movement on a diagonal (ventral PNF) pattern

Question 16

What are common motion that cause posterior rotation

Answer 16

• repeated unilateral standing
• a fall on to an ischial tuberosity
• a vertical thrust on an extended leg
• lifting in a forward bent position with the knees locked
• intercourse position in females (hyperflexion and abduction of the hips)

Question 17

Laslet clinical prediction rule 2/4 positve test to outline SIJ pain, list them

Answer 17

• thigh thrust
  
  • distraction
  • compression
  • sacral thrust tests

Question 18

What are blue flags

Answer 18

subjective perceptions of work

Question 19

what are black flags

Answer 19

objective conditions of work

Question 20

appropriate tests to assess effectiveness of R or L iliac rotation dysfunction correction

Answer 20

standing/ seated forward bend test
long sit test
standing/seated ASIS/PSIS symmetry
gillet test

Question 21

what muscle improves SIJ stability

Answer 21

Traverse Abd

Question 22

what is the best test for SIJ motor control dysfunction

Answer 22

load transfer test (stork test)

Question 23

cook’s cluster #5 to rule out pregnancy related PGP

Answer 23

active SLR
lunge
thigh thrust

Question 24

PGP antepartum population risk factors

Answer 24

prior pregnancy
orthopedic dysfunction
higher BMI
smoking
work dissatisfaction
lack of belief in improvement in the prognosis PGP

Question 25

antepartum exercise contraindications

Answer 25

hemodynamically significant heart disease
restrictive lung disease
multiple gestation at risk for premature labor
persistent 2,3 trimester bleeding
placenta previa 26+ weeks gestation
ruptured membranes
preeclampsia/pregnancy induced hypertension

Question 26

antepartum exercise warning signs

Answer 26

vaginal bleeding
dizziness/ feeling faint
increasing SOB
chest pain
mm weakness
headache
calf pain/swelling
uterine contractions
decreases fetal movement
fluid leaking from the vagina

Question 27

PGP contraindications during exercise

Answer 27

supine position
prolong static standing
increase basal metabolic rate
avoid activities with high risk for falls/trauma