Pelvis

Question 1

Anterior Innominate: Define

Answer 1

• Unilateral iliosacral joint dysfunction in which the PSIS is up and anterior, and the ASIS is down when compared to the opposite side

Question 2

Posterior Innominate: Define

Answer 2

• Unilateral iliosacral joint dysfunction in which the PSIS is down and posterior and the ASIS is up when compared to the opposed side

Question 3

Upslip: Define

Answer 3

• A vertical shear of an entire innominate in which the ASIS and iliac crest are up in comparison to the opposite side innominate
• Indicated by the standing flexion test

Question 4

Pelvic Dysfunction: Ant Innominate Rotation

Answer 4

Posture Analysis:

• Standing Flexion Test:
  
  • Illiac Crest/PSIS up in standing, ASIS down
• Long Sitting Test
  
  • ASIS Down in Supine: leg length longer
  • Long Sitting: leg length shorter

Question 5

Pelvic Dysfunction: Post Innominate Rotation

Answer 5

Posture Analysis:

• Standing Flexion Test
  
  • Illiac crest/PSIS down, ASIS up
• Long Sitting Test:
  
  • ASIS up in supine: leg length-shorter;
  • long sitting: leg length-longer

Question 6

Pelvic Dysfunction: Upslip of Innominate (compared to other side)

Answer 6

Posture Analysis:

• Standing Flexion Test:
  
  • Iliac crest up,
• Long Sitting Test:
  
  • ASIS up supine leg length-shorter,
  • long sitting leg length shorter

Question 7

Pelvic Dysfunction: Forward or Backward Sacral Torsion

Answer 7

Posture Analysis:

• Sitting Flexion Test:
  
  • Sacral sulcus deep - in prone (same side)
  • Sacral Inferior lateral angle (ILA) posterior and down (opposite side)

Question 8

Anterior Torsion of Innominate: Activities that Precipitate Dysfunction

Answer 8

• squatting/lifting/lowering
• prgnancy
• hip at 90 deg w/ axial loading
• golfing/batting/tennis

Question 9

Posterior Torsion of Innominate: Activities that Precipitate Dysfunction

Answer 9

• vertical thrust onto extended LE
• Sprint starting position
• fall onto ischial tuberosity
• unilateral standing

Question 10

Sacral Dysfunction: Activities that Precipitate Dysfunction

Answer 10

• long-term postural abnormalities
• fall onto sacrum/coccyx
• carrying a load during ambulation
• trauma during childbirth
• loss of balance during ambulation
• sitting combined w/ rotation and lifting