Pelvis I Lab

Question 1

Sources of Pelvic pain:

Answer 1

Muscle strain
Tendon injuries
Stretching/pinching nerves
Joint injuries

Question 2

Name the Hip Flexors

Answer 2

RIP
Rectus femoris (Also a knee extensor)
Psoas
Iliacus

Question 3

Describe the ME treatment/assessment of the hip FLEXORS.

Answer 3

Using this direct tx, the hip will be EXTENDED.
1. the patient is prone
2. Knee is flex to less than 90 degrees
3. IT is stabilized by placing one hand on top of the buttock, apply firm pressure.
4. COMPARE both sides for assymetry
5. For the ME technique, have the patient produce a down ward force into you hand that is supporting the raised leg/knee.
6. Reevaluate by EXTENDING the hip, look for increase ROM and symmetry
……. as a side note if there is not improvement, pt may have a tight anterior hip capsule.

Question 4

Name the knee extensors.

Answer 4

Quadriceps Femoris:

• Vastus lateralis
• Vastus Medialis
• Vastus Intermedius
• Rectus femoris

Question 5

Describe Knee extensor treatment and diagnosis.

Answer 5

1. Patient is prone
2. Flex knee to the restrictive barrier
3. Use ME, pt isometrically extends their knee against the dr.’s hand.
4. Reevaluate by flexing the knee/compare for ROM of symmetry.

Question 6

Name the Knee Flexors.

Answer 6

BiTe Me

The Hamstrings: (hip extensors)
Biceps Femoris
Semitendanous
Semimebranous

Question 7

Diagnose and treat the knee flexors.

Answer 7

1. the patient is supiine
2. Flex the hip to 90 degrees; SLOWLY extend the knee until you feel a restrictive barrier
3. Compare both sides (obvi)
4. Use ME protocal- support the knee while the patient brings their ankle towards the table.
5. reevaluate by extending the knee.

Question 8

Name the Hip ADductors

Answer 8

GAAAP

Gracilus
Adductor magnus
Adductor Longus
Adductor Brevis
Pectineus

Question 9

Assessing and treating the hip Adductors

Answer 9

1. abduct each leg to feel for asymmetry and tightness.
2. Stabilize the opposite leg.
3. DO NOT INTERNALLY OR EXTERNALLY ROTATE.. keep toes pointed upward.
4. Physician braces the abducted leg against against their side and the patient pushes inward.
5. Recheck

Question 10

Name the Hip abductors

Answer 10

Gluteus minimus and medius

Tensor fascia lata

Question 11

Diagnosis and treatment of the hip abductors

Answer 11

1. lift the leg that is NOT being tested to create space.
2. Then ADduct the testing leg underneath it.
3. Keep toes up. NO External or internal rotation.
4. Pt isometrically abducts the their leg by pushing their ankle into the physician’s hands.

Question 12

Name the Chief External Rotator

Answer 12

Piriformis

Question 13

Diagnosis the external rotator:

Answer 13

Patient is supine
Grasp ankles and internally rotate the leg
Watch the thigh movement
look for restriction and Assymetry

Question 14

Treating the external rotator… Below 90 and above 90 degrees

Answer 14

Below 90:
Patient is supine
FLEX the knee and place the foot on the laeral side fo the opposite leg
Stabilize the ipsilateraly ASIS
Further INTERNALLY rotate and ADDuct the hip until the barrier
Do ME stuff.
_________________
Above 90
patient is suppine
FLEX the HIP and KNEE to 90 degrees.
EXTERNALLY rotate the hip to a restrictive barrier.
FLEX and ADDUCT the hip to the restrictive barrier.
ASK IF THERE IS A STRETCH IN THEIR BUTTOCK to confirm treatment position
Patient pushes knee towards the physician.

Question 15

Find the Iliacus tender point

Answer 15

1/3 the distance from the ASIS to the midline
Press deep in the POSTERIOR LATERAL direction
NOTE:
indications = pain in the low back when going from sitting to standing.