Pelvis Lecture Flashcards
Superior Transverse Axis of the sacrum
Respiratory
Cranial
Middle transverse axis of sacrum
Postural
Inferior transverse axis of sacrum
Dynamic (walking)
DX:
- positive standing flexion
- inferior ASIS
- superior PSIS
- even ischial tubes
- inferior pubic rami
anterior rotation of pelvis
DX: Positive standing flexion Superior ASIS Inferior PSIS even ischial tubes superior pubic rami
posterior rotation of pelvis
DX: Superior ASIS Superior PSIS Superior pubic ramus Superior ischial tubes
superior pubic shear
DX: Inferior ASIS Inferior PSIS Inferior pubic ramus Inferior ischial tubes
inferior pubic shear
DX:
distance of ipsilateral ASIS to midline decrease
Standing flexion test positive ipsilaterally
Superior ASIS = Superior PSIS
Pubic rami equal
Superior iliac crest
Equal ischial tubes
Pelvic inflare
DX:
Distance of ipsilateral ASIS to midline increases
Standing flexion test positive ipsilaterally
Superior ASIS = Superior PSIS
Pubic rami equal
Inferior iliac crest
Equal ischial tubes
Pelvic outflare
DX:
Pubic tubercle superior
Standing flexion test positive
Superior pubic symphysis shear
DX:
Pubic tubercle inferior
Standing flexion test positive
Inferior pubic symphysis shear
ASIS compression test is the equivalent of a:
Standing flexion test
In the correction of a superior shear with a hip replacement, requires what kind of motion?
External rotation
Tx sequence for pelvic dysfunction
- Treat non-neutral thoracic and lumbar dysfunction
- Treat innominate/pubic shears
- Treat sacroiliac dysfunction.
- Treat iliosacral dysfunction
Counterstrain point for iliacus
1/3 distance from ASIS to midline (closer to ASIS)
Counterstrain point for piriformis
1/2 way between PSIS and ILA – 1/2 way between this point and ischial tuberosity
Describe counterstrain for the iliacus.
Patient supine
Flex legs and rest them on your thigh
Cross ankles (dysfunctional side on top)
Frog legged
Describe counterstrain for the piriformis.
Patient prone
Flex hip and knee
Abduct thigh
Externally rotate.
97% of low back pain is due to:
Musculoskeletal problems
% of population that experiences LBP each year
50%
Sciatica can be due to the hypertonicity of which muscle?
Piriformis
How to treat coccidynia :)
intra-RECTAL BLT/MFR
Lower extremity pain due to:
hip issues with muscle/joints
Upper extremity pain due to which muscle:
latissimus dorsi
Incontinence of the bowel may be due to this source:
Pelvic diaphragm
IBS is due to the imbalance of:
sympathetics and parasympathetics
How to improve diarrhea/constipation via OMT
Releasing pelvic congestion
Address which 2 things when treating ileus:
pelvic splanchnics
pelvic congestion
Address which 2 things when treating small bowel obstruction
pelvic splanchnics
pelvic congestion
Erectile dysfunction can be due to which 2 dysfunctional elements
pubic dysfunction
parasympathetic tone
recall: erection is parasympathetic, but ejaculation is sympathetic!
BPH and prostatitis can be addressed by treating…
pelvic diaphragm
