Pelvis/SIJ Classification/Diagnoses

Question 1

Location of Symptoms: Ilio-Sacral Disorders & Sacro-Iliac Disorders

Answer 1

SI local or referral pattern

Question 2

Anterior Innominate

Agg Factors

Answer 2

Gait

Stair Descent

Question 3

Posterior Innominate

Agg Factors

Answer 3

Gait

Stair Ascent

Question 4

Inflare Innominate

Agg Factors

Answer 4

Gait

Question 5

Outflare Innominate

Agg Factors

Answer 5

Gait

Question 6

Upslip Innominate

Agg Factors

Answer 6

Gait

Question 7

Downslip Innominate

Agg Factors

Answer 7

Gait

Question 8

Anterior Innominate

Ease Factors

Answer 8

Hip Flexion

NWB

Question 9

Posterior Innominate

Ease Factors

Answer 9

Hip Extension

NWB

Question 10

Inflare Innominate

Ease Factors

Answer 10

Hip IR

NWB

Question 11

Outflare Innominate

Ease Factors

Answer 11

Hip ER

NWB

Question 12

Upslip Innominate

Ease Factors

Answer 12

NWB

Question 13

Downslip Innominate

Ease Factors

Answer 13

NWB

Question 14

Anterior Innominate

History

Answer 14

Activity Related: kicking soccer ball

Question 15

Posterior Innominate

History

Answer 15

Activity Related: slipping on ice with one LE forward

Question 16

Inflare Innominate

History

Answer 16

Activity Related: hip in end range IR

Ex. plant leg when kicking soccer ball while cutting

Question 17

Outflare Innominate

History

Answer 17

Activity Related: hip in end range ER

Ex. Ballet dancer

Question 18

Upslip Innominate

History

Answer 18

Activity Related: Step off curb with knee straight

Question 19

Downslip Innominate

History

Answer 19

Trauma: being pulled by 1 LE
Ex. Foot caught in stirrup when falling off running horse
Ex2. A bad guy jerking your leg back when you try to run away

Question 20

ROM Testing with all Ilio-Sacral Disorders

Answer 20

Decreased mobility with unilateral Squish

Question 21

6 Ilio-Sacral Disorders

Answer 21

Anterior/Posterior Innominate
Inflare/Outflare Innominate
Upslip/Downslip Innominate

(Innominates moving on fixed sacrum)

Question 22

Anterior/Posterior Innominate

Special Tests

Answer 22

+Gillet’s
+SFB Test
+long sitting test (aka supine to sit test)

Question 23

Inflare/Outflare Innominate

Special Tests

Answer 23

+Inflare/Outflare Test

Question 24

Upslip/Downslip

Special Tests

Answer 24

+Gillet’s

+SFB Test

Question 25

Anterior Innominate | Muscle Length

Answer 25

Chronic=Shortened Hip Flexors

Question 26

Posterior Innominate | Muscle Length

Answer 26

Chronic=Shortened Hams

Question 27

Outflare | Muscle Length

Answer 27

Chronic=Shortened Gluts

Question 28

Upslip | Muscle Length

Answer 28

Chronic=Shortened QL

Question 29

4 Sacro-Iliac Disorders

Answer 29

Sacral Torsion Instability Locking Degeneration (Sacrum moving on fixed Ilium)

Question 30

Instability | Profile

Answer 30

Female post-pregnancy

Question 31

Locking | Profile

Answer 31

Post Trauma

Question 32

Degeneration | Profile

Answer 32

Chronic SIJ Pain

Question 33

Sacral Torsion | Agg Factors

Answer 33

Gait Lumbar Rotation CKC Rotation activities

Question 34

Instability | Agg Factors

Answer 34

Turn over in bed Lumbar Rotation Getting in/out of cars (transitional movements)

Question 35

Locking | Agg Factors

Answer 35

Gait | Lumbar Rotation

Question 36

Degeneration | Agg Factors

Answer 36

WB and movement

Question 37

Sacral Torsion | Ease Factors

Answer 37

NWB

Question 38

Instability | Ease Factors

Answer 38

Tight pants/belt

Question 39

Locking | Ease Factors

Answer 39

Being still without moving

Question 40

Degeneration | Ease Factors

Answer 40

NWB | Decreased movement

Question 41

Sacral Torsion | History

Answer 41

Incidious onset (piriformis tightness) Traumatic Activity Related

Question 42

Instability | History

Answer 42

Recent Childbirth Trauma c/o frequent "popping"

Question 43

Locking | History

Answer 43

Trauma | Sudden jarring of pelvis

Question 44

Degeneration | History

Answer 44

``` Early onset ankylosing spondylitis RA Post lumbar fusion Hip arthritis Leg length discrepancy Infection ```

Question 45

Sacral Torsion | ROM

Answer 45

normal mobility with forward (flexed) sacral torsion | Stiffness with backward (extended) sacral torsion

Question 46

Instability | ROM

Answer 46

Normal, but guarded due to pain

Question 47

Locking | ROM

Answer 47

Severely limited on involved side

Question 48

Degeneration | ROM

Answer 48

Limitation with all AROM | Severely limited if progressed to SIJ fusion

Question 49

Sacral Torsion | Special Tests

Answer 49

+Seated forward bend test | +prone on elbows test

Question 50

Instability | Special Tests

Answer 50

Excessive motion of SIJ compared to other side

Question 51

Locking | Special Tests

Answer 51

+Seated/Standing forward bend test | Decreased motion with unilateral squish test

Question 52

Degeneration | Special Tests

Answer 52

+Provocation tests

Question 53

Sacral Torsion | Palpation

Answer 53

prone on elbows: anterior torsion=deep sacral sulcus posterior torsion=shallow sacral sulcus

Question 54

Instability | Palpation

Answer 54

Painful SIJ | Inconsistent landmark palpation

Question 55

Locking | Palpation

Answer 55

Painful SIJ

Question 56

Degeneration | Palpation

Answer 56

Painful SIJ

Question 57

Sacral Torsion | Muscle Length

Answer 57

Tight piriformis with anterior torsion

Question 58

Instability | Muscle Strength

Answer 58

Decreased TrA and Glut Strength

Question 59

Locking | Muscles

Answer 59

muscle spasm possible around involved SIJ due to pain

Question 60

Suspect SIJ disorder if ____of 6 provocation tests are +

Answer 60

3+/6

Question 61

Gold standard to diagnose SI dysfunction

Answer 61

SIJ Fluoroscopic Block

Question 62

Function of SIJ

Answer 62

Transfer load Absorb LE motino Stability

Question 63

Nutation

Answer 63

Flexed Sacrum | Sacral base more anterior

Question 64

Counternutation

Answer 64

Extended Sacrum | Sacral base more posterior

Question 65

Sacral Torsions

Answer 65

Anterior/Posterior (Anterior=base forward, posterior=base backward) Left/Right Named for direction that front of sacrum is facing