Quiz #1 (Pelvic Motion Palpation Procedures & Thoracolumbar Landmarks) Flashcards
1
Q
What pelvic motion palpation procedures occur in the X-axis?
A
- Knee Raiser
- Seated Sacroiliac Flexion
- Sacroiliac Fluid Motion
2
Q
During seated sacroiliac flexion what is the patient placement (PP)?
A
Seated toward the front of a backless chair or edge of a bench
3
Q
During seated sacroiliac flexion what is the doctor stance (DS)?
A
Seated behind the patient
4
Q
During seated sacroiliac flexion what is the contact point (CP)?
A
Thumb pads (#9)
5
Q
During seated sacroiliac flexion what is the segmental contact point (SCP)?
A
Inferior aspect of the PSIS
6
Q
Describe the procedure of seated sacroiliac flexion.
A
- Doctor places thumb pads at the inferior aspects of both PSISs and the hands rest around the lateral iliac crests.
- The doctor then notes the position of the thumbs relative to one another. The patient is instructed to flex forward. As the patient flexes forward the doctor’s thumbs follow the arcing motion of the PSISs.
- When the patient is flexed forward, the doctor notes the relative position of the thumbs.
7
Q
During seated sacroiliac flexion, when the patient flexes forward and the position of the thumbs to one another do not change what is indicated?
A
Both sacroiliac joints are freely movable
8
Q
During seated sacroiliac flexion, when the patient flexes forward and the position of the thumbs to one another changes what is indicated?
A
One sacroiliac joint is restricted
9
Q
What does the thumb with the greatest amount of excursion indicate?
A
The side of sacroiliac fixation
10
Q
What does the thumb with the least amount of excursion indicate?
A
The side of sacroiliac free motion
11
Q
During sacroiliac fluid motion what is the patient placement (PP)?
A
Prone with the feet and ankles off the edge of the bench
12
Q
During sacroiliac fluid motion what is the doctor stance (DS)?
A
Modified scissor stance
13
Q
During sacroiliac fluid motion what is the segmental contact point (SCP)?
A
Superior medial aspect of the PSIS
14
Q
During sacroiliac fluid motion what is the contact hand (CH)?
A
Superior hand
15
Q
During sacroiliac fluid motion what is the contact point (CP)?
A
Hook of the hamate on the superior hand
16
Q
During sacroiliac fluid motion what is the tissue pull (TP)?
A
Superior to inferior and medial to lateral
17
Q
Describe the procedure of sacroiliac fluid motion.
A
- Doctor stands on the side opposite of the sacroiliac joint to be checked. Doctor’s stance is a modified scissor stance with the inferior leg across from the PSIS and the doctor is angled facing the acetabulum on the side tested.
- The doctor will locate the superior and medial aspect of the PSIS to be tested.
- The doctor will take a superior to inferior and medial to lateral tissue pull (TP) with the stabilization hand toward the superior medial PSIS (SCP).
- The tissue pull will ensure a secure contact on the SCP.
- Once the doctor has taken the tissue pull (TP), the doctor will place the hook of hamate of the contact hand on the superior medial PSIS, keeping the hand semi-arched. The doctor will then wrap the stabilization hand around the contact hand and maintain equal elbow bend.
- Doctor will press into the joint at a 45 degree angle toward the acetabulum.
18
Q
During sacroiliac fluid motion, when the leg on the tested side lengthens and the leg on the opposite side does not what is indicated?
A
The sacroiliac joint that is being tested is freely moveable
19
Q
During sacroiliac fluid motion, when both legs lengthen simultaneously what is indicated?
A
The sacroiliac joint that is being tested is fixed
20
Q
During the knee raiser what is the patient placement (PP)?
A
Standing and supported against the wall, etc.
21
Q
During the knee raiser what is the doctor stance (DS)?
A
Standing or seated behind the patient
22
Q
During the knee raiser what is the contact point (CP)?
A
Thumb pads (#9)
23
Q
During the knee raiser what is the segmental contact point (SCP)?
A
Both inferior and medial aspects of the PSISs
24
Q
Describe the procedure of the knee raiser.
A
- Doctor places thumb pads at the inferiomedial aspects of left and right PSISs and the hands rest around the lateral iliac crests region for added support of the patient. Doctor instructs the patient to flex the knee to 90 degrees. As the patient flexes the knee, the doctor’s thumbs are following the arcing motion of both PSISs.
- The patient is then instructed to raise the opposite knee as the doctor’s thumbs follow the motion of both PSISs.
25
During the knee raiser what direction should the ipsilateral side PSIS travel?
Posterior, inferior, and medial
26
During the knee raiser, what direction should the contralateral side PSIS travel?
Anterior and superior
27
During the knee raiser, what does diminished motion of the PSIS compared to same motion on the opposite side indicate?
Fixation of the sacroiliac joint being tested
28
What pelvic motion palpation procedures occur in the Y-axis?
- Seated sacroiliac axial rotation
- Seated lumbopelvic lateral bend
- Leg fanning
29
During seated sacroiliac axial rotation what is the patient placement (PP)?
Seated
30
During seated sacroiliac axial rotation what is the doctor stance (DS)?
Standing
31
During seated sacroiliac axial rotation what is the segmental contact point (SCP)?
The PSIS-sacral interspace
32
During seated sacroiliac axial rotation what is the contact point (CP)?
Pads of the 2nd, 3rd, and 4th digits
33
Describe the procedure of seated sacroiliac axial rotation.
- Patient is seated and the doctor is standing on the side the patient's trunk will be rotated toward.
- Doctor will contact the PSIS-sacral interspace on the same side the patient will be rotated (ipsilateral).
- The stabilization hand will be placed on the patient's shoulder and the doctor will rotate the patient toward the side the doctor is standing.
- Doctor will then contact the PSIS-sacral interspace on the side opposite that the patient will be rotated (contralateral).
- The stabilization hand will be placed on the patient's shoulder and the doctor will rotate the patient toward the side the doctor is standing.
34
During seated sacroiliac axial rotation, which direction should the ipsilateral side move?
From lateral to medial
35
During seated sacroiliac axial rotation, which direction should the contralateral side move?
From medial to lateral
36
During seated sacroiliac axial rotation, if the ipsilateral PSIS on the left and right sides move medial the same amount during their respective rotations what is indicated?
Free motion
37
During seated sacroiliac axial rotation, if the ipsilateral PSIS on the left side has less medial motion during left rotation compared to the ipsilateral PSIS on the right side during right rotation what is indicated?
Left sacroiliac fixation
38
During seated sacroiliac axial rotation, if the ipsilateral PSIS on the right side has less medial motion during right rotation compared to the ipsilateral PSIS on the left side during left rotation what is indicated?
Right sacroiliac fixation
39
During seated sacroiliac axial rotation, when rotating the patient to the left which PSIS is ipsilateral?
Left PSIS
40
During seated sacroiliac axial rotation, when rotating the patient to the left which PSIS is contralateral?
Right PSIS
41
During seated sacroiliac axial rotation, when rotating the patient to the right which PSIS is ipsilateral?
Right PSIS
42
During seated sacroiliac axial rotation, when rotating the patient to the right which PSIS is contralateral?
Left PSIS
43
During seated sacroiliac axial rotation, if the contralateral PSIS on the left and right sides move lateral the same amount during their respective rotations what is indicated?
Free motion
44
During seated sacroiliac axial rotation, if the contralateral PSIS on the left side has less lateral motion during right rotation compared to the contralateral PSIS on the right side during left rotation what is indicated?
Left sacroiliac fixation
45
During seated sacroiliac axial rotation, if the contralateral PSIS on the right side has less lateral motion during left rotation compared to the contralateral PSIS on the left side during right rotation what is indicated?
Right sacroiliac fixation
46
During seated lumbopelvic lateral bend what is the patient placement (PP)?
Seated
47
During seated lumbopelvic lateral bend what is the doctor stance (DS)?
Standing
48
During seated lumbopelvic lateral bend what is the segmental contact point (SCP)?
PSIS-sacral interspace
49
During seated lumbopelvic lateral bend what is the contact point (CP)?
Pads of the 2nd, 3rd, and 4th digits
50
Describe the procedure of seated lumbopelvic lateral bend?
- Patient is seated and the doctor is standing on the side the patient's trunk will be lateral bent toward.
- Doctor will contact the PSIS-sacral interspace on the same side the patient will be laterally bent (ipsilateral).
- The stabilization hand will be placed on the patient's shoulder and the doctor will lateral bend the patient towards the side the doctor is standing.
- Doctor will then contact the PSIS-sacral interspace on the side opposite that the patient will be bent (contralateral).
- The stabilization hand will be placed on the patient's shoulder and the doctor will lateral bend the patient towards the side the doctor is standing.
51
During seated lumbopelvic lateral bend, if the left and right ipsilateral PSISs move medial the same amount during their respective what is indicated?
Free motion
52
During seated lumbopelvic lateral bend, if the ipsilateral PSIS on the left side has less medial motion during left lateral bend compared to the ipsilateral PSIS on the right side during right lateral bend what is indicated?
Left sacroiliac fixation
53
During seated lumbopelvic lateral bend, if the ipsilateral PSIS on the right side has less medial motion during right lateral bend compared to the ipsilateral PSIS on the left side during left lateral bend what is indicated?
Right sacroiliac fixation
54
During seated lumbopelvic lateral bend, when laterally bending the patient to the left which PSIS is ipsilateral?
Left PSIS
55
During seated lumbopelvic lateral bend, when laterally bending the patient to the right which PSIS is ipsilateral?
Right PSIS
56
During seated lumbopelvic lateral bend, when laterally bending the patient to the left which PSIS is contralateral?
Right PSIS
57
During seated lumbopelvic lateral bend, when laterally bending the patient to the right which PSIS is contralateral?
Left PSIS
58
During seated lumbopelvic lateral bend, if the contralateral PSIS on the left side has less lateral motion during right lateral bend compared to the contralateral PSIS on the right side during left lateral bend what is indicated?
Left sacroiliac fixation
59
During seated lumbopelvic lateral bend, if the contralateral PSIS on the right side has less lateral motion during left lateral bend compared to the contralateral PSIS on the left side during right lateral bend what is indicated?
Right sacroiliac fixation
60
During leg fanning what is the patient placement (PP)?
Seated
61
During leg fanning what is the doctor stance (DS)?
Seated behind patient
62
During leg fanning what is the segmental contact point (SCP)?
PSIS-sacral interspace
63
During leg fanning what is the contact point (CP)?
Thumb pads
64
Describe the procedure of leg fanning?
- Patient is seated towards the front edge of the bench and the doctor is seated behind the patient.
- Doctor will contact both PSIS-sacral interspaces simultaneously with the thumb pads of both hands.
- Doctor will instruct the patient to abduct and adduct the thighs.
65
During leg fanning, if the patient abducts the thighs which direction should the PSISs and sacral base move?
- PSISs move from lateral to medial
| - Sacral base rocks anterior (sacral nutation)
66
During leg fanning, if the patient adducts the thighs which direction should the PSISs and sacral base move?
- PSISs move from medial to lateral
| - Sacral base rocks posterior (sacral counternutation)
67
During leg fanning, if the patient abducts their thighs and the left and right PSISs move medial the same amount what is indicated?
Free Motion
68
During leg fanning, if the patient abducts their thighs and the left PSIS has less medial motion compared to the right what is indicated?
Left sacroiliac fixation
69
During leg fanning, if the patient abducts their thighs and the right PSIS has less medial motion compared to the left what is indicated?
Right sacroiliac fixation
70
During leg fanning, if the patient adducts their thighs and the left PSIS has less lateral motion compared to the right what is indicated?
Left sacroiliac fixation
71
During leg fanning, if the patient adducts their thighs and the right PSIS has less lateral motion compared to the left what is indicated?
Right sacroiliac fixation
72
Which vertebra is known as the vertebral prominence in 30% to 40% of the population?
T1
73
What vertebra is the location of the root of the spine of the scapula?
T3
74
What vertebra is the most prominent thoracic spinous?
T4
75
What vertebrae make up the imbricated spinouses region?
T5-T9
76
What vertebra is the location of the inferior angle of the scapula when the patient is prone?
T6
77
What vertebra is the location of the inferior angle of the scapula when the patient is seated?
T7
78
What two vertebrae have the closest thoracic spinouses?
T9 & T10
79
What vertebra may have a blade-like spinous?
T12
80
What vertebra is at the level of the iliac crest?
L4
81
What interspinous space is located at the level of the iliac crest in males?
L3-L4 Interspinous space
82
What interspinous space is located at the level of the iliac crest in females?
L4-L5 Interspinous space
83
What vertebra has the smallest lumbar spinous?
L5
84
What vertebrae have transverse processes that are located up one interspinous space?
T1-T3, T11, T12
85
What vertebrae have transverse processes that are located across from the spinous process of the vertebra above?
T4 & T10
86
What vertebrae have transverse process that are located up two interspinous spaces?
T5-T9
87
What vertebrae have mammillary processes that are located up one interspinous place?
L1-L5
