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Palpation > Quiz #1 (Pelvic Motion Palpation Procedures & Thoracolumbar Landmarks) > Flashcards

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
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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

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3
Q

During seated sacroiliac flexion what is the doctor stance (DS)?

A

Seated behind the patient

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4
Q

During seated sacroiliac flexion what is the contact point (CP)?

A

Thumb pads (#9)

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5
Q

During seated sacroiliac flexion what is the segmental contact point (SCP)?

A

Inferior aspect of the PSIS

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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.
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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

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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

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9
Q

What does the thumb with the greatest amount of excursion indicate?

A

The side of sacroiliac fixation

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10
Q

What does the thumb with the least amount of excursion indicate?

A

The side of sacroiliac free motion

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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

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12
Q

During sacroiliac fluid motion what is the doctor stance (DS)?

A

Modified scissor stance

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13
Q

During sacroiliac fluid motion what is the segmental contact point (SCP)?

A

Superior medial aspect of the PSIS

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14
Q

During sacroiliac fluid motion what is the contact hand (CH)?

A

Superior hand

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15
Q

During sacroiliac fluid motion what is the contact point (CP)?

A

Hook of the hamate on the superior hand

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16
Q

During sacroiliac fluid motion what is the tissue pull (TP)?

A

Superior to inferior and medial to lateral

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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.
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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

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19
Q

During sacroiliac fluid motion, when both legs lengthen simultaneously what is indicated?

A

The sacroiliac joint that is being tested is fixed

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20
Q

During the knee raiser what is the patient placement (PP)?

A

Standing and supported against the wall, etc.

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21
Q

During the knee raiser what is the doctor stance (DS)?

A

Standing or seated behind the patient

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22
Q

During the knee raiser what is the contact point (CP)?

A

Thumb pads (#9)

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23
Q

During the knee raiser what is the segmental contact point (SCP)?

A

Both inferior and medial aspects of the PSISs

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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.
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25
Q

During the knee raiser what direction should the ipsilateral side PSIS travel?

A

Posterior, inferior, and medial

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26
Q

During the knee raiser, what direction should the contralateral side PSIS travel?

A

Anterior and superior

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27
Q

During the knee raiser, what does diminished motion of the PSIS compared to same motion on the opposite side indicate?

A

Fixation of the sacroiliac joint being tested

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28
Q

What pelvic motion palpation procedures occur in the Y-axis?

A
  • Seated sacroiliac axial rotation
  • Seated lumbopelvic lateral bend
  • Leg fanning
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29
Q

During seated sacroiliac axial rotation what is the patient placement (PP)?

A

Seated

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30
Q

During seated sacroiliac axial rotation what is the doctor stance (DS)?

A

Standing

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31
Q

During seated sacroiliac axial rotation what is the segmental contact point (SCP)?

A

The PSIS-sacral interspace

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32
Q

During seated sacroiliac axial rotation what is the contact point (CP)?

A

Pads of the 2nd, 3rd, and 4th digits

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33
Q

Describe the procedure of seated sacroiliac axial rotation.

A
  • 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.
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34
Q

During seated sacroiliac axial rotation, which direction should the ipsilateral side move?

A

From lateral to medial

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35
Q

During seated sacroiliac axial rotation, which direction should the contralateral side move?

A

From medial to lateral

36
Q

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?

A

Free motion

37
Q

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?

A

Left sacroiliac fixation

38
Q

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?

A

Right sacroiliac fixation

39
Q

During seated sacroiliac axial rotation, when rotating the patient to the left which PSIS is ipsilateral?

A

Left PSIS

40
Q

During seated sacroiliac axial rotation, when rotating the patient to the left which PSIS is contralateral?

A

Right PSIS

41
Q

During seated sacroiliac axial rotation, when rotating the patient to the right which PSIS is ipsilateral?

A

Right PSIS

42
Q

During seated sacroiliac axial rotation, when rotating the patient to the right which PSIS is contralateral?

A

Left PSIS

43
Q

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?

A

Free motion

44
Q

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?

A

Left sacroiliac fixation

45
Q

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?

A

Right sacroiliac fixation

46
Q

During seated lumbopelvic lateral bend what is the patient placement (PP)?

A

Seated

47
Q

During seated lumbopelvic lateral bend what is the doctor stance (DS)?

A

Standing

48
Q

During seated lumbopelvic lateral bend what is the segmental contact point (SCP)?

A

PSIS-sacral interspace

49
Q

During seated lumbopelvic lateral bend what is the contact point (CP)?

A

Pads of the 2nd, 3rd, and 4th digits

50
Q

Describe the procedure of seated lumbopelvic lateral bend?

A
  • 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
Q

During seated lumbopelvic lateral bend, if the left and right ipsilateral PSISs move medial the same amount during their respective what is indicated?

A

Free motion

52
Q

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?

A

Left sacroiliac fixation

53
Q

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?

A

Right sacroiliac fixation

54
Q

During seated lumbopelvic lateral bend, when laterally bending the patient to the left which PSIS is ipsilateral?

A

Left PSIS

55
Q

During seated lumbopelvic lateral bend, when laterally bending the patient to the right which PSIS is ipsilateral?

A

Right PSIS

56
Q

During seated lumbopelvic lateral bend, when laterally bending the patient to the left which PSIS is contralateral?

A

Right PSIS

57
Q

During seated lumbopelvic lateral bend, when laterally bending the patient to the right which PSIS is contralateral?

A

Left PSIS

58
Q

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?

A

Left sacroiliac fixation

59
Q

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?

A

Right sacroiliac fixation

60
Q

During leg fanning what is the patient placement (PP)?

A

Seated

61
Q

During leg fanning what is the doctor stance (DS)?

A

Seated behind patient

62
Q

During leg fanning what is the segmental contact point (SCP)?

A

PSIS-sacral interspace

63
Q

During leg fanning what is the contact point (CP)?

A

Thumb pads

64
Q

Describe the procedure of leg fanning?

A
  • 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
Q

During leg fanning, if the patient abducts the thighs which direction should the PSISs and sacral base move?

A
  • PSISs move from lateral to medial

- Sacral base rocks anterior (sacral nutation)

66
Q

During leg fanning, if the patient adducts the thighs which direction should the PSISs and sacral base move?

A
  • PSISs move from medial to lateral

- Sacral base rocks posterior (sacral counternutation)

67
Q

During leg fanning, if the patient abducts their thighs and the left and right PSISs move medial the same amount what is indicated?

A

Free Motion

68
Q

During leg fanning, if the patient abducts their thighs and the left PSIS has less medial motion compared to the right what is indicated?

A

Left sacroiliac fixation

69
Q

During leg fanning, if the patient abducts their thighs and the right PSIS has less medial motion compared to the left what is indicated?

A

Right sacroiliac fixation

70
Q

During leg fanning, if the patient adducts their thighs and the left PSIS has less lateral motion compared to the right what is indicated?

A

Left sacroiliac fixation

71
Q

During leg fanning, if the patient adducts their thighs and the right PSIS has less lateral motion compared to the left what is indicated?

A

Right sacroiliac fixation

72
Q

Which vertebra is known as the vertebral prominence in 30% to 40% of the population?

A

T1

73
Q

What vertebra is the location of the root of the spine of the scapula?

A

T3

74
Q

What vertebra is the most prominent thoracic spinous?

A

T4

75
Q

What vertebrae make up the imbricated spinouses region?

A

T5-T9

76
Q

What vertebra is the location of the inferior angle of the scapula when the patient is prone?

A

T6

77
Q

What vertebra is the location of the inferior angle of the scapula when the patient is seated?

A

T7

78
Q

What two vertebrae have the closest thoracic spinouses?

A

T9 & T10

79
Q

What vertebra may have a blade-like spinous?

A

T12

80
Q

What vertebra is at the level of the iliac crest?

A

L4

81
Q

What interspinous space is located at the level of the iliac crest in males?

A

L3-L4 Interspinous space

82
Q

What interspinous space is located at the level of the iliac crest in females?

A

L4-L5 Interspinous space

83
Q

What vertebra has the smallest lumbar spinous?

A

L5

84
Q

What vertebrae have transverse processes that are located up one interspinous space?

A

T1-T3, T11, T12

85
Q

What vertebrae have transverse processes that are located across from the spinous process of the vertebra above?

A

T4 & T10

86
Q

What vertebrae have transverse process that are located up two interspinous spaces?

A

T5-T9

87
Q

What vertebrae have mammillary processes that are located up one interspinous place?

A

L1-L5

Palpation (1 decks)

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