Quiz 4

Question 1

The pelvis is made up of _ _ bones, the _ _ , and _ joint.

Answer 1

Made of up 2 PELVIC BONES, the PUBIS SYMPHYSIS, and SI joint

Question 2

SI joints are part _ and part_. The articular surface of the _ is covered with fibrocartilage. The articular surface of the _ is covered with hyaline cartilage that is 3 X thicker than that of _

Answer 2

SI joints are part SYNOVIAL and part SYNDESMOSIS

The articular surface of the ILIUM is covered with fibrocartilage

The “ “ “ “ SACRUM is hyaline cartilage 3 X thicker than than that of the ILIUM.

Question 3

Resting position of the SI joint? Capsular patter: _ when joints are _. Close pack _ and loose pack _.

Answer 3

Resting position is NEUTRAL

Capsular pattern: PAIN when joints are STRESSED

Close pack: NUTATION
Loose pack: COUNTERNUTATION

Question 4

The SI joints are supported by the _ _ _ _ that limit anterior pelvic rotation, or _ _.

Answer 4

Are supported by the POSTERIOR SACROILIAC LIGAMENT that limits anterior pelvic rotation or SACRAL COUNTERNUTATION

Question 5

The _ _ _ ligament limits all pelvic and sacral movement. The _ _ ligament forms part of the sacroiliac articulation (SYNDESMOSIS)

Answer 5

The POSTERIOR SACROILIAC ligament limits all sacral movement.

The POSTERIOR INTEROSSEOUS ligament forms part of the SI articulation (syndesmosis)

Question 6

The _ ligament and the _ ligament limit nutation and posterior innominate rotation and provides _ _. Aka?

Answer 6

The SACROTUBEROUS ligament and the SACROSPINOUS ligament limit nutation and posterior innominate rotation and provides VERTICAL STABILITY.

AKA: Extrinsic ligaments

Question 7

The _ ligament stabilizes L5 on the ilium.

Answer 7

The ILIOLUMBAR ligament stabilizes L5 on the ilium

Question 8

_ _ occurs at the innominate and _ followed by _ occurs with lumbar flexion.

Answer 8

ANTERIOR ROTATION- innominate

NUTATION followed by COUNTERNUTATION- sacrum

Question 9

With lumbar extension the innominate _ _(slight) and _ occurs at the sacrum

Answer 9

Innominate- POSTERIOR ROTATION (slight)

Sacrum- NUTATION (flexion)

Question 10

With lumbar rotation _ _ (same side) and _ _ (opposite side) occur at the innominate; _ occurs on the same side in the sacrum.

Answer 10

Innominate

• POSTERIOR ROTATION (same side)
• ANTERIOR ROTATION (opposite side)

Sacrum
-NUTATION occurs on the same side

Question 11

With Lumbar side flexion _ _ (same side) and _ _ (opposite side) occurs at the innominate. _ _ occurs at the sacrum.

Answer 11

Innominate

• ANTERIOR ROTATION (same side)
• POSTERIOR ROTATION (opposite side)

Sacrum
-SIDE BEND

Question 12

During hip flexion _ _ occurs at the innominate

Answer 12

POSTERIOR ROTATION

Question 13

During hip extension _ _ occurs at the innominate

Answer 13

Hip extension ANTERIOR ROTATION occurs . . .

Question 14

With medial rotation at the hip _ (_ rotation) occurs at the innominate.

Answer 14

INFLARE (MEDIAL rotation)

Question 15

With lateral rotation at the hip _ (_ rotation) occurs at the innominate

Answer 15

OUTFLARE (LATERAL rotation) occurs at the innominate

Question 16

With hip abduction a _ _ occurs at the innominate. Hip adduction?

Answer 16

Hip Abduction- SUPERIOR GLIDE

Hip Adduction- INFERIOR GLIDE

Question 17

_ _ refers to the closed pack position of the joint where no outside forces are necessary to hold the joint stable.

Answer 17

FORM CLOSURE

Question 18

_ _ is similar to the loose packed position in that extrinsic in that extrinsic factors, primarily _ and their _ control, along with the _ are needed to maintain stability of the joint/ forces applied to the joint.

Answer 18

FORCE CLOSURE is similar to the loose packed position in that extrinsic factors, primarily MUSCLES and their NEUROLOGICAL control, along with the CAPSULE are needed to maintain stability of the joint/ forces applied to the joint.

Question 19

What special test is being described: test is identical to SI clearing test for SI joint compression? Test is positive if unilateral _ or _ _ pain is produced. Indicates a sprain of the _ _ ligaments.

Answer 19

GAPPING TEST (Transverse Anterior stress or distraction provocation test)

Test is positive if UNILATERAL GLUTEAL or POSTERIOR LEG pain is produced

Indicates sprain of the ANTERIOR SACROILIAC LIGAMENTS

Question 20

Which test is being described: patient is supine, therapist slightly flexes, abducts, laterally rotates the thigh approx. 45 degrees and applies force through the long axis of the femur. Causes _ to _ _ stress to the SI joint on the _ _.

Answer 20

FEMORAL SHEAR TEST

Causes ANTERIOR TO POSTERIOR SHEAR stress on the SI joint on the SAME SIDE

Question 21

What special test is being described: the patient is side lying with upper leg (test leg) hyperextended at the hip, with other leg flexed towards chest. _ indicates a positive test. May be causes by a Ipsilateral _ _ _, hip _ or a _ nerve root lesion

Answer 21

GAENSLENS’ TEST

PAIN indicates positive test

May be caused by Ipsilateral SI JOINT LESION, hip PATHOLOGY or a L4 nerve root lesion

Question 22

What test is being described; patient stands, therapist palpated the PSIS’s with thumbs and fingers on iliac crest, patient lifts one leg towards chest, causes innominate bone on the same side to rotate posteriorly. Repeated with other leg. What is this testing?

Answer 22

GILLET’S (sacral fixation)TEST (AKA IPSILATERAL POSTERIOR ROTATION TEST)

Testing for hip Hypomobility on same side that has knee flexed

Question 23

What test is being described: patient starts laying supine, therapist places thumbs on each medial malleolus at the ankle, patient sits up (long sit) and therapist observes if one leg appears shorter than the other. If so, the patient is positive for _ _ _ discrepancy resulting from pelvic dysfunction from pelvic _ or _.

Answer 23

SUPINE TO SIT (long sitting) TEST

If so patient is positive for FUNCTIONAL LEG LENGTH discrepancy resulting from pelvic dysfunction from pelvic ROTATION OR TORSION

Question 24

What special test is being described: patient lies prone, therapist places the base of his/ her hand on the apex of the patients sacrum and applies pressure causing a shear of the sacrum on the ilium. May indicate _ _ _ if _ if produced. Causes _ _ of the SI joint.

Answer 24

SACRAL APEX PRESSURE (prone springing or sacral thrust) TEST

May indicate a SACROILIAC JOINT PROBLEM if PAIN is produced

Causes ROTATIONAL SHIFT of the SI joint

Question 25

The Lasegue’s test is a _ _ _ test. It is indicative of joint pain if it occurs after _ _.

Answer 25

Is a STRAIGHT LEG RAISING test (passive).

It is indicative of SI joint pain if pain occurs after 70 DEGREES (can occur after 120 degrees in a hypermobile person.

Question 26

The sacral _ _ is the opposite (_) of the gapping test.

Answer 26

Sacral APPROXIMATION TEST is the opposite (COMPRESSION) of the gapping test

Question 27

There are no _ to test for the pelvic joint.

Answer 27

No RELFEXES

Question 28

Pain may be referred to the SI joint from the _ _ and the _.It may also refer pain to those same structures or along the course of the _ _ and _ nerves.

Answer 28

May be referred to the SI joint from the LUMBAR SPINE AND THE HIP

It may also refer pain to the same structures or along the course of the SUPERIOR GLUTEAL AND OBTURATOR nerves

Question 29

_ of the _ may also refer pain to the SI joint.

Answer 29

MUSCLES OF THE SPINE may also refer pain.

Question 30

The Iliac crest, ASIS, McBurney’s point, Baer’s point, lymph nodes, pubis symphysis, greater trochanter, trochanter if burse, and femoral triangle are all palpated _

Answer 30

Palpated ANTERIORLY

Question 31

The femoral triangle is bordered by the _ _ superiorly, the _ _ muscle medially and the _ muscle laterally. Swollen _ _ are palpated in the superior aspect of the triangle.

Answer 31

INGUINAL LIGAMENT- superiorly
ADDUCTOR LONGUS muscle- medially
SARTORIUS muscle- laterally

Swollen LYMPH NODES are palpated in the superior aspect of the triangle.

Question 32

The femoral _, _ and _ are all within the femoral triangle.

Answer 32

Femoral PULSE, NERVE, AND VEIN are all within the femoral triangle

Question 33

_ _ is located in the right iliac fossa anterior to the right sacroiliac joint and slightly medial to McBurney’s point.

Answer 33

Baer’s point

Question 34

The iliac crest, PSIS, ischial tuberosities, sacral sulcus and SI joints, lumbosacral joint, coccyx, sacral hiatus, sacral cornea and sacrotuberous and sacrospinous ligaments are all palpated _

Answer 34

Palpated POSTERIORLY