Quiz 4 Flashcards
The pelvis is made up of _ _ bones, the _ _ , and _ joint.
Made of up 2 PELVIC BONES, the PUBIS SYMPHYSIS, and SI joint
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 _
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.
Resting position of the SI joint? Capsular patter: _ when joints are _. Close pack _ and loose pack _.
Resting position is NEUTRAL
Capsular pattern: PAIN when joints are STRESSED
Close pack: NUTATION
Loose pack: COUNTERNUTATION
The SI joints are supported by the _ _ _ _ that limit anterior pelvic rotation, or _ _.
Are supported by the POSTERIOR SACROILIAC LIGAMENT that limits anterior pelvic rotation or SACRAL COUNTERNUTATION
The _ _ _ ligament limits all pelvic and sacral movement. The _ _ ligament forms part of the sacroiliac articulation (SYNDESMOSIS)
The POSTERIOR SACROILIAC ligament limits all sacral movement.
The POSTERIOR INTEROSSEOUS ligament forms part of the SI articulation (syndesmosis)
The _ ligament and the _ ligament limit nutation and posterior innominate rotation and provides _ _. Aka?
The SACROTUBEROUS ligament and the SACROSPINOUS ligament limit nutation and posterior innominate rotation and provides VERTICAL STABILITY.
AKA: Extrinsic ligaments
The _ ligament stabilizes L5 on the ilium.
The ILIOLUMBAR ligament stabilizes L5 on the ilium
_ _ occurs at the innominate and _ followed by _ occurs with lumbar flexion.
ANTERIOR ROTATION- innominate
NUTATION followed by COUNTERNUTATION- sacrum
With lumbar extension the innominate _ _(slight) and _ occurs at the sacrum
Innominate- POSTERIOR ROTATION (slight)
Sacrum- NUTATION (flexion)
With lumbar rotation _ _ (same side) and _ _ (opposite side) occur at the innominate; _ occurs on the same side in the sacrum.
Innominate
- POSTERIOR ROTATION (same side)
- ANTERIOR ROTATION (opposite side)
Sacrum
-NUTATION occurs on the same side
With Lumbar side flexion _ _ (same side) and _ _ (opposite side) occurs at the innominate. _ _ occurs at the sacrum.
Innominate
- ANTERIOR ROTATION (same side)
- POSTERIOR ROTATION (opposite side)
Sacrum
-SIDE BEND
During hip flexion _ _ occurs at the innominate
POSTERIOR ROTATION
During hip extension _ _ occurs at the innominate
Hip extension ANTERIOR ROTATION occurs . . .
With medial rotation at the hip _ (_ rotation) occurs at the innominate.
INFLARE (MEDIAL rotation)
With lateral rotation at the hip _ (_ rotation) occurs at the innominate
OUTFLARE (LATERAL rotation) occurs at the innominate
With hip abduction a _ _ occurs at the innominate. Hip adduction?
Hip Abduction- SUPERIOR GLIDE
Hip Adduction- INFERIOR GLIDE
_ _ refers to the closed pack position of the joint where no outside forces are necessary to hold the joint stable.
FORM CLOSURE
_ _ 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.
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.
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.
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
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 _ _.
FEMORAL SHEAR TEST
Causes ANTERIOR TO POSTERIOR SHEAR stress on the SI joint on the SAME SIDE
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
GAENSLENS’ TEST
PAIN indicates positive test
May be caused by Ipsilateral SI JOINT LESION, hip PATHOLOGY or a L4 nerve root lesion
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?
GILLET’S (sacral fixation)TEST (AKA IPSILATERAL POSTERIOR ROTATION TEST)
Testing for hip Hypomobility on same side that has knee flexed
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 _.
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
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.
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
