Sacral OMM

Question 1

What are the four dynamic tests that are used to diagnosis SI joint motion and which two always need to be done together?

Answer 1

ASIS compression, Passive SI joint motion (prone jiggle), Standing flexion, Seated flexion

Standing and seated flexion

Question 2

Sacral motion is defined by motion of ________ (sacral level).

Answer 2

S1 (the top)

Question 3

If the sacral sulcus and inferior lateral angle on the same side are both depressed or protruding (relative to the other side) the diagnosis is a _______.

Answer 3

Torsion

Question 4

L5 and S1 always rotate in the ________ direction.

Answer 4

Opposite

Question 5

In the designation “L/R”, the L informs you of ________ and the R informs you of the ________.

Answer 5

Rotation of the sacrum, axis

Question 6

The axis is always ________ of the restricted side.

Answer 6

Opposite

Question 7

Anterior torsions have physiologic motion and therefore, the two diagnoses they can have are ________ or ________.

Answer 7

L/L, R/R

Question 8

Due to posterior torsions having non-physiologic motion, L5 will display ________ mechanics.

Answer 8

Type II

Question 9

Physiologic motion will demonstrate “spring” at the lumbosacral junction and therefore will have a ________ lumbosacral spring test.

Answer 9

Negative

Question 10

The sacrum naturally ________ in the sphinx position, and therefore will make anterior torsions more ________.

Answer 10

Flexes, symmetrical

Question 11

With unilateral or bilateral sacral extension or flexion, you _______ predict the motion of L5.

Answer 11

CANNOT

Question 12

You happen to walk in on a physician treating a patient for sacral somatic dysfunction. You see the patient lying on their right side with their chest on the table and the physician is pushing their ankles down. What is the diagnosis? What is the motion of L5?

Answer 12

R/R anterior torsion, N SR RL

Question 13

If a physician was treating a patient in the prone position, had the base of their hand evenly distributed over the bottom of the sacrum, and was resisting the motion produced upon the patient’s exhalation, what would they be treating?

Answer 13

Bilateral sacral flexion

Question 14

When treating an anterior torsion, the types of muscle energy used are ________ for the top leg and ________ for the bottom leg.

Answer 14

RI, PIR

Question 15

When treating unilateral or bilateral flexion or extension, the type of muscle energy you use is ________.

Answer 15

Respiratory assist

Question 16

The foramina for which the sacral plexus exits are ________ (between or in line with) segments (S1, S2, etc.) ?

Answer 16

Between

Question 17

Each transverse axis is related to a specific function. The superior is related to ________, the middle is related to ________, and the inferior is retaliated to ________.

Answer 17

Respiration, posture, iliosacral motion

Question 18

What are the two axes that a unilateral flexion or extension could pivot around?

Answer 18

Transverse or vertical

Question 19

What two axes are mainly involved in sacral dysfunctions?

Answer 19

Oblique and transverse