Sacral SD

Question 1

What lateralization test do you do for static testing?

Answer 1

Seated forward bending test

tests side of dysfunction, negative bilateral dysfunction

Question 2

Unilateral SeFBT means?

Torsion SeFBt test means?

Answer 2

positive on side of dysfunction

positive on the opposite of the side of the axis

Question 3

What should happen first in the SeFBT?

Where should you hands be to assess?

Answer 3

Feet both flat on the floor!

inferior aspect on the pt PSIS

Question 4

What are the active motion tests?

What do they examine?

Answer 4

backward bending test, respiratory motion

flexion and extension motion

Question 5

BBT or sphinx

Answer 5

pt prone
eye at level of of sacral sulci
pt in tv watching position
+ if asymmetry worsens w movement/ asymmetrical throughout

extended sacrum!
(- is flexed)

Question 6

What way should a bilateral sacral base move?

Answer 6

posteriorly during inhalation, and anteriorly during exhalation

Question 7

Steps of the lumbar spring test?

Answer 7

pt prone

heel of hand on the lumbosacral junction

pressured down through the table

+ is an extended sacrum and doesn’t move well into extension

Question 8

What are the passive motion test?

Answer 8

lumbar spring (flexion and extension)

oblique axis passive motion (dysfunction oblique axis)

Question 9

How would you examine the oblique axes of motion?

Answer 9

pt prone

monitor sacral sulcus with one hand and contralateral ILA with other

apply ant pressure alternatively on ILA and sulcus

checks for posterior motion at opposite sulcus/ILA

Question 10

What are the sacral axes?

Answer 10

superior transverse axis (s2 posteriorly)

middle transverse axis (s2 anteriorly)

inferior transverse axis (s3 posteriorly)

left and right oblique axis

vertical axis

Question 11

if the base is held anteriorly then what type of torsion is it?

Answer 11

flexed or forward torsion

Question 12

if the base is held posteriorly then what type of torsion is it?

Answer 12

extended or backward torsion

Question 13

What will you have if you have a L/L ST?

Answer 13

BBT - negative
-gets better, same letter

lumbar spring - negative (ease w spring)

SeFBT - + on R

deep sacral sulcus on R
posterior/caudal ILA on L

Question 14

What will you have if you have a R/R ST?

Answer 14

BBT - negative
-gets better, same letter

lumbar spring - negative (ease w spring)

SeFBT - + on L

deep sacral sulcus on L
posterior/caudal ILA on R

Question 15

What will you have if you have a L/R ST?

Answer 15

BBT - positive
-gets worse, stays the same

lumbar spring - positive (difficult w spring)

SeFBT - + on L

deep sacral sulcus on R
posterior/caudal ILA on L

Question 16

What will you have if you have a R/L ST?

Answer 16

BBT - positive
-gets worse, stays the same

lumbar spring - positive (difficult w spring)

SeFBT - + on R

deep sacral sulcus on L
posterior/caudal ILA on R

Question 17

if the base is held anteriorly then what type of unilateral is it?

Answer 17

flexed or forward uni

Question 18

if the base is held posteriorly then what type of unilateral is it?

Answer 18

extended or backward uni

Question 19

what side is the sacral sulcus and ILA if it is a unilateral dysfunction?

Answer 19

same side!

Question 20

What will you have if you have a RSF?

Answer 20

BBT - negative
-gets better, same letter

lumbar spring - negative (ease w spring)

SeFBT - + on R

deep sacral sulcus on R
posterior/caudal ILA on R

Question 21

What will you have if you have a LSF?

Answer 21

BBT - negative
-gets better, same letter

lumbar spring - negative (ease w spring)

SeFBT - + on L

deep sacral sulcus on L
posterior/caudal ILA on L

Question 22

What will you have if you have a LSE?

Answer 22

BBT - positive
-gets worse, stays the same

lumbar spring - positive (difficult w spring)

SeFBT - + on L

deep sacral sulcus on R
posterior/caudal ILA on R

Question 23

What will you have if you have a RSE?

Answer 23

BBT - positive
-gets worse, stays the same

lumbar spring - positive (difficult w spring)

SeFBT - + on R

deep sacral sulcus on L
posterior/caudal ILA on L

Question 24

What will you have if you have a Bilateral sacrum flexed?

extended?

Answer 24

Bilat deep sacral sulcus
bilat posterior ILA
neg SeFBT

Question 25

What will you have if you have a Bilateral sacrum extended?

Answer 25

Bilat shallow sacral sulcus
bilat anterior ILA
neg SeFBT

Question 26

compared to the sacrum, how is L5 rotated if compensated?

Answer 26

opposite direction for balance
SB towards the oblique axis of the torsion

if it isn’t then its uncompensated

Question 27

if the sacrum is flexed, then L5 is?

Answer 27

L5 neutral

type 1

Question 28

if the sacrum is extended, then L5 is?

Answer 28

L5 flexed of extended

type 2

Question 29

How does the sacrum move in respiration?

Answer 29

inhalation - base-posterior, apex-anterior
- abd cavity increase in AP diameter as diaphragm flattens

exhalation: base-anterior, apex-posterior
- abd cavity decrease in AP diameter as diaphragm domes

Question 30

What is sacral extension?
sacral flexion?

How do you tell with respiration?

Answer 30

extension - base tips posterior, apex moves anteriorly
oppo for flexion

movement inhalation restricted = BS flexion
exhalation restriction = BS extension

Question 31

What are the letters (R or L) for a forward torsion?

letters for an backward torsion?

Answer 31

forward are the same (flexed)
R/R or L/L

backward is backwards (extend)
R/L or L/R

Question 32

what can you do to gap the SI joint in flexed or extended? What does gapping the SI joint do?

Answer 32

flex - IR
extend - ER

it allows the base to move

Question 33

if the oblique rocking interpretation has better motion with left thumb on left ILA, and right thumb on right sacral sulcus,
then what are possible torsions it can be?

Answer 33

R/L ST

L/L ST

Question 34

if the oblique rocking interpretation has better motion with left thumb on left sacral sulcus, and right thumb on right ILA,
then what are possible torsions it can be?

Answer 34

R/R ST

L/R ST