Sacral Treatment Flashcards
Diagnostic test to determine side of laterality?
Seated flexion test
**this will tell you side for unilateral dysfunctions, but will tell you opposite of the axis for torsions
Normal tests for evaluating sacral dysfunctions?
Start with seated flexions Respiratory motion Static symmetry Lumbar spring (+ confirm with sphinx) 4 pt passive Sidebending passive
What type of sacral dysfunctions will have a positive lumbar spring test?
Backward torsions, unilateral extensions, bilateral extensions
Name dysfunction Positive seated flexion on R Deep sacral sulcus on R Negative lumbar spring Restricted to sidebending to L
Right unilateral sacral flexion dysfunction
Name dysfunction
Negative seated flexion
Decreased lumbar lordosis
Restricted to exhalation
Bilateral sacral extension dysfnx
Name dysfunction
Positive seated flexion on L
Sacral sulcus deep on R
Restricted to R rotation around the R axis
L on R backward sacral torsion
Which direction does the sacral base move during inhalation
Posterior
To treat a unilateral sacral extension with ME, how do you place the patient?
Prone
Abduct/adduct dysfxnl hip to loosen up SI joint, then internally rotate hip
When treating a unilateral sacral extension with ME, which part of the respiratory cycle to you resist?
Likes to live in inhalation, so resist inhalation
What position is the pt in when you treat a forward torsion with ME?
Modified SIMS with axis side down
What are the two types of backward sacral torsions?
R on L
R on R
What position is pt when you treat a backward torsion with ME?
Lateral recumbent with axis side down
Where do you apply your force for a bilateral sacral flexion dysfunction when treating with ME?
Contact the ILAs
When performing HVLA on a backward sacral torsion, which side of the pt do you stand on and where is your thrust?
Supine
Stand on axis side and thrust on the innominate
