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OS Exam II > sacrum. 2 > Flashcards

sacrum. 2 Flashcards

1
Q

sacral testing 4 static tests

A
  1. sacral sulcus
  2. L5 rotation
  3. Infeior lateral angle
  4. 4 digit exam
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2
Q

how to palpate sacral sulcus

A
  1. palpate PSIS w thumbbs
  2. Move fingers medially. and inferiorly
  3. check. for symettry
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3
Q

palpate inferior lateral. angle

A
  1. Palpate with the heel of the hand in midline down sacrum until it drops anteriorly
  2. Place one thumb near the thenar eminence to feel the inferior lateral angle of the sacrum 3. Place the other thumb roughly symmetrical to the first
  3. Adjust slightly to find the inferior lateral angle
  4. Compare each side for posterior/anterior and cephalad/caudal (inferior/superior)
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4
Q

4 digit. eval

A
  1. Place first fingers in sacral sulci
  2. Thumbs in ILA
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5
Q

3 stypes of static testing

A
  1. Laterization
  2. Active motion
  3. Passive motion
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6
Q

laterilization

A

seated forward bending test

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7
Q

active motion

A

backward bending test

resiratory motion. test

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8
Q

passive motion test

A
  1. lumbosacral sping test
  2. Oblique axis passive motion
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9
Q

Laterization test

+

-

A

+ -> side of dynsunction

–> bilateral dysfunction

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10
Q

results of a laterilzation. test for torsion

A

+ test

will be side that i s the opposite. side of axis

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11
Q

SeFBT we put. thumbs where?

A

inferior aspect o f. PSIS

and watch thumb to see which one moves more cephalad

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12
Q

BBT Sphinx

looks at

technique

A

F/E.

  1. Dom eye at level of sacral sulci
  2. put thumbs in sacral sulci and note symmetry.
  3. tell pt to bend back

+-> sacral sulcus is assymetrical or. gets worse -> extended

  • test-> flexed sacrume
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13
Q

tecnique for resp motion test

A
  1. place cephalad hand over with thenar/ hypothenar eminance at the sacral base and fingertips at apex
  2. Plat other hand on top in opposite diretion
  3. exaggerate inhalation a nd exhaleion
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14
Q

bilateral sacral base should move _______ during inhalation and _____ during exhalation

A

Inhalation-> posteiror

Exhalation-> anterior

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15
Q

oblique axis motion test

A

look at oblique axis of motion

prone with doc. on shi

  1. monitoring finger at sacral sulcus
  2. heel of opp hand at contralateral. ILA
  3. Apply. anterior pressure with heel of hand at. ILA while moting for posterior motion at the opp sulcus
  4. Repeat on opp sulcus a nd ILA
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16
Q

Suoeprior transverse axis is located. at

A

S2 posterirly

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17
Q

middle transverse axis os located. at

wjat is it

A

S2 anteriorly

postural motion and if dysfunction on this axis -> bilateral. findings

18
Q

Inferior. transverse axis (S_) is rresponsible for

A

Inferior transverse axis (S3) -

innominate rotation

19
Q

Dysfybction of vertical axis will have

A
  1. deep sacral sulcus on the same side as posteiorr/caudal ILA
20
Q

how to. name torsions

A
  1. name for the rotation. of the. sacrum
  2. Name the axis involved

L rotation on. a right oblique axis sacral torsision: L/R ST

21
Q

Forward torsion are _____

A

Flexed

L/L ST

R/R ST

22
Q

Backward torsions are _______.

A

Extended

L/R. ST

R/L ST

23
Q

Tests for L/L ST

Lumbar spring. ___

BBT _____

SeFBT _____

A
  • BBT bc gets better
  • lumbar spring. bcease of spring

SeFBT: + on Right

sacral sulcus -> deep on R

ILA-> posterior/cadual ILA on L

24
Q

Tests for R/R ST

Lumbar spring. ___

BBT _____

SeFBT _____

A
  • LS
  • BBT

SeFBT + on L

L sacral sulcus is deep

R ILA is posterior/ caudal

25
Q

Tests for L/R ST

Lumbar spring. ___

BBT _____

SeFBT _____

A

+ LS bc extended (diff of spring)

+BBT bc extended (gets worse or stays the same)

SeFBT: + on L

L sacral sulcus - posteiror/caudal

R ILA- deep

26
Q

in unilateral, is base if held anterior

if held posteior

A

Flexed or forward

extended or backward

27
Q

with unilaterals the deep sacral sulcus and posteiror/caudal ILA are on ____ sides

A

same

28
Q

Tests for right sacrum flexed

Lumbar spring. ___

BBT _____

SeFBT _____

A

LS: -

BBT: -

SeFBT: + on R

29
Q

Tests for L sacrum extended

Lumbar spring. ___

BBT _____

SeFBT _____

A

Lumbar spring.+

BBT: +

SeFBT: + on L

30
Q

is. the unilateral always the same as the dysfunction

A

no

31
Q

bilateral problems occur along what. axis?

A

middle transverse

32
Q

unilateral problems occur along what. axis?

A

vertical

33
Q

torsions have ROM along what axes

A

oblique

34
Q

rotation of L5 compared to sacrum

A

L5 should be rotated. OPPOSITE. compared to. sacrum to be balanced-> compensated

If not, L5 is uncompensated and should be treated before sacral dysfunction

35
Q

L5 sidebends toward what?

A

OBLIQUE AXIS OF TORSION

36
Q

L5 RR

sacrum RR

A

uncompensated

treate1st

37
Q

LL ST

RR ST

Flexed or. extended

A

flexed

38
Q

If sacrume is flexed, it means that. L5. is _______

If sacrum is extended, it. means that. L5. is _____

A

If sacrume is flexed, it means that. L5. is NEUTRAL

If sacrum is extended, it. means that. L5. is NON-NEUTRAL (FLEXED/EXTENDED)

39
Q

What. torsiosns look alike

A

L/L ST

L/R ST

R/R ST

R/L ST

40
Q

What. unilateral feel alike

A

LSF

RSE

or (RSF/LSE)

41
Q
A

OS Exam II (7 decks)

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