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OS CPA #2 Sacrum and Innominate > Sacrum > Flashcards

Sacrum Flashcards

1
Q

What do we do for the evaluation of the sacrum?

A
  • seated flexion
  • pelvic compression
  • lumbar spring/sphinx
  • static symmetry
  • side bending
  • 4 pt passive
  • resp motion
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2
Q

If we have a bilateral flexed sacrum, what will the diagnostic findings be?

A
  • seated flexion: -
  • Pelvic compression: -
  • Lumbar spring: -
  • Static sym: deep sulci bilat, post ILAs bilat
  • Sidebending: no restriction
  • 4 pt passive: no restriction
  • Resp: restricted to inhalation
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3
Q

ME for Bilateral flexed sacrum

A
  • prone

- push ant/sup at ILA with inhale, resist exhale

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4
Q

HVLA for bilateral flexed sacrum?

A

-ME + thrus at the end of inhale

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5
Q

findings for Bilateral extension

A
  • no seated flexion, or pelvic compression
  • lumbar spring: +
  • static sym: shallow sulci bilat, ant ILAs Bilat
  • no side bending or 4 pt passive
  • resp: restriction to exhale
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6
Q

ME for bilateral extension

A

-prone + sphinx
-push ant/inf at base with exhale
resist inhale

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7
Q

HVLA for bilateral extension

A

-ME + thrust at the end of exhale

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8
Q

findings for unilateral flexed

A
  • seated flexion: + on DF side
  • pelvic compression: + no DF side
  • lumbar spring: -
  • static sym: deep DF sulci, DF ILA inf
  • Sidebending: SB toward DF
  • 4 pt passive: no restriction
  • resp motion: asymetrical
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9
Q

ME for unilateral flexed

A
  • prone
  • AB/IR leg on df side
  • push ant/sup at ILA with inhale
  • resist exhale
  • no HVLA for the unilaterals
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10
Q

findings for unilateral extended

A
  • seated flexion and pelvic compression + on DF side
  • lumbar spring test: +
  • static sym: shallow DF sulci, opp ILA inf
  • SB away DF
  • no 4 pt passive
  • resp: asymmetry
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11
Q

ME for unilateral ext

A
  • Prone + sphinx
  • AB/IR leg on DF side
  • push ant/inf at SULCI with exhale, resist inhale
  • No HVLA for this
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12
Q

For both forward and backward torsions, where is the seated flexion and pelvic compression test positive?

A
  • Seated flexion: + on opposite side of axis

- Pelvic compression: + on same side of axis

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13
Q

lumbar spring test for forward torsion?

A

-negative

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14
Q

lumbar spring test for backward torsion?

A

-positive

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15
Q

static symmetry for forward torsion?

A
  • Deep sulci opp axis

- post ILA opp axis (weird)

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16
Q

static symmetry for backward torsion?

A
  • shallow sucli opp axis

- ant ILA opp Axis

17
Q

are there sidebending restrictions for torsions?

A

-nah

18
Q

4 pt passive for forward torsion

A

-restricted to backward rotation around axis

19
Q

4 pt passive for backward torsion

A

-restricted to forward rotation around axis

20
Q

resp motion for both torsions?

A

-asymmetrical

21
Q

ME for forward torsion?

A
  • LR, axis side down
  • rotate upper body face down
  • flex hips/knees to restriction
  • straighten bottom leg
  • push ANKLES to floor
  • pt push ANKLES to ceiling
  • there’s no HVLA for this one
22
Q

ME for backward torsion

A
  • LR axis down
  • rotate upper body face up
  • flex hips/knees to restriction
  • straighten bottom leg
  • push top KNEE to floor
  • pt pushes to ceiling
  • * increase flexion each round**
23
Q

HVLA for backward torsion

A
  • Supine
  • doc on axis side
  • SB body away
  • OB roll with thrust at non axis hip

OS CPA #2 Sacrum and Innominate (2 decks)

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