Sacrum Lab OSCE

Question 1

If in extension, pt will resist what breathing?

Answer 1

Will resist exhalation, which moves sacrum into flexion

Extension=Inhale

Question 2

Bilateral Sacral Flexion

Answer 2

Internally rotate and abduct legs

Press on apex to extend sacrum

exaggerate inhale, resist exhale

Question 3

Bilateral Sacrum Extended

Answer 3

TV WATCHING

Abduct and Externally rotate legs

Apply pressure at sacral base to flex sacrum

Resist inhale, exaggerate exhale

Question 4

External rotation gaps the SI joint where?

Answer 4

Anteriorly

Internal gaps posterior

Question 5

Is there any difference between unilateral sacral and Bilateral sacrum tx?

Answer 5

Not really, just on affected side instead of middle

USF=AB/IR, at ILA resist exhale, exaggerate inhale

USE=AB/ER, at sacral base resist inhale, exaggerate exhale
—TV WATCHING

Question 6

Forward Torsion

Answer 6

PT is flexed which means more anterior, have their anterior side (chest) face table-mod sims w axis down

Flex and drop BOTH legs off onto docs knees, pt force is up

Question 7

Backward Torsion

Answer 7

Pt is extended, likes to be behind, have their back face table in lat recum (axis side down)

Pull pt arm toward you, flex knees and hip, and drop TOP leg off
-pt force is up with only one leg