Sacrum Lecture Flashcards

1
Q

Sacrotuberous ligament will be tight on which side in a somatic dysfunction?

A

Ipsilateral to the posterior ILA

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2
Q

Standing flexion test indicates what kind of problem

A

Iliosacral

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3
Q

Seated flexion test indicates what kind of problem

A

Sacroiliac

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4
Q

Requirements for a full sacral dx:

A
Standing flexion test/ASIS compression
Seated flexion test
Sulci depth
ILA orientation
Spring/sphinx test
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5
Q

In a sacral torsion, L5 rotates in what direction relative to the sacrum?

A

Opposite

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6
Q

In a sacral rotation, L5 rotates in what direction relative to the sacrum?

A

Same

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7
Q

Describe what is indicated by a 0/5 through 5/5 on muscle strength testing.

A

0/5: absent; no contraction detected.
1/5: trace; slight contraction detected.
2/5: weak; movement with gravity eliminated.
3/5: fair; movement against gravity.
4/5: good; movement against gravity with some resistance.
5/5: normal; movement against gravity with full resistance.

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8
Q

Describe what is indicated by a 0/4-4/4 on DTR testing.

A

0/4: absent; lower motor neuron (LMN) injury.
1/4: diminished; normal/LMN.
2/4: normal; normal.
3/4: brisk with unsustained clonus; normal/UMN.
4/4: brisk, sustained clonus; UMN.

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9
Q

L1 innervates:

A

iliopsoas

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10
Q

L2 innervates:

A

iliopsoas, adductors, quads

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11
Q

L3 innervates:

A

adductors, quads

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12
Q

L4 innervates:

A

anterior tibialis, patellar reflex

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13
Q

L5 innervates:

A

EHL, quads

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14
Q

S1 innervates:

A

peroneus longus/brevis, gastrocnemius, achilles reflex

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15
Q

On straight leg raise, pain from 35-70 degrees indicates:

A

sciatic pain

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16
Q

On straight leg raise, pain above 70 degrees indicates:

A

Hip/joint problem

17
Q

Describe lumbarization of S1.

A

1st sacral segment NOT fused with remainder of sacrum

18
Q

Describe sacralization of L5

A

Fusion of L5 to 1st sacral segment; occurs in 3.5% of population
-more common than lumbarization!

19
Q

The nerve root exits above or below the corresponding spinal level?

A

Below, except in C1-C7