SI Joint

Question 1

Nutation

Answer 1

anterior sacral tilt
posterior iliac tilt
clinically: anterior pelvic tilt

Question 2

Counternutation

Answer 2

Posterior sacral tilt
Anterior iliac tilt
Clincally: posterior pelvic tilt

Question 3

Diagnosis of Pain

Originating from SIJ

Answer 3

Positive SIJ compression test
Positive SIJ distraction test
Positive femoral shear test
Positive sacral provocation
Positive right Gaenslen’s test
Positive left Gaenslen’s test

Question 4

Lumbar Manipulation for Acute LBP

Answer 4

Pain does not travel below the knee
Onset ≤ 16 days ago
Lumbar hypomobility
Either hip has > 35° of internal rotation
FABQ - work subscale score < 19

Question 5

CPR for diagnosis SIJ pain

Answer 5

SIJ distraction
SIJ compression
Sacral thrust
Thigh thrust
Gaenslen’s test

Question 6

What movement is nutation associated with?

Answer 6

extended lumbar spine

Question 7

What movement is counternuation associated with?

Answer 7

flexed lumbar spine

Question 8

Questions for SI joint pain?

Answer 8

pain relieved by standing?
pain relieved by walking?
pain relieved by sitting?

Question 9

What is nutation synonymous with?

Answer 9

stability (heel strike), and increased lordosis

extended lumbar spine

Question 10

What is counternutation associated with?

Answer 10

Sitting and Laying down
flexion of lumbar spine
loss of lordosis or flat back

Question 11

What does counternutation load?

Answer 11

Loads long dorsal sacral ligament

Question 12

What does nutation load?

Answer 12

Loads interosseous and sacrotuberous

Question 13

Pelvic tilt with kyphosis-lordosis posture:

Answer 13

anterior pelvic tilt with lumbar extension

Question 14

Pelvic tilt with sway back posture:

Answer 14

posterior pelvic tilt with lumbar flexion

Question 15

Anterior innominate

Answer 15

a condition in which the movement of the hipbone is restricted in upward and rearward directions and unrestricted in downward and forward directions, because the anterior superior iliac spine (ASIS) is positioned in front of and below the contralateral point

Question 16

Location of ASIS in anterior innominate:

Answer 16

ASIS lower, PSIS Higher, Leg Length issues

Question 17

What muscle dysfunctions are associated with anterior innominate?

Answer 17

Associated with excessive iliacus activation or adductor muscle tension

Question 18

Location of ASIS in posterior innominate?

Answer 18

ASIS superior, iliac crest high, PSIS inferior, deep sacral sulcus
outflares of pelvis

Question 19

What muscle dysfunctions are common in posterior innominate?

Answer 19

tender sacrotuberous ligament
hypertonic hamstrings
weakness in adductors and hip IR

Question 20

Upslip:

Answer 20

said to be very common after excessive jumping, landing asymmetrically, or other traumatic incidence such as stepping in a hole
Short leg on the side of the upslip. Every part of the pelvis is higher on the affected side

Question 21

Downslip:

Answer 21

said to be rare in their occurrences. Traction injury to the leg as a possible cause
associated with outflares
Long leg on the side of the Downslip. Every part of the pelvis is lower on the affected side

Question 22

Superior Innominate Shear:

Answer 22

Higher PSIS, ASIS and pubic symphysis

Question 23

Inferior Innominate Shear:

Answer 23

Lower PSIS, ASIS and pubic symphysis

Question 24

INFLARE

Answer 24

ASIS is closer to the umbilicus than the non-lateralized side. I.E. With a right inflare, there is a shorter distance between the umbilicus and the right ASIS than the left ASIS.

Question 25

OUTFLARE

Answer 25

ASIS is further away from the umbilicus than the non-lateralized side. I.E with a right outflare there is a shorter distance between the umbilicus and the right ASIS than the left ASIS.