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practical > SI/Pelvis > Flashcards

SI/Pelvis Flashcards

1
Q

the axis of involvment in sacral torsion is the_______of SI joint dysfunction

A

opposite of SI joint dysfunction

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2
Q

Apparent short leg side is the_______ of sacrum rotation

A

same side of sacrum rotation

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3
Q

Springy lumbar tests

A

Ridgid = less or no lumbar extension = sacrum extended or posterior torsioned sacrum

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4
Q

MOI
1. RT multif
2. Lt. piriformis
3. RT psoas LT QL

A

RT on RT sacral torsion
Flexion/ant.

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5
Q

MOI
1. LT multif
2. RT. piriformis
3. LT psoas RT QL

A

LT on LT sacral torsion
Flexion/ant.

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6
Q

MOI
1. Lt Piriformis
2. Rt. Multif
3. Rt. Psoas Lt. QL

A

Rt on Lt sacral torsion
Extension/Post.

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7
Q

MOI
1. Rt. Pirifomis
2. Lt. Multif
3. Lt. psoas Rt QL

A

Lt on Rt. sacral torsion
Extended/Post.

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8
Q

palpate sacral sulcus for

A

rotation

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9
Q

palpate ILA for

A

Rotation

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10
Q

the axis of sacral rotation is the ______ of seated flexion +

A

Opposite

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11
Q

patricks test is a

A

Compression of the SI joint test

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12
Q

when applying muscle stripping to the adductors, what position should the patient be in

A

supine with faber position at the hip

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13
Q

Client has a superior subluxation of the pubic symphysis, which muscle is used during the SIM

A

Adductors

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14
Q

What is the MOI for Pelvic out flare

A

tight glute med and weak iliacus

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15
Q

the client presents with pelvic our flare. which exercise would address the hypertonic cause

A

PNF stretch to hip medial rotators

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16
Q

standing and seated flexion tests assesses for motion at which joint

A

the hip

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17
Q

how many reps of a SIM should the therapist perform before re-assessing

A

3-5

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18
Q

Left ASIS is further from midline. which dysfunction does this indicate

A

pelvic outflare on the left

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19
Q

seated flexion is positive right. right hip abduction is restricted in active and resisted tests. which dysfunction is indicated

A

right inflare

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20
Q

what is the patient effort during the SIM for a pelvis inflare

A

hip medial rotation

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21
Q

The ex rehab for hypertonic cause of a pelvic outflare is

A

PNF stretch for the abductors

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22
Q

When perfroming the SIM for an Anterior rotated innominate. where does the therapist contact the pelvis?

A

ASIS and Ischial Tuberosity

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23
Q

Standing Flexion is right positive, seated flexion is left positive. which muscles may be tight, creating a false positive in this situation?

A

Left hamstrings

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24
Q

where does the therapist contact the pelvis when performing the SIM for a posterior rotated Innominate?

A

PSIS/ Innominate crest

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25
Q

Where does the therapist contact the pelvis when performing the SIM for a pelvic inflare

A

ASIS

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26
Q

Which muscle will the client contract during the SIM for an inferior subluxation of the pubic symphysis?

A

Adductors

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27
Q

which muscles may be weak creating a superior subluxation at the pubic symphsis

A

adductors

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28
Q

What is the clients effort during the SIM for a pelvic outflare?

A

Hip ABduction

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29
Q

ASIS is superior / Posterior. which dysfunction is indicated?

A

Posterior rotated innominate

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30
Q

which of the following will provide passive stretch to the iliacus?

A

Hip extension

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31
Q

Right ASIS is anterior/inferior. what are the possible MOI?

A

Tight RF/weak hamstrings

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32
Q

right positive is found in standing and seated flexion tests. what does this indicate?

A

Right SI joint dysfunction

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33
Q

when applying extrinsic techniques to the glute Med, which motions can be used to provide a passive stretch?

A

Hip lateral rotation and adduction

34
Q

Left semimembranosous is tight. which of the following may present?

A

false positive right in standing flexion

35
Q

the client is supine, hip and knee are flexed to 90 degrees and the distal femur is adducted across midline. which dysfunction is being addressed with this SIM

A

Out flare

36
Q

When performing the SIM for a posterior rotated Innominate, which muscle does the client contract

A

RF

37
Q

Where does the therapist contact the pelvis when performing the SIM for a pelvic outflare?

A

PSIS

38
Q

What indicates the strength of contraction used for a SIM

A

Mild to moderate

39
Q

Which assessment indicated the side of rotation for sacral torsion dysfunction?

A

ILA assessment, Sacral sulcus assessment, apparent short leg assessment

40
Q

a posative well let test indicates

A

lumbar disc path

41
Q

which muscle is treated with the isometric intrinsic treatment related to a left on left sacral torsion

A

Left multifidus

42
Q

Posterior sacral torsions involve which flexion or extension of the sacrum?

A

Extension

43
Q

what motion is used for take up during the isometric intrinsic treatment for a right on right sacral torsion?

A

Right lumbar rotation

44
Q

In a rt on rt sacral torsion, what is the primary MOI

A

Rt multifidus

45
Q

the left Psoas may adaptively shorten if the client has what sacral torsion?

A

Lt on lt

46
Q

what is the primary muscle of involement for a rt on lt sacral torsion

A

left piriformis

47
Q

which of the following would indicate a tight piriformis

A

decreased passive medial hip rotation

48
Q

a passive stretch for the right multifidus would require which position

A

right rotation, left side bending, flexion

49
Q

you are applying the isometric intrinsic treatment for a left on right sacral torsion. what is the take-up motion used following the clients contraction effort?

A

left lumbar rotation

50
Q

in a left on left sacral torsion, which ILA should palpate as prominent or posterior?

A

Left

51
Q

which assessment is used to identify the side of a SI joint dysfunction

A

seated flexion test

52
Q

list the posterior sacral torsions

A

left on right
right on left

53
Q

list the anterior sacral torsions

A

right on right
left on left

54
Q

how do we determine the axis of involvement for a sacral torsion dysfunction?

A

seated flexion test

55
Q

client is positive for seated flexion on the right. sacral sulcus is shallow on the right. ILA is prominent on the right. lumbar is rigid. apparent short let is on the left what is the dysfunction?

A

Right on left sacral torsion

56
Q

in a right on left sacral torsion, which sulcus should palpate as shallow

A

right

57
Q

seated flexion test is a left positive. which sacral torsion may be present

A

right on right

58
Q

to place the right multifidus muscle on a stretch, how would you position your client?

A

lateral recumbant right side up, hips and knees flexed to 90 degrees, lumbar rotated to the right.

59
Q

you are treating the left piriformis as the primary MOI intrinsically. which sacral torsion did you assess the client has?

A

right on left

60
Q

what is the suspected form of tightness in the psoas in relation to a sacral torsion dysfunction?

A

adaptive shortening

61
Q

the right QL may be a MOI for which torsion dysfunctions?

A

Lt on Rt

62
Q

your client presents with an anterior rotated innominate on the right and left on left sacral torsion. which SI joint is indicating dysfunctoin

A

right

63
Q

slump test is positive when dorsiflexing the ankle. what does this indicate?

A

sciatic nerve issue

64
Q

where does the therapist apply resistance during the contraction phase of the isometric intrinsic treatment for a right on left sacral torsion

A

lateral left knee

65
Q

Anterior sacral torsions involve flexion or extension of the sacrum

A

flexion.

66
Q

how many tranverse (x) axis are through the sacrum?

A

3

67
Q

MOI
anterior rotated innominate

A

Tight RF/weak hamstrings

68
Q

MOI
Posterior rotated innominate

A

Tight hams/weak RF

69
Q

MOI
Inflare

A

-Tight iliacus/weak glute med
-Tight internal oblique/weak Glute min, TFL

70
Q

MOI out flare

A

Tight glute med,min,tfl/Weak Iliacus, internal oblique

71
Q

Inferior pubic subluxation MOI

A

tight adductors

72
Q

Superior Pubis subluxation
MOI

A

Weak adductors

73
Q

The arthrokinematics of a posative trendelenberg

A

the acetabulum rolls and glides infer. lateral.

74
Q

SIM out flare

A

supine, knee flexed across midline or crossed, pull on the inside of PSIS. Active lateral rotation

75
Q

SIM inflare

A

Supine, faber, support far ASIS pressure on medial ASIS, active medial rotation

76
Q

SIM Post rotated innominate

A

Prone, knee bent, hand on PSIS, pressure ant. Active hip flexion

77
Q

SIM ant. rotation innnominate

A

lat. recombant
flex to 90 degrees
contract hams, hand on ASIS, posterior pressure, hand on ichial tuberosity, ant. pressure

78
Q

Standing assessments

A

posture (static and dynamic)
Active hip ROM
standing flexion test
trendelenburg

79
Q

seated assessments

A

active lumbar ROMS
seated flexion
slump test

80
Q

Supine assessments

A

check false +
assess tight or weak adductors
SLWL
Palpate ASIS for rotation
Palpate ASIS for Flares
Check for short leg

81
Q

Prone assessments

A

palpate sacral sulcus
palpate ILA
springy lumbar

82
Q
A

practical (13 decks)

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