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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
Where does the therapist contact the pelvis when performing the SIM for a pelvic inflare
ASIS
26
Which muscle will the client contract during the SIM for an inferior subluxation of the pubic symphysis?
Adductors
27
which muscles may be weak creating a superior subluxation at the pubic symphsis
adductors
28
What is the clients effort during the SIM for a pelvic outflare?
Hip ABduction
29
ASIS is superior / Posterior. which dysfunction is indicated?
Posterior rotated innominate
30
which of the following will provide passive stretch to the iliacus?
Hip extension
31
Right ASIS is anterior/inferior. what are the possible MOI?
Tight RF/weak hamstrings
32
right positive is found in standing and seated flexion tests. what does this indicate?
Right SI joint dysfunction
33
when applying extrinsic techniques to the glute Med, which motions can be used to provide a passive stretch?
Hip lateral rotation and adduction
34
Left semimembranosous is tight. which of the following may present?
false positive right in standing flexion
35
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
Out flare
36
When performing the SIM for a posterior rotated Innominate, which muscle does the client contract
RF
37
Where does the therapist contact the pelvis when performing the SIM for a pelvic outflare?
PSIS
38
What indicates the strength of contraction used for a SIM
Mild to moderate
39
Which assessment indicated the side of rotation for sacral torsion dysfunction?
ILA assessment, Sacral sulcus assessment, apparent short leg assessment
40
a posative well let test indicates
lumbar disc path
41
which muscle is treated with the isometric intrinsic treatment related to a left on left sacral torsion
Left multifidus
42
Posterior sacral torsions involve which flexion or extension of the sacrum?
Extension
43
what motion is used for take up during the isometric intrinsic treatment for a right on right sacral torsion?
Right lumbar rotation
44
In a rt on rt sacral torsion, what is the primary MOI
Rt multifidus
45
the left Psoas may adaptively shorten if the client has what sacral torsion?
Lt on lt
46
what is the primary muscle of involement for a rt on lt sacral torsion
left piriformis
47
which of the following would indicate a tight piriformis
decreased passive medial hip rotation
48
a passive stretch for the right multifidus would require which position
right rotation, left side bending, flexion
49
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?
left lumbar rotation
50
in a left on left sacral torsion, which ILA should palpate as prominent or posterior?
Left
51
which assessment is used to identify the side of a SI joint dysfunction
seated flexion test
52
list the posterior sacral torsions
left on right right on left
53
list the anterior sacral torsions
right on right left on left
54
how do we determine the axis of involvement for a sacral torsion dysfunction?
seated flexion test
55
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?
Right on left sacral torsion
56
in a right on left sacral torsion, which sulcus should palpate as shallow
right
57
seated flexion test is a left positive. which sacral torsion may be present
right on right
58
to place the right multifidus muscle on a stretch, how would you position your client?
lateral recumbant right side up, hips and knees flexed to 90 degrees, lumbar rotated to the right.
59
you are treating the left piriformis as the primary MOI intrinsically. which sacral torsion did you assess the client has?
right on left
60
what is the suspected form of tightness in the psoas in relation to a sacral torsion dysfunction?
adaptive shortening
61
the right QL may be a MOI for which torsion dysfunctions?
Lt on Rt
62
your client presents with an anterior rotated innominate on the right and left on left sacral torsion. which SI joint is indicating dysfunctoin
right
63
slump test is positive when dorsiflexing the ankle. what does this indicate?
sciatic nerve issue
64
where does the therapist apply resistance during the contraction phase of the isometric intrinsic treatment for a right on left sacral torsion
lateral left knee
65
Anterior sacral torsions involve flexion or extension of the sacrum
flexion.
66
how many tranverse (x) axis are through the sacrum?
3
67
MOI anterior rotated innominate
Tight RF/weak hamstrings
68
MOI Posterior rotated innominate
Tight hams/weak RF
69
MOI Inflare
-Tight iliacus/weak glute med -Tight internal oblique/weak Glute min, TFL
70
MOI out flare
Tight glute med,min,tfl/Weak Iliacus, internal oblique
71
Inferior pubic subluxation MOI
tight adductors
72
Superior Pubis subluxation MOI
Weak adductors
73
The arthrokinematics of a posative trendelenberg
the acetabulum rolls and glides infer. lateral.
74
SIM out flare
supine, knee flexed across midline or crossed, pull on the inside of PSIS. Active lateral rotation
75
SIM inflare
Supine, faber, support far ASIS pressure on medial ASIS, active medial rotation
76
SIM Post rotated innominate
Prone, knee bent, hand on PSIS, pressure ant. Active hip flexion
77
SIM ant. rotation innnominate
lat. recombant flex to 90 degrees contract hams, hand on ASIS, posterior pressure, hand on ichial tuberosity, ant. pressure
78
Standing assessments
posture (static and dynamic) Active hip ROM standing flexion test trendelenburg
79
seated assessments
active lumbar ROMS seated flexion slump test
80
Supine assessments
check false + assess tight or weak adductors SLWL Palpate ASIS for rotation Palpate ASIS for Flares Check for short leg
81
Prone assessments
palpate sacral sulcus palpate ILA springy lumbar
82

practical (13 decks)

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