SIJ Dysfunction and Piriformis syndrome Flashcards

1
Q

function of SIJ

A

transmission of force from axial skeleton to lower limb and vice versa

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2
Q

ligaments around SIJ

A

anterior sacroiliac
Sacrotuberous
sacrospinous
interosseous sacroiliac
posterior sacroiliac

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3
Q

nerve innervating SIJ

A

ventral rami of L4 L5
superior gluteal nerve
dorsal rami of L5-S2

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4
Q

form closure

A

stability bought by bones interlocking

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5
Q

force closure

A

stability achieved by muscles or ligaments

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6
Q

movement of SIJ

A

nutation and counternutation

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7
Q

notation and its muscles

A

sacrum rotates forward relative to iliac bones
erector spinae
adductor magnus

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8
Q

counternutation and muscles involved

A

sacrum rotates backward in relation to iliac bones
pectineus
adductor longus and brevis
latissimus dorsi

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9
Q

what contributes to force closure of SIJ

A

slings

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10
Q

what are slings

A

connection of the muscles when activated together they can enhance the stability of your body

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11
Q

anterior sling

A

provide stability by acting like abdominal binder compressing pelvic girdle to the front and securing symphysis pubis
-it is important when walking for stability
-adductors works in harmony with internal obliques and opposes external obliques utilizing balance of force
the forward leg will contract

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12
Q

muscles associated with anterior sling

A

external and internal oblique
adductors

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13
Q

posterior sling and muscles

A

used during single support stance
stability during walking
latissimus dorsi
thoracolumbar fascia
gluteus maximus

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14
Q

lateral sling and muscles

A

important for lateral stability while walking
contralateral quadratus lumborum
gluteus Medius
TFL and ITB
adductors
gluteus minimus

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15
Q

longitudinal sling and muscles

A

mostly used when standing for stability as well as build and release kinetic energy to help move more efficiently
erector spinae
thoracolumbar
biceps femoris

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16
Q

biomechanical effect of SIJ

A

hyperpronated foot
excessive medial femoral rotation
increase in sacral base angle
sacroiliac joint stress

17
Q

piriformis syndrome

A

a sciatic neuropathy condition caused by compression of sciatic nerve by compression of piriformis muscle

18
Q

referral points for piriformis syndrome

A

buttock
inguinal
posterior thigh
down the lower limb

19
Q

symptoms of piriformis syndrome

A

worsen when sitting
sexual dysfunction
pain on lower back, groin etc.

20
Q

differential diagnosis for piriformis syndrome

A

HNP
Nerve entrapment
episacroiliac lipoma
facet syndrome with LBC and sciatica
bilateral spinal stenosis

21
Q

lumbar radiculopathy

A

classic discogenic signs and symptoms
L4-L5 HNP= weakness on tibialis anterior
L5S1 HNP =weak gastro and diminished reflexes