spinal analysis and pt eval

Question 1

___: decrease stance time and increase swing time on painful leg

Answer 1

antalgic gait

Question 2

___: lateral trunk lean towards side of weakness

what M is weak?

Answer 2

trendelenburg gait

glut med weakness

• the COG is over the weak side during stance phase

Question 3

____: swing leg is longer than stance leg

Answer 3

leg length discrepancy

Question 4

What is normal base stance __-__cm

Answer 4

5-10 cm

causes for deformity:
* abducted hip and valgus knee

instability:
* cerebellar ataxia, proprioception deficits

Question 5

DF weakness will be seen during stance phase and swing phase as : ___ & __

Answer 5

stance: foot slap
swing: toe drag

causes:
* weak tibialis anterior
* spastic PF

Question 6

derefield pelvic leg check:

* short side indicates:___

Answer 6

extension restriction of the ipsi SI jt

Question 7

derified (+)= ___

Answer 7

short leg gets longer (or evens out)

indicates: extension restriction

Question 8

derifield (-)= ____

Answer 8

short leg stays shorter or stays the same (increasing the inequality)

indication= dysfunction on the same of the long leg

• flexion restriction of the SI or
• dysfunctional L4-L5 or L5-S1

Question 9

Piedau’s sign: (+) and indication

Answer 9

if PSIS goes higher on 1 side:
* then that side is hypomobile –> SI fixation

(+) for a GENERAL SI jt restriction

Question 10

Gillete’s test:

approx of the fingers when the ipsi leg is flexed tests:___ restriction

Answer 10

flexion restriction

fingers should approximate

Question 11

PIEX listing

Answer 11

Posterior, inferior, external rotation of the PSIS = extension restriction

(during Gillete’s ipsi side–> fingers approx. because the ilium/ PSIS is moving posterior and inferior to S2 tubercle)

Question 12

ASIN listing

Answer 12

Anterior, superior, internal rotation of the PSIS = flexion restriction

Question 13

___ listings reference MOVEMENT restrictions of the joints, not bone position

Answer 13

dynamic listings

reference the superior vertebral body

Question 14

contact for an ipsi listing (ex: PRS/ PLS)?

Answer 14

SP

PRS: SP is post, right and superior

Question 15

contact for a contra listing (ex: PRI/ PLI)

Answer 15

contact: AP, TP, or Mamillary

PRI: posterior, right, inferior

Question 16

for a prone adjustment, which side should you stand on?

Answer 16

side of lateral flexion restriction

Question 17

(6) things that you will find when palpating an extension restrictions of the SI

Answer 17

1. PI PSIS
2. low glut fold
3. Superior ASIS
4. AI sacral base (nutation)
5. ontra deviated sacral apex
6. Ipsi functional leg length deficiency (short leg on ext. side)

Question 18

Is the sacral base in nutation or counter nutation during a SI extension restriction

Answer 18

Nutation

Question 19

(5) things that you will find when palpating a flexion restriction of the SI

Answer 19

1. AS PSIS
2. High glut fold
3. inferior ASIS
4. PS sacral base (counter nutation)
5. Ipsi sacral apex

Question 20

Resisted vs. assisted adjusting? contacts?

Answer 20

resisted: contacting the lower set of the motor unit
* everything above the contact rotates away from the opposite side

assisted: contacting the superior segment of the motor unit
* everything aboe the contact rotates the same way as the thrust