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S6- MSK 2 > Week 2- SI Joint Examination > Flashcards

Week 2- SI Joint Examination Flashcards

1
Q

PART 1: INTRO

A

PART 1: INTRO

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2
Q

The Dx of SIJ Dysfunction has been described as one of _____________.

A

exclusion

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3
Q

PART 2: CHART REVIEW/ PATIENT INTERVIEW

A

PART 2: CHART REVIEW/ PATIENT INTERVIEW

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4
Q

SIJ specific questions.

A
  • Hx connective tissue disease/inflammatory arthropathy/infection/metabolic disease/ steroid use
  • Pregnancy
  • Trauma
  • Recent stress fracture in area
  • Hx lumbar fusion
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5
Q

What are some SIJ common functional limitations?

A
  • Stair ambulation
  • Turning in bed
  • Sliding over in bed
  • Ambulation (worse with greater stride lengths)
  • Transitions (sit/stand, supine/sitting, car transfers)
  • Activities that require prolonged sitting/standing
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6
Q

Outcome measures used for SIJD? (4)

A
  • PSFS
  • Oswestry Disability Index (ODI)
  • Roland Morris Questionnaire
  • FABQ
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7
Q

PART 3: VISUAL INSPECTION

A

PART 3: VISUAL INSPECTION

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8
Q

Carried out as described with _______.

A

-L-spine

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9
Q

Why do we use this section with caution when assessing for SIJD?

A

Many procedures with landmark assessment have poor clinical utility.

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10
Q

How may a patient with SIJD present upon observing gait?

A
  • Diminished step length

- Hip extension during terminal stance

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11
Q

PART 4: SYSTEMS REVIEW

A

PART 4: SYSTEMS REVIEW

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12
Q

1

A

1

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13
Q

PART 5: ELIMINATION TESTS

A

PART 5: ELIMINATION TESTS

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14
Q

What Pathologies can we use Elimination Special Tests on? (4)

A
  • PPPP
  • Pelvic Ring Fracture
  • Bursitis, Abscess, Tumor in Buttock Region
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15
Q

What elimination tests are used to rule out PPPP?

A

-Active SLR Test

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16
Q
  • How is the Active SLR test performed?

- What is a positive test?

A
  • Assess resting symptoms, instruct patient to actively raise LE 6 inches. If painful, return to neutral and stabilize pelvis. Instruct patient to raise LE again.
  • Positive test is if stabilization relieves symptoms.
17
Q

What elimination tests are used to rule out Pelvic Ring Fracture?

A

-Hip Flexion Test

18
Q

-How is the Hip Flexion Test performed?

A
  • Examiner instructs patient to perform active SLR.

- Positive test is concordant pain or inability to raise leg.

19
Q

What elimination tests are used to rule out Bursitis, Abscess, or Tumor in Buttock Region?

A

-Sign of the Buttock

20
Q
  • How is the Sign of the Buttock performed?

- What is a positive test?

A
  • Examiner provides passive SLR to point of pain or restriction. Examiner then passively flexes knee, then flexes the hip further.
  • Positive test is hip motion restriction or same pain continues with last step.
21
Q

PART 6: STRUCTURAL STRESS TESTING

A

PART 6: STRUCTURAL STRESS TESTING

22
Q

What (3) things do we look at with structural stress testing?

A
  • AROM
  • PROM
  • Resistance Testing
23
Q

PART 7: PALPATION AND JOINT MOBILITY TESTS

A

PART 7: PALPATION AND JOINT MOBILITY TESTS

24
Q

What bone and joint structures can we palpate when assessing?

A

-L5
-S2 (in line with PSIS)
-Sacral Base
-Inferior lateral angle of sacrum
-Iliac crest
-PSIS
-ASIS
_Symphysis Pubis
-Ischial Tuberosity

25
Q

What soft tissue structures can we palpate when assessing?

A
  • Erector spinae
  • Dorsal SI Ligament
  • Sacrotuberous ligament
  • Glut max/med
  • Area between ASIS and Pubic symphysis
26
Q

What joint mobility testing may be performed at the sacrum?

A
  • Ilium Anterior Rotation

- Ilium Posterior Rotation

27
Q

PART 8: CONFIRMATION TESTS

A

PART 8: CONFIRMATION TESTS

28
Q

What are the (7) main tests used to rule in SIJ Pain Origin?

A
  • Thigh Thrust/ 4P Test
  • Distraction Test
  • Compression Test
  • Gaenslen’s Test (Thomas Test)
  • Sacral Thrust Test
  • FABER Test
  • Resisted Hip Abduction

TDCGSPR**

29
Q

What is Laslett’s Cluster?

A
  • Thigh Thrust
  • Distraction
  • Compression
  • Gaenslen’s
  • Sacral Thrust

(3/5)

30
Q

What is Van der Wurff’s Cluster?

A
  • Thigh Thrust
  • Distraction
  • Compression
  • Gaenslen’s
  • Patrick/FABER

(3/5)

S6- MSK 2 (21 decks)

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