Week 9 Flashcards
List Primary ligaments of the SIJ
anterior sacroiliac ligament
posterior sacroiliac ligament
interosseous ligaments
list secondary ligaments of the SIJ
sacrotuberous ligament
sacrospinous ligament
long dorsal ligament
iliolumbar ligament
average total rotation of the SIJ
approx. 2 degrees
Average translation of SIJ
0.5mm-1.6mm
females have how much more movement in the SIJ than males do %
30-40%
Symptoms of SIJ
Dull ache in the buttock area referred to the -groin -posterior/anterior aspect of thigh -lower abdomen anteriorly -pubic symphysis/adductor tendon origin Rarely radiates past the knee (
Signs of SIJ pain
rarely any neurological findings
Tenderness over the sacral sulcus and in the posterior SIJ area
Pain reproduction on pain provocation tests
Positive findings on palpation testing
Name 6 provocation tests for the SIJ
Compression Distraction posterior shear (thigh thrust) Pelvic torsion (Gaenslen's test) Sacral thrust Cranial shear test
name 4 sacroiliac disorders
inflammatory
infections
degenerative
mechanical/traumatic
Name 4 types of inflammatory disease
ankylosing spondylitis
Psoriatic arthritis
Reiter’s disease
Crohn’s disease, ulcerative colitis
Name 3 infections
Tuberculous
Brucellosis
Staphylococcal
Name 3 degenerative changes
Occur in the articular cartilage
First involve iliac surface
Changes similar to peripheral joints
Name a mechanical lesion
Hypomobility lesions
- small but important cause of LBP
- may occur following childbirth
- may involve rotational stress activities
- golfing, tennis
Conservative Treatment of SIJ pain
Mobilisation Manipulation soft tissue therapy -stretching -myofascial release -muscle energy
Stabilisation
- strengthening
- support/bracing
Non conservative treatment
Sacroiliac injection
