MSK_Spine_SI Jt

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The flashcards below were created by user Tanuisha on FreezingBlue Flashcards.


  1. SIJ - QL ligament - function
    Stabilizes SI jt
  2. Rectus abdominus
    • From xiphoid to pubic symphysis
    • Flexes trunk & posteriorly tilts pelvis
  3. External oblique - action
    • ///
    • U/L - IPSI Lateral flexion/ CONTRA rotation of trunk /IPSI hip rotation
  4. Internal oblique - action
    • ///
    • IPSI trunk rotation
    • CONTRA hip rotation
  5. Pubic symphysis dysfunction - Tx
    Shotgun technique
  6. Nutation - define; occurs w/what pelvic tilt?
    • Sacral flexion
    • Happens w/posterior pelvic tilt
  7. Upslip of innominate - definition
    Vertical shear of entire innominate - ASIS & iliac crest are UP in comparison to opposite side
  8. Upslip of innominate - L dysfunction - 5
    • L crest up
    • L ASIS up
    • L leg shorter in supine
    • L leg shorter in long sitting
    • (+) Standing flexion test on L
  9. Anterior Innominate Rotation - define
    U/L - PSIS is up & anterior/ ASIS is down when compared to opposite side
  10. Anterior Innominate Rotation - L dysfunction - 6
    • L crest up
    • L ASIS down
    • L leg longer in supine
    • L leg shorter in long sitting
    • (+) standing flexion test on L
    • (+) long sitting test on L
  11. Posterior Innominate Rotation - define
    U/L - PSIS is down & posterior/ ASIS is up when compared to opposite side
  12. Posterior Innominate Rotation - L dysfunction - 6
    • L crest down
    • L ASIS up
    • L leg shorter in supine
    • L leg longer in long sitting
    • (+) standing flexion test on L
    • (+) long sitting on L
  13. Forward/backward sacral torsion - define
    • Sacral sulcus deep (in prone)
    • Sacral inferior lateral angle (ILA) posterior & down (opposite side)
  14. Forward/backward sacral torsion - Ex
    • Sacral sulcus deep on R
    • Sacral ILA posterior & down on L
  15. Test for Anterior/Posterior Innominate Rotation - 2
    • Standing flexion test
    • Long sitting test
  16. Test for Forward/Backward sacral torsion - 1
    Sitting/flexion test
  17. Anterior torsion of innominate - activities that precipitate dysfunction - 4
    • Squatting/lilting/lowering
    • Pregnancy
    • Hip at 90° w/axial loading
    • Golfing/batting/tennis
  18. Posterior torsion of innominate - activities that precipitate dysfunction - 4
    • Vertical thrust onto extended LE
    • Sprint starting position
    • Fall onto ischial tuberosity
    • U/L standing
  19. Sacral dysfunction - activities that precipitate dysfunction - 5
    • Long-term postural abnormalities
    • Fall onto sacrum/coccyx
    • Carrying a load during ambulation
    • Trauma during childbirth
    • Loss of balance during ambulation
    • Sitting combined w/rotation & lilting
  20. Muscle Energy Technique (MET) - As pt does isometric contraction, following physiologic changes occur - 2
    • Duration of isometric contraction
    • Golgi tendon organ activation --> inhibition of agonist muscles
    • Reflexive reciprocal inhibition -->t antagonistic muscles
    • Duration - 3–5 s
  21. Anterior Innominate Rotation 
    • Tight mms - 2
    • Weak mms - 2
    • Tight mms = Rectus femoris; Illiacus
    • Weak mms = Hamstrings; Glute maxjQuery1101019419496764927158_1482943118948?
  22. Anterior Innominate Rotation - Stretching
    jQuery110108226209777922857_1485191832315???
  23. Anterior Innominate Rotation - Muscle Energy Technique (MET)
    • What mm is used?
    • Hamstrings
  24. Posterior Innominate Rotation 
    • Tight mms - 2
    • Weak mms - 2
    • Tight mms = Hamstrings; Glute max???
    • Weak mms = Rectus femoris; Illiacus
  25. Posterior Innominate Rotation -  Muscle Energy Technique (MET)
    • What mm is used?
    • Rectus femoris
  26. Posterior Innominate Rotation - Stretching
    ????
  27. Image Upload Image UploadWhat innominate rotation is being treated by MET? How?
    MET for correcting L innominate ‘posterior’ rotation using rectus femoris: blocking attempted extension of flexed L knee
  28. Image UploadWhat innominate rotation is being treated by MET? How?
    MET for correction of R innominate ‘anterior’ rotation: using gluteus maximus/Hamstrings by blocking attempted R hip extension
  29. Image UploadWhat test is pictured? What is tested?
    • Distraction test @ SI
    • Pt supine, PT applies cross-arm P to both ASIS
  30. Image UploadWhat test is pictured? What is tested?
    • Thigh thrust
    • SI dyfunction
    • Pt supine w/hip flexed 90
    • PT applies posteriorly directed force through femur
  31. Image UploadWhat test is pictured? What is tested?
    • Gaenslen’s test
    • Pt supine near edge of table w/1 leg hanging over edge/Other leg flexed toward chest
    • PT applies P to both hanging leg & flexed leg
  32. Image UploadWhat test is pictured? What is tested?
    • Compression test @ SI
    • Pt side-lying, w/affected side up
    • Hips @ 45 flexion/Knees @ 90 flexion
    • PT applies vertically downward force to ASIS
  33. Sacral thrust - describe
    • Pt prone
    • PT applies force vertically downward to center of sacrum
  34. Name test; Describe; (+)
    • Image Upload
    • Goldthwait's Test
    • Differentiates bet lumbar vs. SIJ
    • Pt supine; PT fingers bet lumbar SP; Passive SLR
    • (+) for SIJ = pain present prior to opening of lumbar segments (1-30 deg)
    • (+) for lumbar - pain present bet 30-60 deg

Card Set Information

Author:
Tanuisha
ID:
325453
Filename:
MSK_Spine_SI Jt
Updated:
2017-01-23 17:20:36
Tags:
MSK Spine SI Jt
Folders:
MSK
Description:
MSK_Spine_SI Jt
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