03 SI 3 Flashcards Preview

7232 Ortho > 03 SI 3 > Flashcards

Flashcards in 03 SI 3 Deck (24):
1

What are the treatment methods for SI?

- SI joint manipulation
- MET

2

MET

muscle energy technique

3

What is the MET used for?

- to decrease rotation

4

How can you use MET to correct a left posteriorly rotated pelvis?

simultaneously work
- left hip flexors
- right hip extensors

5

Which method has more research to back it up: manipulation or MET?

manipulation

6

What is the rationale behind using MET?

Depending on where muscles attach on the pelvis, you can contract certain ones to pull on it in the desired direction

7

What are two MET techniques?

- shotgun technique
- innominate correction

8

What must you check before doing the shotgun technique?

check the pelvic landmarks for asymmetry

9

What do you have the patient do before and after doing the shotgun technique? Why?

- Weber Barstow maneuver
- reset the pelvis

10

What is the Weber Barstow maneuver?

- hooklying
- lift hips, come back down
- straighten legs

11

What is the shotgun technique?

series of resisted hip abduction followed by a resisted hip adduction

12

The shotgun technique itself will not likely give the patient complete relief. What must also be done?

innominate correction

13

How do you perform innominate correction? (position)

same as for Gaenslen's test

14

timing of innominate correction

must apply flexion and extension resistance simultaneously

15

If the patient has right sided pain (anteriorly rotated innominate), which muscle group would be more lengthened on the right?

hamstrings

16

If the patient has right sided pain (anteriorly rotated innominate), where should flexion and extension be focused?

- R: resisted hip extension (contract hamstrings)
- L: resisted hip flexion (contract hip flexors)

17

If the patient has right sided pain (posteriorly rotated innominate), where should flexion and extension be focused?

- R: resisted hip flexion (contract hip flexors on the right to pull forward)
- L: resisted hip extension

18

What might you need to do for the innominate correction for a larger patient?

have them bridge up on one side

19

What needs to be done after leveling the pelvis?

core and hip strengthening to maintain the level pelvis

20

If there's pain and a rotated pelvis, what do you do?

- level it
- have them exercise

21

If there's no pain but there is a rotated pelvis, what do you do?

- leave the pelvis alone
- have them exercise

22

SI belt

- idea is that it helps the patient stay neutral
- provides biofeedback mechanism

23

If they're going to use an SI belt, when should it be put on?

after they've done MET and before they stand

24

Do you have the patient do core stability exercise or reciprocal movements with or without the SI belt?

with