2- QL, Psoas, Piriformis Flashcards Preview

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Flashcards in 2- QL, Psoas, Piriformis Deck (25)
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1
Q

origin/insertion, function, and dysfunction of the quadratus lumborum

A

 iliac crest and iliolumbar ligament–> 12th rib, iliac crest, and transverse process L1-4
assist respirtation, bilateral extension, unilateral sidebending
hip and groin pain, exhalation 12th rib dysfunction

2
Q

origin/insertion, function, and dysfunction of the psoas

A

 Psoas origin L1-4 (L5)–> lesser trochanter on the medial side of the femur
flexes trunk and lumbar, laterally flex lumbar unilaterally and shortens/externally rotates the leg
ipsilateral L1 L2 dysfunction and special cases

3
Q

Left psoas spams engages the ____ oblique axis, in neutral creates_____ and in non-neutral creates______

A

Left, right pole moves forward, left on left; right pole moves backwards, right on left

4
Q

Left psoas, left oblique axis, non-neutral, sacrum rotates_____, right pole moves_____, deep sulcus on the ______, ILA on the _____, meaning it is a _____ dysfunction, NNR_S_

A

Right, backwards, Left, Right, Right on Left

5
Q

pelvic shift occurs to the _____ causing ____ spasm and pain that radiates_____

A

opposite side, piriformis, no further then the knee

6
Q

Somone with a leg that is externally rotate and shorter is indicative of _____ syndrome and can be caused by a tight _____

A

piriformis, psoas

7
Q

QL is treated by

A

pulling on ASIS as they push it towards the table

8
Q

what can cause a tight psoas

A

bending for a long time then returning to neutral

9
Q

when a person is bent over the ____ fibers tightens, then when the pt returns to neutral the body thinks the psoas is over stretched before the ____ fibers have reached their usual resting length

A

Intrafusal, extrafusal

10
Q

What test do you use to diagnose a tight psoas

A

Thomas Test

11
Q

ME for psoas

A

Prone and resit them pushing leg into table

12
Q

treatment of chronic shortening of psoas

A

push affected knee into table and opposite leg to chest

13
Q

how to treat a weak psoas, what does it cause in the lumbar

A

increases lordosis and protruding abdomen, have them push their pelvis into the table

14
Q

origin/insertion, function, and dysfunction of the piriformis

A

 Anterolateral border of the sacrum at the sacroiliac joint capsule; Anterior portion of the sacrotuberous ligament–> Superomedial aspect of the greater trochanter of the femur
- External rotator
piriformis syndrome, hip pocket neuritis

15
Q

Piriformis syndrome can cause perineural inflammation due to

A

the release of vasoactive substances from an inflamed piriformis

16
Q

In what % do pt’s have a piriformis with 2 tendinous origins or separate components of the sciatic nerve with it passing through the piriformis

A

10%

17
Q

origin/insertion, function, and dysfunction of the hamstring

A

 Ischial Tuberosity Lateral condyle tibia, lateral aspect of fibula
 Hip Extension
 Knee Flexion
 Tight= posterior innominate dysfunction

18
Q

how to treat a tight hamstring

A

leg on should and have them push down

19
Q

origin/insertion, function, and dysfunction of the quadriceps

A

 Rectus femoris/ASIS tibial tuberosity via patellar ligament
 Extends leg at knee
 Rectus femoris cross so hip flexor as well
 Positive Thomas Test

20
Q

innervation of the QL

A

T12-L3

21
Q

what goes over the pubuc ramus and under the inguinal ligament

A

psoas

22
Q

a tight psoas does what to the lumbar curvature

A

flattens it

23
Q

If a chronic psoas is left untreated the pt can get

A

fibrosis of muscle

24
Q

what is the key between a psoas syndrome and disc problem

A

the stature of the pt, bent over and side bent

25
Q

Low back pain is not common in ____

A

piriformis syndrome