Pelvic ME: Lecture Material Flashcards by Dominic Shuttleworth

Q

Treatment Sequence for ME of the Pelvis

What is this sequence? (7)

A

HIP-L-SIT

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Q

Area of Greatest Restriction (AGR)

What osteopathic model does this fit under?
Who developed this?

A

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Q

Movements of the Innominates

When do the physiologic movements of these become dysfunctional?
- What 2 rotational dysfunctions exist?
- What 2 flare dysfunctions exist?

A

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Q

Movements of the Innominates

What are non-physiologic movements induced by?
- What are the 2 anatomical pieces of evidence that would lead you to believe this?
What kind of innominate shears exist? (2)
What kind of pubic shears exist? (4)

A

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Q

Sacral Axis’s

What axis as 1?
- 2?
- 3?

A

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Q

Innominate Rotation

Which sacral axis do innominates rotate around?
- Where is this located, relative to teh SI joint?

A

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Q

Standing Flexion Tests

Where do the physician’s thumbs go? Fingers? Be specific.
What do you tell the patient to do?
What do you need to do as the patient leans forwards?
What is a positive test?

A

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Q

Standing Flexion Tests

What is a negative test?
What are the 4 reasons that someone can have a false (+) or false (-) test?

A

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Q

Standing Flexion Tests

As the patient moves into flexion forward, what does the sacrum do?
- When do the innominates begin to move forward?
Why do the sacrum and innominate move together when there is a dysfunction?
- How does this relate to the PSI?

A

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Q

Extensors of the hip and Flexors of the knee

What 3 muscles make up the Hamstrings?

A

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Q

Extensors of the hip and Flexors of the knee

For the muscle below, list off everything in the picture.
- Semitendinosus

A

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Q

Extensors of the hip and Flexors of the knee

For the muscle below, list off everything in the picture.
- Semimembranosus

A

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Q

Extensors of the hip and Flexors of the knee

For the muscle below, list off everything in the picture.
- Biceps Femoris

A

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Q

Muscles that Flex the Hip

What are the 9 flexors of the hip?

A

Iliopsoas: Iliacus
Iliopsoas: Psoas Major
Sartorius
Tensor Fascua Latae
Rectus Femoris
3 adductors
Pectineus

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Q

Flexors of the hip

For the muscle below, list off everything in the picture.
- Iliopsoas: Psoas Major

A

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Q

Flexors of the hip

For the muscle below, list off everything in the picture.
- Psoas Minor

A

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Q

Flexors of the hip

For the muscle below, list off everything in the picture.
- Iliacus

A

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Q

Flexors of the hip

For the muscle below, list off everything in the picture.
- Pectineus

A

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Q

Flexors of the hip

For the muscle below, list off everything in the picture.
- Sartorius

A

Q

Reseating the Pelvis

Why is this performed?
How does the procedure change if the patient has knee pain/dysfunction?

A

Q

Leg Length-Supine

What do you do before checking the position of the malleoli?

A

Q

ASIS Compression Test

At what angle do you want to compress the ASIS?
What does a positive test indicate?
When is this useful?
- What is important to note about this test?

A

Q

ASIS Levels

Where do you place your thumbs when checking these?
Where do you place your fingers?
What are the 2 things you check/note when looking at ASIS levels?

A

Q

Innominate Flares

When the patient is supine, what 2 anatomical landmarks do you visualize a line between?
What indicates an outflare?
What indicates an inflare?

A

Pubic Rami Levels * Where do you place your fingers? * Why do you move your fingers side to side and palpate? * What are you looking for when assessing this?

Pubic Symphysis * What do you always evaluate? * What does bulging symphyseal cartilage indicate? * What does a deep sulcus indicate?

* What is this? * What is an alternative to it? * How should this be done?

Done when before assessing in prone position

Leg Length - Prone * Where should the patient's feet be positioned? * Where do you place your thumbs? * What are you checking for?

Leg Length Discrepancies * Anatomic Short or Long Leg * How do you screen for this? * How many times do you screen for this? * Definite Dx * What 2 tests can be performed? * Which is the most accurate? * Why would it not be performed? * Tx * What are 2 methods to treat this, aside from OMT?

Leg Length Discrepancies * Functional Short or Long Leg * What two *assessments* need to be done? * What 5 things can be contributing factors for BOTH of these (Functional Long Leg Correlations are on another card?) * When is lift therapy used?

Leg Length Discrepancies * Functional Long Leg * What kind of innominate shear is this associated with? * What kind of innominate rotation is this associated with? * What is the "consensus" among physicians? * Where is the ASIS going to be, relative to the (+) standing flexion test?

PSIS Levels * Where do you place your thumbs? * What 2 things are you checking when assessing this?

Ischial Tuberosities * Methods of Assessment 1. What can you ask the patient to do so that you can assess these? 2. What can you do with our palms as an alternative? * Where do you place your thumb pads? * What are you looking for when assessing these? * Would differences in the Ischial Tuberosities be more indicative of innominate shears or rotations?

Abductors and Internal Rotators of the Thigh * For the muscle below, list off everything in the picture. * Gluteus Medius

Keep in mind that these all have the same innervation and main actions

Abductors and Internal Rotators of the Thigh * For the muscle below, list off everything in the picture. * Gluteus Minimus

Keep in mind that these all have the same innervation and main actions

Abductors and Internal Rotators of the Thigh * For the muscle below, list off everything in the picture. * Tensor fasciae latae

Keep in mind that these all have the same innervation and main actions

External Rotators of the Thigh * For the muscle below, list off everything in the picture. * Piriformis

External Rotators of the Thigh * For the muscle below, list off everything in the picture. * Obturator internus

External Rotators of the Thigh * For the muscle below, list off everything in the picture. * Superior Gemelli

External Rotators of the Thigh * For the muscle below, list off everything in the picture. * Obturator Externus

External Rotators of the Thigh * For the muscle below, list off everything in the picture. * Inferior Gemelli

External Rotators of the Thigh * For the muscle below, list off everything in the picture. * Quadratus femoris

Adductors of the Thigh * For the muscle below, list off everything in the picture. * Adductor Longus

Adductors of the Thigh * For the muscle below, list off everything in the picture. * Adductor Brevis

Adductors of the Thigh * For the muscle below, list off everything in the picture. * Adductor Magnus

Adductors of the Thigh * For the muscle below, list off everything in the picture. * Gracilis

Adductors of the Thigh * For the muscle below, list off everything in the picture. * Obturator Externus