Pelvic/ sacrum Flashcards
(27 cards)
what is the area for LBP
pain between the 12th rib and gluteal fold
what is the area for PGP
pain between the PSIS and the gluteal fold, particularly in SIJ area. pain may radiate to posterior thigh and pubic symphysis regions
motion at the SIJ occurs at a ___ Level
Minute level
symptoms that may warrant RTMD
-pain varies with menstrual cycle
-pain unvaried with menstrual cycle
-pain during urge to void
-bleeding after intercourse
postmenopausal bleeding
-postmenopausal pain onset
prior abdominal surgery/infection
how does the sacrum move in the ilia?
initially sacrum nutates (flexes) then counternutates (extends) within the ilia
synchronously there is a backward translation of pelvis and hips in horizontal plane
in forced forward bending movement shifts more to ____
superior transverse axis.
base moves posteriorly and superiorly and the apex more anteriorly
Tests for Sacroiliac Dysfunction
standing or unilateral standing gillet test sitting forward bend test standing forward bend test long sit test lunge test
test for SI pain associated with pregnancy-related
ASLR
PSLR
Laslet suggests the use of 2 of 4 positive tests to outline SIJ pain
Thigh thrust
distraction
compression
sacral thrust test
pelvic stress fracture are more common in _____
female runners
test for pelvic ring fracture
posterior pelvic palpation
hip flexion test
pubic compression test
active hip ROM
Axial spondyloarthritis
Define:
Inflammation of the spine that frequently involves the SIJ
Presents: Am buttock pain, spine stiffness, fatigue, less than 40 yo
Pregnancy related PGP target muscles
ES, multifidus, Tra, gluteus max, biceps femoris
when bending forward the PSIS____
PSIS go superior, go up
What are common motion that cause anterior rotation
- golf or baseball swing
- horizontal thrust of knee (dash board injury)
- any forceful movement on a diagonal (ventral PNF) pattern
What are common motion that cause posterior rotation
- repeated unilateral standing
- a fall on to an ischial tuberosity
- a vertical thrust on an extended leg
- lifting in a forward bent position with the knees locked
- intercourse position in females (hyperflexion and abduction of the hips)
Laslet clinical prediction rule 2/4 positve test to outline SIJ pain, list them
- thigh thrust
- distraction
- compression
- sacral thrust tests
What are blue flags
subjective perceptions of work
what are black flags
objective conditions of work
appropriate tests to assess effectiveness of R or L iliac rotation dysfunction correction
standing/ seated forward bend test
long sit test
standing/seated ASIS/PSIS symmetry
gillet test
what muscle improves SIJ stability
Traverse Abd
what is the best test for SIJ motor control dysfunction
load transfer test (stork test)
cook’s cluster #5 to rule out pregnancy related PGP
active SLR
lunge
thigh thrust
PGP antepartum population risk factors
prior pregnancy orthopedic dysfunction higher BMI smoking work dissatisfaction lack of belief in improvement in the prognosis PGP
