Pelvis

Question 1

Drop table adjusting comes from which two different schools of thought?

Answer 1

• Neurological stimulation
• Motion restoration

Question 2

What is the history of drop table adjusting relevant to 1952?

Answer 2

BJ Palmer used drop headpiece for HIO technique

Question 3

What is the history of drop table adjusting relevant to 1957?

Answer 3

Clay Thompson used drop pieces for C, T, L, and pelvis

Question 4

How is the drop table used for neurological stimulation?

Answer 4

Light tension, multiple drops (3-4), sometimes done with a recoil thrust, focusing on proprioceptive stimulation

Question 5

How is the drop table used for motion restoration?

Answer 5

Heavier tension, typically one thrust without recoil

Question 6

What are five reasons a leg length appears different in a patient?

Answer 6

• Dysfunction/subluxation in the spine/pelvis
• Neurological feedback to motor control
• Muscular dysfunction/changes in muscle tone
• Alteration of the innominate affects acetabulum position
• Position of acetabulum gives appearance of discrepancy

Question 7

Pron short leg may indicate ___ on that side

Answer 7

PI ilium

Question 8

Prone long leg may indicate ___ on that side

Answer 8

AS ilium

Question 9

With AS ilium, what is the possible leg length finding when patient is prone?

Answer 9

Long leg

Question 10

With PI ilium, what is the possible leg length finding when patient is prone?

Answer 10

Short leg

Question 11

With AS ilium, what restriction may be found?

Answer 11

SI flexion restriction

Question 12

With PI ilium, what restriction may be found?

Answer 12

SI extension restriction

Question 13

What is the reference point for static listings such as EX or IN?

Answer 13

PSIS

Question 14

External rotation of the SI joint occurs with ___ movement of ___

Answer 14

medial to lateral movement of the PSIS

Question 15

Internal rotation of the SI joint occurs with ___ movement of ___

Answer 15

lateral to medial movement of the PSIS

Question 16

External rotation of the SI joint creates gapping of…

Answer 16

posterior aspect of SI joint

Question 17

Internal rotation of the SI joint creates gapping of…

Answer 17

anterior aspect of the SI joint

Question 18

With external rotation restriction of the SI joint, what malposition may be found?

Answer 18

IN ilium

Question 19

With internal rotation restriction of the SI joint, what malposition may be found?

Answer 19

EX ilum

Question 20

How might IN ilium present in the feet?

Answer 20

Increased foot flare (toe out) with pronation on IN side

Question 21

How might EX ilium present in the feet?

Answer 21

Toe in with supination on EX side

Question 22

With IN ilium, where might PSIS be found?

Answer 22

Closer to the midline compared to other PSIS

Question 23

With EX ilium, where might PSIS be found?

Answer 23

Misaligned laterally compared to other PSIS

Question 24

During seated motion palpation for internal and external rotation of the SI, what is the doctor’s contact?
What directions are given to the patient?

Answer 24

Doctor palpates for PSIS
Patient slowly separates knees, PSIS should move internally for internal rotation
Patient slowly brings knees together, PSIS should move laterally for external rotation

Question 25

What happens to the lumbosacral facet joints during gait?

Answer 25

Unilaterally flex and extend alternating side to side

Question 26

For the lumbosacral facet joints to move during gait, what must occur to the sacrum?

Answer 26

Sacrum moves around 2 oblique axes

Question 27

What is the reference point for static listing of the sacrum?

Answer 27

Sacral promontory (anterior base)

Question 28

The side of heel strike during gait is the side of...

Answer 28

loading

Question 29

Which way will the sacrum move during heel strike?

Answer 29

Sacrum laterally flexes to side of heel strike

Question 30

How is the sacrum affected by longer strides during gait?

Answer 30

Greater asymmetry is created

Question 31

With increased asymmetry of gait, what is required of the sacrum?

Answer 31

Greater movement of the sacrum on the oblique axis

Question 32

What happens to the ilium in response to sacrum's movement during gait?

Answer 32

Reciprocal movement on the side of loading

Question 33

The oblique axes of the sacrum are named for...

Answer 33

side of S1 they would be passing through

Question 34

Rotation restriction around the right oblique axis can also be listed as...

Answer 34

* Left L/S extension restriction * PS sacral base on the left * Left L/S flexion malposition

Question 35

How can you induce rotation around the right oblique axis?

Answer 35

Hypothenar contact to sacral base on the left P to A preload and thrust

Question 36

Counter rotation restriction around the right oblique axis can also be listed as...

Answer 36

* Left L/S flexion restriction * AI sacral base on the left * Left L/S extension malposition

Question 37

How can you induce counter rotation around the right oblique axis?

Answer 37

Thenar contact to sacral apex on the right PALMSI with radial torque preload and thrust

Question 38

Where would you contact to adjust bilateral LS extension restriction/sacral nutation?

Answer 38

Sacral base

Question 39

Where would you contact to adjust LS flexion restriction/sacral counternutation?

Answer 39

Sacral apex

Question 40

To induce rotation around an oblique axis, where would you contact?

Answer 40

Sacral base opposite of axis

Question 41

To induce counter rotation around an oblique axis, where would you contact?

Answer 41

Sacral apex same side as axis