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Flashcards in SIJ MET Deck (14):
1

If an ASIS is positioned medial to the midline, what is the diagnosis?

- Iliosacral inflare

2

If an ASIS is found lateral to the midline, what is the diagnosis?

- Iliosacral outflare

3

Which side of the pelvis is treated in an outflare/inflare?

- The hypomobile

4

Describe the treatment of a iliosacral outflare.

- Pt supine
- Flex hip and knee with foot on table
- Move knee medially (combined IR and ADD) to movement barrier
- Resist ABD and ER by the patient producing a lateral force
- If the outflare is stubborn, hook fingers medial to the PSIS and posterior ilia and distract the joint laterally between contractions
- Repeat 3 - 5 times

5

Describe the treatment of an iliosacral inflare.

- Pt supine hook lying
- Move knee laterally (combined ER and ABD) to movement barrier
- Resist combined ADD and IR by the patient pushing medially
- Repeat 3 - 5 times

6

What landmarks are assessed for an iliosacral upslip/ downslip?

- ASIS
- PSIS
- Pubic tubercles
- Ischial tuberosities

7

How are the bony landmarks of the pelvis oriented in an iliosacral upslip?

- Cephalad on hypomobile side

8

How are the bony landmarks of the pelvis oriented in an iliosacral downslip?

- Caudal on the hypomobile side

9

Describe MET for an ilial upslip.

- Pt positioned supine or prone
- Grip the paitent at the level of malleoli
- Find loose packed position of the hip and provide traction force through the hip and knee while monitoring the patient's reaction
- Take up the slack caudally, then provide an HVLA thrust

10

What is the open packed position of the hip?

- 30 degrees flexion
- 30 degrees abduction
- Slight ER

11

Describe MET for a downslip of the ilia.

- Pt sidelying on uninvolved side
- PT positioned behind patient
- PT grips ischial tuberosity and pubic ramus with thumb and webspace of the caudal hand
- Other hand grips under iliac crest using webspace of hand
- Distract ilia laterally towards the ceiling
- Maintain a lateral distraction and move the ilia cephalad

12

How is anterior/ posterior ilial rotation assessed?

- Compare ASIS caudad with PSIS cephalad (anterior rotation)
VS
- ASIS cephalad with PSIS caudad (posterior rotation)

13

Describe MET for anterior rotation of the injominate.

- Pt supine
- Flex hip and knee to barrier
- IR hip to barrier
- ADD hip to barrier
- Resist hip extension
- Hold 6 - 10 seconds
- Repeat 3 - 5 times

14

Describe MET for posterior rotation of the innominate

- Pt supine with hypomobile side at the edge of the bed
- Extend hip off the edge of the bed to the barrier
- ER hip to barrier
- ABD hip to barrier
- Resisted hip flexion
- Hold 6 - 10 seconds
- Repeat 3 - 5 times