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SMT > SMT-1 Manual, pgs 79-84 > Flashcards

SMT-1 Manual, pgs 79-84 Flashcards

1
Q

331: why have the prone knee flexion, supine to sit and sitting PSIS tests become the norm?

A

they are continually propogated

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2
Q

332: What inclusion criteria did Vander Wuff eval 2006 use for subjects with CLBP?

A

pain below L5 over posterior SIJ, with or without leg pain, and chronic pain >50 days

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3
Q

333: how many of 140 patients in Vander Wuff’s 2006 study met inclusion criteria

A

60

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4
Q

334: what were the methods in Vander Wuffs 2006 study

A

2 diagnostic SIJ blocks (injections) on separate occasion

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5
Q

335: In Vander Wuffs 2006 study what was considered a POSITIVE response

A

A decrease in pain within 30 minutes > 50% for at least 1 hr

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6
Q

336: In Vander Wuffs 2006 study what was considered a NEGATIVE response

A

any other outcomes

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7
Q

337: In Vander Wuffs 2006 study what was the % of POSITIVE RESPONDERS

A

45% (27/60)

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8
Q

338: In Vander Wuffs 2006 study what was the % of NEGATIVE RESPONDERS

A

55% (33/60)

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9
Q

339: In Vander Wuffs 2006 study in both groups where was pain referred

A 
buttock
posterior thigh
lateral and medial side of lower leg
ventral side of the medal and lateral leg
to the foot or ankle
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10
Q

340: In Vander Wuffs 2006 study what dermatomes was pain referred

A

L4-S3 Dorsally

L1-S1 Ventrally

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11
Q

341: In Vander Wuffs 2006 study where was pain referral different

A

“fortin Area” + group 100% 1cm medial and inferior to PSIS

“tuber area” - group 100% inferolateral to ischial tuberosity

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12
Q

342: Why would leg pain occur with SIJ

A

Ventrally supplied by L3-S2
Dorsally supplied by S1-S4
Fortin area supplied by S1-S3

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13
Q

343: how does Fortins area help with SIJ diagnosis

A

used as another diagnostic criteria for SIJ

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14
Q

344: What did Mens et al 1999 discover related to ASLR?

A

20/21 non pregano post partum pelvic girdle pain patients had a POSITIVE ASLR

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15
Q

345: In Mens et al 1999 what did patients wear to improve the ASLR

A

pelvic belt p=0.000

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16
Q

346: In Mens et al 1999 what was observed when standing on one leg

A

significant difference between both sides with respect to radiographically visualized step between the pubic bones p=0.01

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17
Q

347: In Mens et al 1999 what position caused a larger step

A

standing in asymptomatic side with symptomatic leg hanging 5 min

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18
Q

348: In Mens et al 1999 what caused such a caudal displacement

A

excessive anterior rotation of innominate on symptomatic SIJ side during ASLR

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19
Q

349: In Mens et al 1999 who else supports this evidence

A

Berizin 1954: 5.9 mm shift PPPP vs 1.9 asymptomatic

O’Sullivan et al 2002 altered motor control strategies with ASLR and SIJ

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20
Q

350: What did Mens et al 2000 find in regards to stabilization exercises and PPPP

A

64% improvement but no different between experimental and control

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21
Q

351: what methods were used in Mens et al 2000

A

1: diagonal trunk exercises (IO, EO anterior diagonal muscles system,
lat, , Gmax posterior diagnosis trunk muscle system
though to generate force to SIJ or tension the thoracolumbar fascia would = force closure
2. longitudinal trunk muscles system exercises
placebo really light exercises
3. instruction on how to gradually increase ADL’s and do no exercise

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22
Q

352: in Mens et al 2000 which group had to quit secondary to pain

A

the force closure group (prone hip ext)

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23
Q

353: What does Mens et al 2000 study conclude

A

No evidence that exercise of the trunk diagonal system is beneficial for PPPP

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24
Q

354: what did Vleeming et al 1995,1996 report regarding LE muscle tension and SIJ?

A

tension of the Gmax and HS increase tension of ligaments and Decrease SIJ mobility

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25
Q

355: according to Stuge et al 2004 what were the results for PPPP

A

85% of specific stabilizing exercise group vs 47% control
0 or minimal evening pain reported 68% there ex group vs 23%
77% vs 45% morning pain

26
Q

356: In Stuge et al 2004 what did both group receive

A

mob/manip as needed

27
Q

357: what did Nilsson-Wikman et al 1998 compare

A

effects of there ex given by PT with home training strength and stretching vs No ex program

28
Q

358: what were results of Nilsson-Wikman et al 1998

A

No difference between groups (therex vs non therex)

29
Q

359: what did Dumas et al 1995 investigate

A

the value of exercises classes in the prevention of PPPP treatment

30
Q

360: where were the results of Dumas et al 1995

A

Zero effect of therex on prevention of tx of PPPP or even during pregnancy

31
Q

301: What is the most sensitive PT test for SIJ?

A

Thigh thrust test

32
Q

302: What is the most specific PT test for SIJ?

A

ASIS distraction

33
Q

303: Laslett et al ‘03 found what percent sensitivity for SIJ?

A

91% sn

34
Q

304: Laslett et al ‘03 found what percent specificity for SIJ?

A

87% sp

35
Q

305: Laslett et al ‘05 found what percent sensitivity for SIJ?

A

94% sn

36
Q

306: Laslett et al ‘05 found what percent specificity for SIJ?

A

78% sp

37
Q

307: Laslett et al ‘05 found what positive likelihood ratio?

A

4.29

38
Q

308: How many tests are necessary to help validate SIJD?

A

3 or more

39
Q

309: What test adds little accuracy when using a combo of tests to diagnose SIJD?

A

Gaenslen’s

40
Q

310: Who else found reliability with pain provocation tests for SIJD?

A

Vander Wurff ‘06

41
Q

311: What sensitivity did Van Der Wurff find?

A

85% sens

42
Q

312: What specificity did Van Der Wurff find?

A

79% spec

43
Q

313: What positive likelihood ratio did Van Der Wurff find?

A

4.02

44
Q

314: What other test did Van Der Wurff include from Laslett’s cluster?

A

Patrick’s/Faber’s and only counted Gaenslen’s once.

45
Q

315: Who else used the same PPTs as Van Der Wurff?

A

Kokmeyer et al 2012

46
Q

316: What 5 tests were used?

A
  1. Patrick’s/Faber’s 2. Femoral Shear. 3. ASIS distraction. 4. ASIS compression. 5. Gaenslen’s
47
Q

317: Which test had a kappa value of .67 and was almost as good as the multi test regimen.

A

Thigh Thrust

48
Q

318: Have static symmetry and motion tests been validated?

A

No

49
Q

319: What tests did Freburger and Riddle ‘01 find to have low sensitivity, specificity, and inter-rater reliability?

A
  1. Standing/sitting. 2. Gillet’s 3. Supine to sit. 4. Prone knee check test. 5. Sacral Spring and motion tests.
50
Q

320: What is the amount of motion in the SIJ?

A

2mm and 2 degrees

51
Q

321: Who stated that the SIJ is too deep to palpate?

A

McGrath ‘06

52
Q

322: How deep does the SIJ lie from the skin?

A

5-7 cm

53
Q

323: What 7 layers cover the SIJ?

A
  1. Skin 2. subq adipose 3.Lumbosacral fascia and erector spinae aponeurosis. 4. Multifidus 5. Ligamentous layer. 6. White adipose layer. 7. SI interosseous ligaments.
54
Q

324: What did Robinson et al ‘07 find in regards to SIJ palpation tests?

A

Found ‘joint play’ palpation tests to have poor inter examiner reliability.

55
Q

325: Specifically which test was Robinson ‘07 referring to regarding SIJ palpation tests?

A

Ilium on sacrum

56
Q

326: What else did Robinson et al ‘07 find in regards to PPTS?

A

3/5 SIJ PPTS had moderate to good inter examiner reliability

57
Q

327: Who else found poor inter examiner reliability in static palpation tests for SIJD?

A

Holmgren and Waling ‘07

58
Q

328: Which static palpation tests had poor inter examiner reliability in particular?

A

Sacral sulcus, transverse process of L5, ILA

59
Q

329: Which test had fair inter examiner reliability for SIJD?

A

Medial malleolus for leg length.

60
Q

330: Who examined reliability for standing, prone knee, sitting, and supine to sit PSIS tests?

A

Riddle and Freburger ‘02

SMT (11 decks)

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