Somatic Dysfunctions

Question 1

what nomenclature would you use to diagnose an SC joint that prefers an anterior glide

Answer 1

Extension SD

Question 2

Describe Adduction SD of the SC joint.

Answer 2

SC joint prefers superior glide assoc. w/ shoulder depression

Question 3

What are your mnemonics for the coupled SDs of the SC joint?

Answer 3

Super Ant Extreme Addition

Question 4

Describe Abduction SD of the SC Joint.

Answer 4

inferior glide assoc. w/ shoulder elevation

Question 5

what nomenclature would you use to diagnose an SC joint that prefers a posterior glide?

Answer 5

Flexion SD

Question 6

what is the prefered position of the clavicle for an AC joint w/ an acromion a step UP?

Answer 6

depressed clavicle
or
clavicle inferior to the acromion

Question 7

what are the coupled motions for a Step Up SD of the AC joint?

Answer 7

Mnemonic: SIB
superior glide
Internal rotation
Abduction

Question 8

what are the coupled motions for a Step Down SD of the AC joint?

Answer 8

mnemonic: DIE
Adduction
Inferior glide
External rotation

Question 9

Anterior glide of the carpal bones is assoc. w/ what SD of the wrist?

Answer 9

extension SD

Question 10

T or F: lateral glide of the carpal bones is assoc. with Abduction of the wrist.

Answer 10

False
lateral glide of the carpal bones is assoc. with adduction of the wrist

Question 11

T or F: Innominate Inflares are almost always assoc. with a posterior innominate

Answer 11

false
inflares are usually assoc. with an anterior innominate

Question 12

What are your mnemonics for the minor glides of the TF and FF joints?

Answer 12

TF: AM
FF: PM

Question 13

what minor glide of the TF joint is assoc. with internal rotation of the knee

Answer 13

posterolateral glide

Question 14

Posteromedial glide of the FF joint describes what SD of the FF joint?

Answer 14

Posterior Fibula

Question 15

What is your mnemonic for coupled motions of the TF joint?

Answer 15

Amber Ex

Question 16

what are your mnemonics for the coupled motions of the FF joint?

Answer 16

Anterior fibula: denver-DF & Ever.
posterior fibula: supplant- PF & Supination

Question 17

Describe the glide of the talus with PF and DF respectively.

Answer 17

during PF, the talus glides anteriorly as the foot is being pushed down
during DF, the talus glides posteriorly as the foot is being pushed up

Question 18

What is your mnemonic for the coupled motions of tibia and talus at the TC joint?

Answer 18

Amber In

Question 19

internal rotation of the tibia is assoc. w/ what minor glide of the talus at the TC joint?

Answer 19

AM glide of the talus

Question 20

what nomenclature do you use to describe a tarsal bone that is more superficial in the plantar fascia?

Answer 20

plantar glide of the tarsal

Question 21

what are the rules for the seated flexion test?

Answer 21

torsion: + on side of axis
unilateral: + on SD side

Question 22

List the L5 rules for sacral diagnosis

Answer 22

axis is ALWAYS the SB component of L5
sacrum ALWAYS rotates OPPOSITE the L5 SB component
seated flexion test is always OPPOSITE the side of the oblique axis

Question 23

what are the AP rules for sacral torsion?

Answer 23

base & ILA are aligned vertically in 3D space
eg: left P sulcus & base

Question 24

what are the AP rules for unilateral sacral SD?

Answer 24

base & ILA are not aligned vertically in 3D space
eg: left P sulcus but an A left base

Question 25

what is the primary goal of heel lift therapy for treating short leg syndrome?

Answer 25

to level the sacral base - this will prevent chronic MSK issues

Question 26

an anterior sole lift extending from heel to toe becomes necessary when the length of the heel lift required exceeds how many inches?

Answer 26

1/2"

Question 27

What are the heel lift guidelines for the fragile and the flexible pt.?

Answer 27

fragile: start w/ 1/16" heel lift and increase to 1/8" every two weeks flexible: start w/ 1/8" heel lift and increase to 1/8" every two weeks

Question 28

a heel lift added to the outside of the shoe is applied when the interior heel lift required exceeds what length?

Answer 28

1/4"

Question 29

T or F: piriformis hypertonicity will be palpated on the side of the short leg.

Answer 29

false the CL long leg will have a hypertonic piriformis muscle w/ compensatory ipsilateral hypertonicity of the QL & psoas

Question 30

How does the pelvis move & shift to compensate for short leg syndrome?

Answer 30

side shift towards the long leg results in an anterior innominate on the short side w/ a compensatory posterior innominate of the long leg

Question 31

how does the lumbar spine compensate for short leg syndrome?

Answer 31

convexity on the side of the short leg

Question 32

how does the sacrum move & shift to compensate for short leg syndrome?

Answer 32

deep sacral sulcus on side of the short leg w/ a compensatory CL posterior ILA In other words, a forward sacral torsion

Question 33

T or F: a seated flexion test will be positive on the side of the short leg?

Answer 33

true