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16 Cards in this Set
- Front
- Back
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Where does SI pain refer to?
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- Buttock (especially below PSIS)
- LBP? - Groin - Thigh - Pn usually above the knee |
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What is a chief complaint of SI dysfunction?
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- 'Clunking' sensation
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What are aggravating factors for SI dysfunction?
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- Walking/running
- Standing on one leg - Stair climbing/descending - Turning in bed - Extreme hip ROM |
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What is the onset of SI dysfunction like?
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- Sudden
- Trauma (fall on buttock, trip on curb) - Second trimester of pregnancy |
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What are tests that need to be included in the physical examination?
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- Landmark palpation
- Provocation tests - Force closure tests (load transfer dysfunction) - Dynamic movement tests - Leg length - Pubic symphysis provocation - Sacrococcygeal provocation |
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What landmarks should be palpated during the physical examination?
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- ASIS
- PSIS: Fortin finger sign - Iliac crest - Pubic symphysis - Pubic tubercle height |
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What are the SI provocation tests?
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- FABER
- Distraction - Compression - Sacral thrust - Gaenslen's - Thigh thrust |
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What is the rule about provocation tests regarding the SI joint?
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- Cluster of positive tests more sensitive than a single test
- Best predictor > 3/5 positive tests |
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What active straight leg raise score indicates the patient may need a belt?
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Decrease of > 2 points after manual compression
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What are some compensations the patient could make during the active straight leg raise test?
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- Pelvis control: Rotation, tilt
- Spine control: Tilt - Abdominal activation: In vs. out - Breath holding: Infrasternal angle |
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What does a long-to-short supine-to-sit test indicate? Short-to-long?
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Long-to-short: Anterior rotation
Short-to-long: Posterior rotation |
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What is the history of a patient with pubic symphysis dysfunction?
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- Painful in groin or pubic symphysis
- Traumatic - Repetitive overuse |
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What does the physical exam of a patient with pubic symphysis dysfunction include?
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- Palpation
- Resisted adduction - Cranial-caudal shear |
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What is symphysiolysis?
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- Pubic symphysis pain
- Groin pain with unilateral stance |
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What is the history of a patient with sacrococcygeal dysfunction?
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- Pain in coccyx
- Inability to sit on hard surfaces - MOI: Fall on tailbone, childbirth |
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What does the physical examination of a patient with sacrococcygeal dysfunction include?
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- Palpate coccyx
- X-ray |
