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16 Cards in this Set

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