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20 Cards in this Set

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Yeoman’s Test tests for?

SI joint pain with hip extension and ilium rotation.

Gillet’s Test tests for?

Monitor posterior superior iliac spine (PSIS) motion when the patient raises the leg to 90°. ThePSIS on raised leg should rotatedown. Restriction of this motion is considered abnormal.

Seated Flexion Test tests for?

Monitorthe PSIS of the seated patient as they bend forward. Asymmetric cephalad motion of thePSIS indicates a sacroiliac dysfunction. Use the standing flexion test to distinguish the side of the dysfunction.

Sacroiliac Joint Dysfunction is?

L-shaped articulation between the sacrum and the ilium that has a synovial joint anteriorlyandsyndesmosis posteriorly.

It is innervated by?

The (L4)/L5 dorsal ramus and lateral S1 to S3 (S4) dorsal rami.

Etiology of the Sacroiliac Joint Dysfunction includes?

• Hyper/hypomobile joint patterns


• Repetitive overloads


• Trauma


• Capsulartears/injury

Sacroiliac Joint Dysfunction is characterized by?

• Acute or gradual back, buttock, leg, or groin pain with tenderness over the joint.


• Abnormal sacroiliac joint motion patterns, increased discomfort with positionalchanges.


• Discomfort within associated muscles, which may include the quadratus lumborum, erector spinae,and piriformis muscles.


• There is not a gold standard reference for mobility tests. Clinical exam has significant falsepositive rates and variable sensitivity rates.


• No neurologic abnormalities are present.

Imaging for Sacroiliac Joint Dysfunction includes?

X-ray, bone scan, CT, MRI.

These studies can beconsidered to?

Rule out alternative pathologies in resistant cases.

Fluoroscopic sacroiliac joint injections can have?

Higher diagnostic value.

Serology workup can be indicated for?

Underlying arthropathies.

Conservative treatment for Sacroiliac Joint Dysfunction includes?

Relative rest, medications. Rehabilitation program: Manual medicine, SI joint injections, SIjoint belt.

Soft-tissue disorders of the spine are?

1. Sprain/Strain


2. Myofascial pain syndrome


3. Fibromyalgia

Sprain/Strain may be an overutilized term pertaining to?

Muscular or ligamentous disruption due to overloadinjuries.

Sprain/Strain is caused by?

• Overuse syndromes


• Excessive eccentric contraction


• Acceleration–deceleration injuries


• Acute trauma

A Sprain/Strain is characterized by?

• Muscle aches with associated spasm and guarding in theregion of injury.


• Normal neurologic exam.

Delayed onset muscle soreness can occur within?

24 to 48 hours typically after an eccentricoverload injury.

Facilitated segmental or somatic dysfunctionmay be more commonly involved than?

Actual tissue disruption.

Increased lordotic curvature may be seen on?

Lateralx-rays due to muscle spasm.

Conservative treatment for a Sprain/Strain includes?

– Relative rest. Medication. Rehabilitation program: Manual medicine, focus on flexibility, ROM, strengthening, and spinal stabilization exercises.