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20 Cards in this Set
- Front
- Back
Yeoman’s Test tests for? |
SI joint pain with hip extension and ilium rotation. |
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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. |
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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. |
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Sacroiliac Joint Dysfunction is? |
L-shaped articulation between the sacrum and the ilium that has a synovial joint anteriorlyandsyndesmosis posteriorly. |
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It is innervated by? |
The (L4)/L5 dorsal ramus and lateral S1 to S3 (S4) dorsal rami. |
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Etiology of the Sacroiliac Joint Dysfunction includes? |
• Hyper/hypomobile joint patterns • Repetitive overloads • Trauma • Capsulartears/injury |
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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. |
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Imaging for Sacroiliac Joint Dysfunction includes? |
X-ray, bone scan, CT, MRI. |
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These studies can beconsidered to? |
Rule out alternative pathologies in resistant cases. |
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Fluoroscopic sacroiliac joint injections can have? |
Higher diagnostic value. |
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Serology workup can be indicated for? |
Underlying arthropathies. |
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Conservative treatment for Sacroiliac Joint Dysfunction includes? |
Relative rest, medications. Rehabilitation program: Manual medicine, SI joint injections, SIjoint belt. |
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Soft-tissue disorders of the spine are? |
1. Sprain/Strain 2. Myofascial pain syndrome 3. Fibromyalgia |
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Sprain/Strain may be an overutilized term pertaining to? |
Muscular or ligamentous disruption due to overloadinjuries. |
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Sprain/Strain is caused by? |
• Overuse syndromes • Excessive eccentric contraction • Acceleration–deceleration injuries • Acute trauma |
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A Sprain/Strain is characterized by? |
• Muscle aches with associated spasm and guarding in theregion of injury. • Normal neurologic exam. |
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Delayed onset muscle soreness can occur within? |
24 to 48 hours typically after an eccentricoverload injury. |
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Facilitated segmental or somatic dysfunctionmay be more commonly involved than? |
Actual tissue disruption. |
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Increased lordotic curvature may be seen on?
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Lateralx-rays due to muscle spasm. |
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Conservative treatment for a Sprain/Strain includes? |
– Relative rest. Medication. Rehabilitation program: Manual medicine, focus on flexibility, ROM, strengthening, and spinal stabilization exercises. |