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47 Cards in this Set

  • Front
  • Back
Unilateral Sacral FLEXION
Abduct leg 15 deg
internally rotate the hip
Heel of hand on ILA (pressing anteriorly)
Encorage inhalation Resist Exhalation
Leg position for flexion sacral shears
ABduction
INternal rotation of hips to open the SI joints posteriorally
Heel of your hand is on the ipsilateral ____ for sacral flexion and _____ for sacral extension
1. ILA for sacral flexion
2. Sacral Base for Sacral extension
Uni Sacral Extension you abduct the legs to disenage what joint?And then Externally rotate to ?
sacroiliac joint; further gap the ANTERIOR sacroiliac joint
Unilateral Sacral Extension
1. Abduct 15 degrees
2. Externally rotate
3. Heel of hand ipsilateral sacral base
4. Encourage Exhalation and Resist Inhalation
you interally rotate the hips to gap what joint in a Sacral Flexion
Posterior Sacroiliac Joint
For a Bilateal Sacral Flexion where do you place the heel of your hands?
Central portion of the apex of the sacrum pressing anteriorly
Bilateral sacral flexion you encourage inhalation to bring the sacral base?
posterior and superior (counternutation)
Bilateral Sacral Extension heel of hand is placed?
central portion of the sacral base pressing anteriorly
Bilateral sacral extension you encourage exhalation to bring the base?
Anterior and Inferior (nutation)
High Ilium CS point location
2-3cm lateral from the PSIS of the ilium
-press Medial toward the PSIS
Treatment posistion of High Ilium
extension of the hip with fine tuning in abduction and external rotation
Gluteus Medius CS Point
at the level of the PSIS
PL3- 2/3 lateral from PSIS to TFL
PL4- posterior margin of TFL
Treatment posistion of the Gluteus Medius CS Point
Hip is extended with fine tuning in abduction and external rotation
Piriformis CS Point
1/2 way along a line between the top of the greater trochanter and a point between the PSIS and the coccyx
Treatment posistion for Piriformis CS point
flexion of the hip with abduction and fine-tuning with either internal or external rotation
coccygeus CS Point
at the region of the inferior lateral angle of the sacrum on the coccygeus muscle
Coccygeus treatment posistion for CS
extend and adduct the hip over the controlateral leg
Lateral Trochanter CS Point
12cm below the greater trochanter along the lateral surface of the trochanter
Treatement posistion for Lateral trochanter CS point
moderate abduction of the thigh with slight flexion
Iliacus CS Point
1/2 from the ASIS to the midline of the abdomen pressing deep in a posterior lateral direction toward the iliacus
Iliacus treatment posistion
marked bilateral flexion and external rotation of the hips with the knees flexed
Bladder
T11-L2
Testes/Ovaries
T10-T11
Uterus and Cervix
T10-L2
Penis/anterior vaginal wall and clitoris
T11-L2
Prostate
L1-L2
Superior Transverse axis
at the superior aspect of S2 where the dura attaches
Middle transverse axis
at the level of S2 where the sacrum moves on the pelvic bone (innominate)
Inferior Transverse axis
inferior portion of sacroiliac joint where the pelvic bone moves on the sacrum
sacral shear caused by
slippage at the backward C-shaped SI joint
Sacral Shears are
1.non-physiologic
2.True SI joing dysfunction
3.slippage of sacrum around the backward C-shaped SI joint
4. Around Middle transverse axis
Sacral Torsion is
1. Physiologic or Non
2. L5/S1 joint dysfunction
3. Muscle imbalance esp. Piriformis
4. Oblique axis
postive backward bending test means that the sacral base is
unable to go into foward flexion and stuck in extension
Increase lumbosacral angle and increase lumbar lordosis means what type of dysfunction?
Bilateral sacral Flexion
physiologic innominate dysfunctions
1. Rotation (anterior or posterior)
2. Flare (inflare or outflare)
non-physiologic innominate dysfunctions
innominate shear
pubic shear
Innominates rotate around which transverse axis?
inferior transverse axis
anterior pelvic tilt
increase lordosis
result of sacroliliac dysfunction and or postural imbalance
Posterior pelvic tilt
decrease lordosis
result of sacroliliac dysfunction and or postural imbalance
False postive standing flexion test is due to
tight hamstrings on contralateral side
Side that is postive on a standing flexion test is referred to as the
lateralized side
Pelvic Compression Test
can be used instead or to further confirm standing flexion test
- side of the dysfunction will resist motion
Lateralized leg will be longer in an
anterior innominate rotation
and
inferior innominate shear
in treating a superior innominate shear the leg is abducted to do what?
loose-pack the SIJ
in treating a superior innominate shear the leg is internally rotated to do what?
close-pack the hip
Treatment for anterior innominate rotation the dysfunctional innominate is take to the barrier in
flexion, external rotation and abduction ( engagement of the barrier and loose-packing the SIJ)