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