Opp2: Test 1: 6. Kribs: Sacral Somatic Dysfunction

Front 1

what is the axis of respiration?

Back 1

Superior transverse axis

as you exhale the base moves forward

Front 2

what is the postural axis?

Back 2

middle transverse (S2)

Front 3

what is the hip base axis

Back 3

inferior transverse S3

Front 4

describe forward rotation for the right and left oblique axises

Back 4

Right rotation on right oblique axis
Left rotation on left oblique axis


remember to use the palm of your hand as the ref point (if you are right oblique axis, and you want to move to the right, you turn your thumb in and your palm goes right)

Front 5

describebackward rotation for the right and left oblique axises

Back 5

Right rotation on Left oblique axis
Left rotation on right oblique axis

Front 6

diagnosis of sacral somatic dysfunction is based on evaluation of three components:

Back 6

Asymmetry of paired sacral landmarks

Asymmetry of range of motion of sacroiliac joint as evidenced by:
Seated flexion test and/or ASIS compression test
Backward bending test/Lumbosacral springing test

Tissue texture changes
In deep fascia and ligaments over SI joints
Within the sacrotuberous ligaments
Gluteal and peroneal muscles

Front 7

describe sacral torsion

Back 7

when the lumbar spine and sacrum rotate in opposite directions (check this)

Front 8

when you do a flexion test, what is the positive side?

Back 8

the side that stops moving superior last

Front 9

what does seated flexion test tell you? (example: positive R seated flexion test)

Back 9

tells you the axis of rotation and side of restriction

Positive R seated flexion test ---> if rotation occurs it will be on left oblique axis

Also tells you that the Right SI joint is restricted

Front 10

if L5 is sidebent to one side, a sacral oblique axis is typically on what side?

Back 10

SAME SIDE

Front 11

if L5 is rotated to one side, the sacrum is rotated to what side?

Back 11

OPPOSITE

Front 12

what does a positive lumbar spring test show?

Back 12

Resistance to springing --> sacral extensions (ie LUE) or backward rotation on oblique axis (ie L on R)

Front 13

what does a negative lumbar spring test show

Back 13

Ease of Springing --> sacral flexions (ie LUF) or forward rotation/torsion (R on R)

Front 14

what does a positive backward bending test show

Back 14

increased sacral base asymmetry --> sacral extensions (ie LUE) or backward rotation on oblique axis (ie R on L)

Front 15

what does a negative backward bending test show

Back 15

decreased sacral base asymmetry--> sacral flexions (ie LUF) or forward rotation or torsion (ie L on L)

Front 16

you see increased sacral base asymmetry with what?

Back 16

sacral extensions or backward torsions

Front 17

you see decreased sacral base asymmetry with what

Back 17

sacral flexions or forward torsions

Front 18

motion testing summary:
what does seated flexion test show

ASIS compression test

Lumbar Sidebending

Lumbar rotation

Pos/Neg spring Tests

Back 18

Front 19

Seated flexion test positive on Right:
What does this tell you?

Back 19

Right SI joint is restricted and/or that
the Left Sacral oblique Axis is engaged

Front 20

Right base anterior and Left ILA posterior
What does this tell you?

Back 20

Oblique axis engaged (can you get answer here?)

Front 21

Negative spring test:
What does this tell you?

Back 21

L/S junction can flex, ie forward
rotation

Front 22

L5 rotated right:
What does this tell you?

Back 22

Sacral rotation left on oblique
axis

Front 23

What is your diagnosis?

Back 23

Left on Left Sacral Torsion

Front 24

Seated flexion test positive on left:
What does this tell you?

Back 24

Left SI joint is restricted and/or
Right sacral axis

Front 25

Negative backward bending test (findings become less asymmetrical):
What does this tell you?

Back 25

L/S can flex (ie forward torsion)

Front 26

L5 rotated Left:
What does this tell you?

Back 26

Sacral rotation right on oblique axis

Front 27

Seated flexion test positive on Right.

Back 27

Right sacral margin restricted and/or Left sacral axis engaged

Front 28

Right base posterior and Left ILA anterior.

Back 28

Oblique axis is engaged

Front 29

Positive spring test
What does that tell you?

Back 29

L/S junction is extended (can’t flex)--> ie backward torsion

(when you push on the sacrum it doesn't budge)

Front 30

L5 rotated left:
What does that tell you?

Back 30

sacral rotation right on
oblique axis

Front 31

what is the parasympathetic innervation of the prostate, genitalia, descending colon, sigmoid, and rectum?

Back 31

S2-S4

Front 32

During inhalation, how does the sacrum move (consider the base, and flex/extension)

Back 32

SACRAL BASE POSTERIOR aka sacral extension

(Cranial FLEXION)

Front 33

During exhalation, how does the sacrum move (consider the base, and flex/extension)

Back 33

SACRAL BASE ANTERIOR aka sacral flexion

(Cranial EXTENSION)

Front 34

when the cranium is in flexion, what is the sacrum doing?

how bout when the cranium is in extension?

Back 34

Cranial Flexion-->:Sacral base extends/ counternutates/posterior

Cranial Extension-->sacral base flexes/nutates/ anterior

Front 35

when the sacrum is rotating forward, how does it move about an oblique axis?

Back 35

Right rotation on right oblique axis

Left rotation on left oblique axis

Front 36

when the sacrum is rotating backwards, how does it move about an oblique axis?

Back 36

Right rotation on Left oblique axis

Left rotation on right oblique axis

Front 37

what type of rotation of the sacrum occurs during a right heel strike? what way does the lumbar spine bend?

Back 37

Left rotation on left axis

Lumbar spine sidebends to the left

Front 38

what type of rotation of the sacrum occurs during a left heel strike? what way does the lumbar spine bend?

Back 38

Right rotation on right axis

Lumbar spine sidebends to the right

Front 39

A positive seated flexion test typically indicates the sacral oblique axis is...

Back 39

on the opposite side

i.e positive R seated flexion test--> if rotation occurs, it will be on LEFT oblique axis

Front 40

in addition to giving you the rotational axis, what else does a seated flexion test show you?

Back 40

which SI joint is restricted

Positive R seated flexion test
--> Right SI joint restricted

Front 41

if L5 is sidebent to one side, a sacral oblique axis is typically engaged on what side?

Back 41

the same side

Front 42

if L5 is rotated, the sacrum rotates in what direction on an oblique axis?

Back 42

opposite direction...this is torsion

Front 43

this is non-physiological movement when the sacrum and the lumbar spine rotate the same direction....what is the term?

Back 43

ROTATION on an oblique axis (not torsion)

Front 44

what is a positive spring test?

What does this show you? 2

Back 44

positive test: Resistance to springing

sacral extension or backward torsion

backward rotation on oblique axis (i.e. R on L)

Front 45

what is a negative spring test?

What does this show you? 2

Back 45

negative test: ease of springing

sacral flexion or forward torsion

Forward rotation on oblique axis (i.e. R on R)

Front 46

what is a positive backward bending test?

What does it show you?

Back 46

positive test: increased sacral base asymmetry

sacral extensions or backward torsions

backward rotation on oblique axis (i.e. R on L)

Front 47

what is a negative backward bending test?

What does it show you?

Back 47

negative test: decreased sacral base asymmetry

sacral flexions or forward torsion

Forward rotation on oblique axis (i.e. R on R)

Front 48

when an oblique axis is not involved, what does a negative spring test indicate?

Back 48

unilateral or bilateral sacral flexion

note:

A positive spring test would indicate unilateral or bilateral sacral extension

Front 49

in a sacral torsion, how will your findings be for the sacral base and the ILA?

Back 49

opposite (aka one will be anterior and the other posterior)