Term
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Definition
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Term
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Definition
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Term
| Where is the sacral sulcus located? |
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Definition
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Term
| What does the sacral sulcus do in flexion and extension? |
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Definition
Deepens with extension
Shallow with flexion |
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Term
| The SI joint consists of what 7 joints? |
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Definition
L5-S1
Hip Joints
Pubis Symphysis
SI joints |
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Term
| This is more of a cause of SI lesions |
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Definition
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Term
| This is more of a cause of IS lesions? |
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Definition
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Term
-Movement of the inominate on the sacrum
-Pubic lesion - up or down slip
-Torsion - anterior or posterior
-Flares - in or out (rarely seen but most often in pts who just had a baby) |
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Definition
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Term
-Movement of sacrum on inominate
-Rotations
-Nutation, Counternutation |
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Definition
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Term
| Do muscles play a big role in SI or IS problems? |
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Definition
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Term
| Do muscles play a major role in the moving sacrum? |
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Definition
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Term
-Part of the spine (above)
-Muscles do not play a major role in moving this |
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Definition
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Term
-Part of the lower extremity (below)
-MM is major role in moving this (h/s, gluts, etc
-MM plays a major role in the cause and correction (especially if they are weak) |
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Definition
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Term
This occurs when the innominate moves circularly in a posterior direction.
High ASIS; Low PSIS |
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Definition
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Term
This occurs when the innominate moves circularly in the anterior direction.
Low ASIS; High PSIS |
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Definition
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Term
| If you have a posterior torsion on one side then you have an anterior torsion on the opposite side and vice versa so how do you know which side to treat? |
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Definition
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Term
| Can the innominate move independently of the sacrum? |
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Definition
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Term
| Can you have IS without SI? |
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Definition
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Term
-One side moves up or down (shear)
-Palpate a step (not level)
-Always associated with a torsion |
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Definition
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Term
| A pelvic up-slip is associated with a __ torsion |
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Definition
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Term
| A pelvic down-slip is associated with a ___ torsion |
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Definition
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Term
| Can you have a torsion without pubic involvement? |
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Definition
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Term
| Can you have a pubic problem without a torsion? |
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Definition
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Term
| What is the least common IS problem? |
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Definition
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Term
| R ASIS more lateral and R PSIS more medial |
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Definition
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Term
| R ASIS more medial, R PSIS more lateral |
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Definition
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Term
| This is where the base of the sacrum moves anterior and the apex moves posterior. The sacrum is more horizontal than normal and this usually occurs with extension. |
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Definition
Nutation (SI)
(Donald Duck Butt) |
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Term
| This is where the base moves posterior and the apex moves anterior. The sacrum becomes for vertical and it normally occurs with flexion. |
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Definition
Counternutation (SI)
(Pink Panther Butt) |
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Term
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Definition
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Term
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Definition
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Term
The direction of the rotation is to same side of the oblique axis
-R rotation on ROA
-L rotation on LOA |
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Definition
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Term
The direction of the rotation is to the opposite side of the oblique axis
-R rotation on LOA
-L rotation on ROA |
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Definition
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Term
| What muscle can you use to treat an anterior torsion? |
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Definition
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Term
| What muscle can help treat a posterior torsion? |
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Definition
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Term
| What muscle will help pull the pubis outward? |
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Definition
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Term
| What muscle will help move the pubis up? |
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Definition
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Term
| What muscle will help an outflare? |
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Definition
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Term
| What muscle will help inflare? |
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Definition
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Term
| Pelvic problems usually present as unilateral pain at the PSIS and pain is worse with what 2 activities? |
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Definition
| Walking or stair climbing |
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Term
| May have pain down leg but no change in neuro. No pain below knee. SLR may be positive. |
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Definition
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Term
| 3 common activities that cause pelvic pain in men |
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Definition
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Term
| Are pelvi problems more common in men or women? |
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Definition
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Term
| Wider pelvis; SI farther from hip - longer lever arm. Carrying small children and wearing high heels. |
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Definition
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Term
| How might hormonal changes affect women's pelvis? |
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Definition
Increase in ligament laxity
Increase in relaxin in pregnancy
Increase in relaxin 7-10 days before menstruation |
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Term
| Name 3 treatment goals for pelvic problems. |
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Definition
-balance structure
-balance ms length and strength
-balance trunk and ground forces |
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Term
| When trying to balance structures via muscle energy, list the order of what to treat. |
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Definition
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Term
| Do not move on to treating the next thing until the pubis has been balanced for __ days |
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Definition
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Term
First 3-4 Days: 15-20 x/day
Next Week: 3-4x/day (at least)
Life Style Change - daily (at least) |
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Definition
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Term
| What type of pt education should you give pts to balance structures |
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Definition
| Pillow between knees, avoid crossing legs, shift weight, exercise before bedtime to alleviate pain and avoid static postures. |
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Term
| How should you treat length and strength? |
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Definition
Stretch tight ms
Strengthen weak ms |
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Term
| How can you balance the trunk? |
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Definition
Strengthen abs
Normal lumbar mobility |
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Term
| Name3 ways to balance ground forces |
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Definition
-Balance foot (pronation)
-Normalize LLD
-Normal flexibility/strength (again) |
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