Term
| Where will the patient c/o pain when there is a facilitated quadratus lumborum problem? |
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Definition
| They will c/o pain in the buttocks. They’ll feel tenderness only on palpation of the Q.L., but not during activities. |
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Term
| What should you do immediately after manipulation of a hypomobile joint? |
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Definition
| Reassess motion to see if their normal, still hypomobile, or if you’ve made them hypermobile. |
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Term
| If, after Tx for hypomobility a pt is still a little bit hypomobile, what do you do? |
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Definition
| Give them home mobs they can do on their own. |
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Term
| If, after Tx for hypomobility the joint is hypermobile, what do you do? |
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Definition
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Term
| When falling on one buttock, what will most likely happen to the innominate that is landed on? |
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Definition
| It will rotate posteriorly |
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Term
| What is a common mechanism of trauma to the SI joint when playing golf? |
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Definition
| If the heel isn’t lifted on follow through, it puts and anterior force on the innominate. |
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Term
| Why can skiing result in anterior rotation of the innominate? |
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Definition
| When falling forward with one leg going out to the side, the innominate can get pulled. |
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Term
| What affect with a tight piriformis muscle have on SI function in closed kinetic chain? |
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Definition
| It can rotate the sacrum to the opposite direction, or into side flexion. |
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Term
| How long after birth do ligaments stay lax, therefore put a mother at risk for SI dysfunction? |
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Definition
| 3 months. If on the pill or breastfeeding, 6 months. |
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Term
| What is the traumatic mechanism that can lead to SI dysfunction during lifting? |
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Definition
| Twisting while coming to extension from full flexion can cause sacral rotation. |
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Term
| What are the 6 major points of advice you should give patients with SI joint hypermobility? |
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Definition
| DON’T: skip steps up or down, hop/jump on one leg, take long steps, cross or sit w/ legs adducted, stand w/ weight on 1 leg, or carry heavy weights on 1 side. |
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Term
| Should the SI belt be worn over or under clothing in most pts? |
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Definition
| Under. It should be as close to the skin as possible (but over underwear). |
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Term
| In what situation would it be best to wear the SI belt over clothing? Why? |
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Definition
| In the pts who squat a lot for their job; the belt tends to ride up w/ lots of squatting, so it requires frequent re-adjusting. It’s difficult to go to the bathroom continuously to re-adjust when they’re at work. |
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Term
| What do you expect to find the SI joint of a pt w/ quadratus lumborum syndrome? |
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Definition
| Either normal mobility, or hypermobility. Never hypomobile. |
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Term
| In quadratus lumborum syndrome, where is the hypomobility usually at? |
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Definition
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Term
| What are some exercises you can prescribe to a pt w/ facilitated quadratus lumborum? |
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Definition
| Sidelie over a bolster and bring shoulder and pelvis together, then focus on just lifting pelvis, then to progress they can stand on a book and hip hike. You also want to teach abdominal drawing-in techniques for use ADLs and exercises. |
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Term
| Look at pg P18 for hypermobile SI joint exercises. |
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Definition
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