Shared Flashcard Set

Details

SI Treatment
Treatment principles for sacroiliac joint
17
Health Care
Graduate
04/24/2013

Additional Health Care Flashcards

 


 

Cards

Term
Shotgun technique - area targeted
Definition
symphysis pubis (sup or inf)
Term
Shotgun technique - technique
Definition
pt hooklying
PT resists abd for 6sec, 2-3x
PT resists quick add c forearm (6sec, 2-3x)

Retest
Term
Treatment sequence
Definition
lumbar spine (used as lever in pelvic Rx)
pubic symphysis
inflare/outflare
upslip/downslip
sacroiliac
A/P innominate
Term
Main treatment principle
Definition
restore normal walking cycle
Term
MET: elevated pubes
Definition
pt supine
PT moves ipsilat LE into ext, slight abd, slight ER
PT resists gentle isometric contraction of adductors (6 sec, 2-3x)
Term
MET: descended pubes
Definition
pt supine
PT moves ipsilat LE into flex, slight add, slight IR
PT resists gentle isometric contraction of hip ext (6 sec, 2-3x)

(optional: mob isch tub superiorly btwn sets)
Term
MET: inflare
Definition
pt supine
PT moves ipsilat LE into hooklying, FABER
PT resists gentle isometric contraction of hip add & IRs (6 sec, 2-3x)
Term
MET: outflare
Definition
pt supine
PT moves ipsilat LE into hooklying, FADIR
PT resists gentle isometric contraction of hip abd & ERs (6 sec, 2-3x)
Term
Rx for R superior innominate shear
Definition
pt supine
PT's R thigh against pt's L foot
PT abd pt's R LE 10-15ยบ, IR hip (close-packed), holds ankle
PT tractions LE while pt deep breathes
PT gives thrust to pt's LE while pt coughs
Term
Rx for R superior innominate shear - caution
Definition
test stresses sciatic n.; remove dural tension (e.g. no pillow under head)
Term
Rx for L on L sacral torsion
Definition
pt R sidelying
PT rotates pt's trunk to L until L5 moves
PT flexes pt's LEs until sacral base moves
PT lifts pt's feet to cause sidebending of spine
pt pulls feet down against resistance
Term
Rx for R on L sacral torsion
Definition
pt L sidelying
PT pulls L UE through until L5 rotates
PT ext pt's hips & knees until sacral base moves
PT places pt's R LE in front of L LE
pt lifts leg toward ceiling (6 sec, 3-5x)
Term
Rx for L sacral flex
Definition
pt prone
PT abd/IR L LE (to gap L SIJ)
PT's heel of L hand on L ILA
pt exhales/inhales while PT exerts pressure on sacrum
Term
Rx fo R sacral ext
Definition
pt prone
PT abd/ER R LE (to gap R ant SIJ)
pt goes to prone-prop
PT's R hand on R sacral base >> cranial/ventral force
Term
MET for R ant innominate
Definition
pt supine c R hip/knee flexed
PT stands on L side
PT FABERs pt's R LE
PT's L hand under pt's R isch tub
PT exerts cephalad/lateral force on R isch tub
pt ext hip against PT trunk (6 sec, 3-5x)
Term
MET for L post innominate
Definition
pt prone, R LE off table
PT on pt's R
PT uses L hand to grasp L knee >> abd hip
PT's R hand on L iliac crest
PT extends hip while pushing down on iliac crest
pt flexes hip against resistance (6 sec, 3-5x)
Term
SI Manip: Maitland "Chicago Roll" (a/p innominate thrust)
Definition
pt supine, c hands behind neck & elbows together
PT sideflexes shoulders away
PT reaches through elbow to grap arm closest to table (or to scap) to rotate shldrs toward them
pt 'rolled' until end range reached (pt feels tension in low back)
thrust on pelvis at end range (curvilinear; follow lumbar rot)
Supporting users have an ad free experience!