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Eval & Rx of SI Joint
Final Exam - Eval & Rx of SI Joint
46
Health Care
Graduate
04/29/2013

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Cards

Term
Sacrum shape
Definition
wider anteriorly
Term
nutation force resisted by ____ ligts (2)
Definition
sacrospinous
sacrotuberous
Term
ligts contributing to SI jt stability (7)
Definition
interosseous
ant SI
post SI
sacrospinous
sacrotuberous
iliolumbar
symphysis pubis
Term
strongest ligt in body =
Definition
interosseous ligt
Term
ant SI jt ligt: mm support (2)
Definition
piriformus
iliacus
Term
postt SI jt ligt: mm support (4)
Definition
quadratus L
glut max/min
erector spinae
lats
Term
Form closure =
Definition
SI stability provided by ligts, jt surface/congruence
Term
Force closure =
Definition
SI stability provided by mm/fascia
Term
SIJ controversy
Definition
source of pain?
movement?
Term
Bogduk's postulates on considering potential source of LBP (5)
Definition
1. nerve supply
1b. able to move
2. capable of causing pain in healthy volunteers
3. susceptible to dz/injury
4. reliably/validly shown to be source of pain
Term
Nerve supply to SI jt - posterior
Definition
dorsal rami of L4-S2 (primarily S1)
Term
Nerve supply to SI jt - anterior
Definition
post rami of L2-S2
sup gluteal n
obturator n
Term
Mvmt of SIJ: reliable method
Definition
radiostereometric msmt of fluroscopically guided implanted tantalum balls
Term
motion >> greatestm mvmt at SIJ
Definition
straddling
Term
Inflammatory dz affecting SIJ
Definition
seronegative spondyloarthropathies
Term
Traumatic disorders affecting SIJ
Definition
pelvic insufficiency fx
stress fx
Term
common pain pattern for SIJ
Definition
buttock (94%)
low back (72%)
groin
thigh (48%)
lower leg (28%)
ankle (14%)
foot (12%)
Term
SIJ dysfxn: Association of younger pt age and distal pain
Definition
significant, positive
Term
SIJ dx: reliable test
Definition
pain provocation (distraction, compression, thigh thrust, pelvic torsion [Gaenslen's])
Stork test
Term
SIJ dx: UNreliable test
Definition
mvmt based tests
Term
Pregnancy Related Pelvic Pain: reliable tests
Definition
Active SLR
resisted hip add
Term
SIJ: Problem with gold standard (jt block) (4)
Definition
does not allow for ligt source of pain
leaking of anesthetic
Ø response to 2nd block (50% pts)
high placebo effect
Term
Peri-Partum Pelvic Pain: identified risk factors
Definition
BMI>30
LBPP during previous pregnancy
hx of hypermobility
amenorrhea
Term
Peri-Partum Pelvic Pain: pain distribution
Definition
***
Sacral pain (76%)
Groin pain (57%)
Both (30%)
***
Term
Peri-Partum Pelvic Pain: provoking activity
Definition
pain incr:
walking, prolonged postures, change in posture
Term
Peri-Partum Pelvic Pain: physical exam
Definition
gait abnormalities
(+) FABER, ASLR, resisted hip add, passive hip abd, thigh thrust, Trendelenburg, painful symphysis pubis
Term
Peri-Partum Pelvic Pain: ASLR rating scale - 0
Definition
not difficult
Term
Peri-Partum Pelvic Pain: ASLR rating scale - 1
Definition
minimally difficult
Term
Peri-Partum Pelvic Pain: ASLR rating scale - 2
Definition
somewhat difficult
Term
Peri-Partum Pelvic Pain: ASLR rating scale - 3
Definition
fairly difficult
Term
Peri-Partum Pelvic Pain: ASLR rating scale - 4
Definition
very difficult
Term
Peri-Partum Pelvic Pain: ASLR rating scale - 5
Definition
unable to perform
Term
Peri-Partum Pelvic Pain: classifications (5)
Definition
pelvic girdle syndrome
one-sided SI syndrome
double-sided SI syndrome
symphysioloysis
misc.
Term
Peri-Partum Pelvic Pain: pelvic girdle syndrome
Definition
DAILY pain in 3 pelvic jts (6%)
Term
Peri-Partum Pelvic Pain: one-sided SI syndrome
Definition
DAILY pain in 1 SIJ (5.5%)
Term
Peri-Partum Pelvic Pain: double-sided SI syndrome
Definition
DAILY pain in both SIJs (6.3%)
Term
Peri-Partum Pelvic Pain: symphysiolysis
Definition
DAILY pain in groin (2.3%)
Term
Peri-Partum Pelvic Pain: miscellaneous
Definition
DAILY pain in any of 3 jts c inconsistent objective findings (1.6%)
Term
Peri-Partum Pelvic Pain: outcomes
Definition
62.5% pts pain-free 1mo p delivery (esp symphysiolysis group)
8.6% pts c pain p 2yr (more likely pelvic girdle syndrome group)
Term
Peri-Partum Pelvic Pain: best measures to track outcomes (3)
Definition
QBPDS (Quebec back pain disability scale)
ASLR
hip add strength
Term
(CPR?) for success of SIJ manip (92% successful when 4/5 are present)
Definition
symptoms <16 days
no symptoms below knee
FABQ<19
1 hip >35º IR
**lumbar hypomobility**
Term
SIJ dysfxn: decr force closure - altered mm timing in standing hip flex
Definition
delayed contraction: IO, multifidus, glut max
earlier activation: biceps fem
Term
SIJ dysfxn: decr force closure - altered mm timing in ASLR
Definition
decr diaphragmatic motion
incr respiratory rate
incr pelvic floor descent

(manual compression reverses altered motor strategies)
Term
best position for pelvic belt (to incr SIJ stiffness)
Definition
just below ASISs; ≥50N tension
Term
Effectiveness of Rx for LBP (e.g. manip, stabilization) for SIJ
Definition
effective! helpful.
Term
PPPP-specific Rx
Definition
nothing verified as helpful
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