Term
|
Definition
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|
Term
| PI Ischial tuberosity ____. |
|
Definition
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Term
|
Definition
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|
Term
| AS Ischial tuberosity ____. |
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Definition
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Term
| Knee Raiser Results: Ipsilateral |
|
Definition
Normal: ipsilateral PSIS rotates posterior, inferior, and medial.
Fixed: suggests AS ilium |
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Term
| Knee Raiser Results: Contralateral |
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Definition
Normal: PSIS rotates anterior and superior.
Fixed: PI |
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Term
| SI Seated Flexion Results |
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Definition
| PSIS with most excursion is the side of fixation. |
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Term
|
Definition
Normal: Ipsilateral leg lengthens while contralateral leg remains stationary
Fixed: If both legs lengthen simultaniously the SI joint is fixed on side tested. |
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Term
| PI spongy edema is located ____. |
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Definition
| At the superoposterior margin of the SI joint. |
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Term
| PI static palpation reveals tenderness ____. |
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Definition
| Point tenderness at the superior aspect of the SI joint. |
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Term
| AS causes spongy edema ____. |
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Definition
| At the inferoposterior margin of the SI joint. |
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|
Term
| AS static palpation reveals |
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Definition
| Point tenderness over inferior aspect of the SI joint |
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Term
| PI Buttocks lateral view reveals |
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Definition
| Gluteus Maximus slopes more gradually to the gluteal fold. |
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Term
| AS lateral visualation of the buttocks reveals |
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Definition
| Gluteus maximus falling more sharply toward the gluteal fold, creating a rounded appearance. |
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Term
| I-S pressure on a PI feels |
|
Definition
| firmer and more resistant |
|
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Term
|
Definition
| Spongier and easier to push cephaled |
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Term
| PI innominate bone on X-Ray |
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Definition
| Increased vertical dimension |
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Term
| PI obterator foramen on X-Ray |
|
Definition
| Increased vertical height of obterator foramen. |
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|
Term
| PI Femur head height on X-Ray |
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Definition
| Femur head height is lowered |
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Term
| PI Sacrum position on X-Ray |
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Definition
| Relatively anterior to PSIS |
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Term
| AS innominate bone on x-ray |
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Definition
| Decreased vertical dimension |
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|
Term
| AS obterator foramen on x-ray |
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Definition
| decreased vertical height |
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Term
| Femur head height of an AS ilium on x-ray |
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Definition
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|
Term
| AS sacrum position on x-ray |
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Definition
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|
Term
| IN pubic symphysis deviates ... |
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Definition
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Term
| IN horizontal dimension of iliac ala |
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Definition
| Increased horizontal dimension of iliac ala |
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Term
|
Definition
| central ray passes through the pubic bone on this side. |
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Term
| EX horizontal dimensions of the iliac ala |
|
Definition
| decreased horizontal dimension of iliac ala |
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Term
|
Definition
| Horizontal dimension of obterator foramen decreases. |
|
|
Term
| Seated Sacroiliac Axial Rotation |
|
Definition
Ipsilateral fixation: EX
Contralateral fixation: IN |
|
|
Term
| Seated lumbopelvic lateral bending |
|
Definition
Ipsilateral: EX
Contralateral: IN |
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Term
|
Definition
Abductor fixation:EX or posterior sacrum
Adductor fixation:IN |
|
|
Term
|
Definition
| More medial, more prominant |
|
|
Term
|
Definition
| entire anterior margin of si joint, but cannot be palpated. |
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Term
|
Definition
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Term
|
Definition
| Entire posterior margin of SI joint |
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|
Term
|
Definition
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|
Term
| IN Gluteal musculature from tangential view |
|
Definition
| Flattened, 2 inches latteral to PSIS |
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|
Term
| EX Gluteal musculature from tangential view |
|
Definition
| Two inches lateral to PSIS appears narrow and hunched |
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Term
|
Definition
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Term
|
Definition
| 2 inches and 4 inches lateral to PSIS |
|
|
Term
|
Definition
| Decreased horizontal dimension of Ischium |
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|
Term
| X Ray IN Femur head height |
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Definition
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Term
|
Definition
| Lowered femur head height |
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Term
| Sciatic like pain down the back of the thigh is more likely to be associated with an IN or an EX listing? |
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Definition
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|
Term
| Inguinal/groin pain is more likely associated with IN/EX? |
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Definition
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Term
| Base Posterior Sacrum instrumentation finds ___ |
|
Definition
| Break over lower third of L5 spinous process |
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Term
| Motion palpation finds restriction at ____ for a base posterior sacrum |
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Definition
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|
Term
| In the case of base posterior sacrum, edema will be found _____. |
|
Definition
| Between fifth lumbar and 1st sacral segment. |
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|
Term
| Sudoriferous changes over the L5 vertebra would be indicative of ____. |
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Definition
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|
Term
| What is the chief complaint of a patient suffering from a base posterior sacrum? |
|
Definition
| pain across lumbo sacral junction. |
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Term
| A lateral lumbar x-ray of a base posterior sacrum will reveal: |
|
Definition
1. A flexion malposition of L5 on the sacral base.
2. A decreased sacral base angle (<36deg.)
3. Hypolordosis of the lumbar spine (radius >24cm) |
|
|
Term
| Instramentation break at S1 or S2 suggests |
|
Definition
| Posterior Rotation of the sacrum |
|
|
Term
| Which MOPAL finding is indicative of posterior rotation of sacrum? |
|
Definition
| leg fanning abduction. (this finding is also present on EX ilium) |
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Term
| Where will you find point tenderness on a patient with posterior rotation of the sacrum? |
|
Definition
| Over the first or second sacral tubercles. |
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Term
| Where will you find spongy edema on a patient with posterior rotation of the sacrum? |
|
Definition
| posterior superior margin of the SI joint |
|
|
Term
| Where will you find a prominence on a patient with posterior rotation of the sacrum? |
|
Definition
| prominence of the lateral inferior angle of the sacrum on the side of rotation. |
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Term
| The sacrum is significantly rotated when ____. |
|
Definition
| the difference in the width of the sides of the sacrum is greater than 6 mm. |
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|
Term
| Posterior rotation of the sacrum is usually on the __ side of the ilium? |
|
Definition
|
|
Term
Adjust the sacrum, or the ilium?
If an ilium is predominately AS or IN |
|
Definition
| adjust the sacrum to the ilium |
|
|
Term
Adjust the sacrum, or the ilium?
If an ilium is predominately PI or EX? |
|
Definition
|
|
Term
| Apex posterior sacrum instrumentation findings |
|
Definition
| Break at lower 1/3 of L5 spinous process |
|
|
Term
| Apex posterior sacrum MOPAL findings |
|
Definition
|
|
Term
| Apex posterior sacrum static palpation findings |
|
Definition
| tenderness over L5 spinous |
|
|
Term
| Apex posterior sacrum edema is found |
|
Definition
|
|
Term
Apex posterior sacrum
sudoriferous changes our found |
|
Definition
|
|
Term
Apex posterior sacrum
Kemp's test |
|
Definition
| may be positive for facet syndrome |
|
|
Term
Apex posterior sacrum
X-ray findings |
|
Definition
lateral veiw usually shows:
1) positive McNab's line
2) increase sacral base angle (>42)
3) hyperlordosis of the lumbars (radius <19 cm) |
|
|
Term
Apex posterior sacrum
Patients cheif complaint |
|
Definition
| lumbosacral pain due to L5 S1 facet syndrome. |
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Term
|
Definition
| Visualisation-Instrumentation-MoPal* -Pelvic fixation-Static Palpation-Leg Check-X-Ray-Clinical Decision-Adjust |
|
|
Term
| The Five Components of Subluxation |
|
Definition
Neuropathophysiology (pain, skin temp Δ, Sudoriferous Δ)
Kinesiopathology (misalignment, hyper/hypomobility, postureal distortion)
Myopathology (hypermyotonicity and tenderness, trigger points, myofascial pain, limited active ROM)
Histopathology (Turgidity, Edema, Sudoriferous Δ)
Pathophysiology (DDD, DJD) |
|
|
Term
|
Definition
| Direct trauma to the coccyx |
|
|
Term
|
Definition
| lumbosacral or sacroiliac pain, but exams and x-rays show coccyx misalignment. |
|
|
Term
| Coccyx- Physical exam findings |
|
Definition
Edema and pain over sacrococcygeal articulations
Valsalva maneuver usually reduced/exacerbates pain
Sitting or rising from sitting may also produce localized coccygeal pain |
|
|
Term
Coccygeal missalignment
x-ray findings |
|
Definition
Lateral x-ray exhibits degree of apex anteriority
A-P lumbopelvic x-ray demonstrates the presence of base inferiority. |
|
|
Term
|
Definition
1. Short leg in extended position crosses over and becomes long when flexed 90
2. Short leg in extended position becomes even with opposite leg when flexed to 90
3. Legs are even in extended, but one becomes longer when the legs are flexed 90 (longer leg is side of +D) |
|
|
Term
|
Definition
| Short leg in extended position stays short when legs are flexed 90 |
|
|
Term
| Cervical syndrome testing |
|
Definition
| Turn head to right. If short leg in extended position remains short after head turn there is No Right Cervical syndrome. Same check on left. If legs become even after head turn, palpate articular pillar on side of head turn to find taut tender nodule, note level |
|
|
Term
| What if a patient has + cervical syndrome on both sides? |
|
Definition
adjust the level of the lower taut and tender nodule only.
If legs are even in extended position after cervical adjustment the protocol is complete.
If reactive leg is still short, adjust + or - D |
|
|
Term
| +D is comparable to what gonstead listing? |
|
Definition
|
|
Term
|
Definition
| inferior ischium and sacrum |
|
|
Term
|
Definition
| IN ilium created with superior contact hand thrust during part 1 and for anterior rotation of sacrum. |
|
|
Term
| Sacral leg check stabilization |
|
Definition
| stabilize of S2 sacral tubercle |
|
|
Term
| Performing Thompson Sacral Leg Check |
|
Definition
Instruct patient to lock knee and raise leg until end range is felt.
Test is invalid if ASIS on side tested raises off table
If one leg raises 6 or more inches off the table, the side of the higher leg is the side toward which the sacral apex is deviated. |
|
|
Term
| What is the listing if the right leg raises six or more inches higher than the left on the Thompson sacral leg check? |
|
Definition
|
|
Term
Associated with SI dysfunction?
Central or paravertebral lumbar pain |
|
Definition
|
|
Term
Associated with SI dysfunction?
Pain below the knee |
|
Definition
|
|
Term
Associated with SI dysfunction?
Pain at the begining of forward bending |
|
Definition
|
|
Term
Associated with SI dysfunction?
Painful arc or catching during forward bending? |
|
Definition
|
|
Term
Associated with SI dysfunction?
Pain duriring prolonged sitting |
|
Definition
|
|
Term
Associated with SI dysfunction?
Pain with cough/sneeze |
|
Definition
|
|
Term
Associated with SI dysfunction?
More tigh/leg pain than low back or SI pain? |
|
Definition
|
|
Term
Associated with SI dysfunction?
Pain around PSIS/Sacral sulcus. |
|
Definition
|
|
Term
Associated with SI dysfunction?
Patient points to SI joint when discussing problem. |
|
Definition
|
|
Term
Associated with SI dysfunction?
Unilateral joint involvement. |
|
Definition
|
|
Term
Associated with SI dysfunction?
Any age group. |
|
Definition
|
|
Term
Associated with SI dysfunction?
Gender preference? |
|
Definition
| No gender preference (females are more prone to hormonal changes, especially in 3rd tri pregnancy) |
|
|
Term
Associated with SI dysfunction?
Racial prefference |
|
Definition
|
|
Term
| SI dysfunction pain reffereral |
|
Definition
| groin, inguinal region, hip, thigh and sciatica-like pain on the posterior thigh. |
|
|
Term
Associated with SI dysfunction?
Pain/stiffness getting out of bed. |
|
Definition
|
|
Term
Associated with SI dysfunction?
Pain standing from sitting. |
|
Definition
|
|
Term
Associated with SI dysfunction?
Pain side bending to affected side. |
|
Definition
|
|
Term
Associated with SI dysfunction?
Walking aggravates. |
|
Definition
|
|
Term
| Pain associated with SI dysfunction is usually lower than ____. |
|
Definition
|
|
Term
| Oswetrey disability score for SI dysfunction are usually____. |
|
Definition
|
|
