Questions and Answers
What is the initial step in the procedure for treating pubic dysfunction?
How long should the patient maintain the contraction during the procedure?
What should be placed between the patient’s knees before they squeeze?
What is the role of tight flexors like quadriceps femoris?
Signup and view all the answers
Which muscle group is responsible for posterior innominate rotation?
Signup and view all the answers
What should you do after the contraction and counterforce steps are repeated?
Signup and view all the answers
Which step involves using your forearm?
Signup and view all the answers
What should not be done during the initial steps of the procedure?
Signup and view all the answers
What action is performed to treat an anteriorly rotated innominate?
Signup and view all the answers
Which muscles provide the activating force for an anteriorly rotated innominate during treatment?
Signup and view all the answers
What is the initial position of the patient for treating an anteriorly rotated innominate?
Signup and view all the answers
What is the goal of changing the origin and insertion of the muscle during treatment?
Signup and view all the answers
Which movement is performed to facilitate treatment for a posteriorly rotated innominate?
Signup and view all the answers
Which of the following muscles is mentioned as a hip flexor providing the activating force for a posteriorly rotated innominate?
Signup and view all the answers
What position should the patient be in for the innominate outflare technique?
Signup and view all the answers
Which hand does the physician use to adduct the patient’s right knee in the innominate outflare?
Signup and view all the answers
How long should the isometric contraction be maintained during the innominate outflare technique?
Signup and view all the answers
Which muscle is NOT a primary mover during the innominate outflare technique?
Signup and view all the answers
What is the initial action taken with the patient's right hip in the innominate outflare technique?
Signup and view all the answers
After maintaining the isometric contraction, what should the physician do next?
Signup and view all the answers
What is the purpose of re-assessing landmarks after the innominate outflare technique?
Signup and view all the answers
Where should the physician be positioned for the innominate outflare technique?
Signup and view all the answers
What action does the physician take first in the procedure?
Signup and view all the answers
What type of contraction is performed during the procedure?
Signup and view all the answers
How many times should the physician repeat the contraction and relaxation steps?
Signup and view all the answers
What is the primary muscle group activated in this procedure?
Signup and view all the answers
What should occur after the patient has completely relaxed?
Signup and view all the answers
Which part of the patient's body does the physician focus on during the initial positioning?
Signup and view all the answers
What position should the thumbs be in when assessing the ASIS for level?
Signup and view all the answers
Which structure is used to determine potential lateralization of the iliac crest?
Signup and view all the answers
How is the lateralized side diagnosed in relation to the pubic ramus?
Signup and view all the answers
What is the purpose of testing the motion of the innominate bones?
Signup and view all the answers
Where should the thumbs be placed when assessing the PSIS?
Signup and view all the answers
What measurement is taken for the transverse axis diagnosis?
Signup and view all the answers
During the flaring test, where should the practitioner stand?
Signup and view all the answers
What is assessed when placing the fingers on the pubic ramus?
Signup and view all the answers
Study Notes
Anterior Pelvic Landmarks for Diagnosis
- Iliac Crest: Prominent ridge of the pelvis used as a reference point during assessments.
- ASIS (Anterior Superior Iliac Spine): Key landmark; tips of fingers placed here to check for lateralization.
- Pubic Symphysis: Joint where the left and right pubic bones meet; evaluated for level differences.
- Pubic Ramus: The horizontal part of the pubic bone; check for symmetry and positional discrepancies.
Diagnostic Techniques
- Pubic Ramus Level Check: Tips of second fingers placed on pubic ramus; assess for leveling and lateralization.
- ASIS Leveling Check: Thumbs placed under ASIS; check for symmetry and note which side is superior or inferior.
- Sacral Sulcus and PSIS Leveling Check: Thumbs placed under PSIS to assess for level and lateralization discrepancy.
Transverse Axis Assessment
- Reference point between ASIS; triangulate to umbilicus to compare distances.
- Determine if lateralized side is farther (outflare) or closer (inflare) than the umbilicus.
Motion Testing
- Conduct lateral force tests on ASIS while observing motion of innominates (hip bones).
- Right to left checks for right inflare and left outflare; left to right for left inflare and right outflare.
Muscle Energy Techniques (MET) for Pubic Dysfunction
- Focus on correcting superior shear, inferior shear, gapped, or compressed pubic dysfunction.
- Abduct/Adduction Technique: Patient resists adduction while therapist provides counterforce.
- Steps repeated with varying fist sizes (one or two) placed between knees to enhance the contraction.
Causes of Innominate Rotation
- Tight hip flexors (e.g., quadriceps) cause anterior rotation.
- Tight extensors (e.g., hamstrings) result in posterior rotation.
Treatment Principles for Innominate Rotation
- Anteriorly Rotated Innominate: Flex hip to rotate the innominate posteriorly; hip extensors activate.
- Posteriorly Rotated Innominate: Extend thigh to rotate it anteriorly; hip flexors provide the activating force.
Muscle Energy Technique for Anteriorly Rotated Innominate
- Objective: Patient supine with heel on shoulder; hip flexion testing barrier.
Muscle Energy Technique for Innominate Outflare
- Procedure: Patient flexes hip/knee; physician applies counterforce while patient attempts to abduct.
- Repeat to enhance the effect multiple times.
Muscle Energy Technique for Innominate Inflare
- Procedure: Patient flexes knee; physician applies counterforce as patient pushes against the external rotation.
- Multiple repetitions for effectiveness and assessment post-procedure.
Reassessment
- Continuous reassessment of landmarks post-treatment is vital for tracking progress and effectiveness of techniques.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
This quiz focuses on the identification and assessment of anterior pelvic landmarks, including the iliac crest, ASIS, pubic symphysis, and pubic ramus. Participants will analyze the alignment and relative positioning of these landmarks for diagnostic purposes. It is essential for students in health and medical fields.
