Pelvic Alignment Correction Techniques Quiz

Podcast

Play an AI-generated podcast conversation about this lesson

Questions and Answers

In acetabular protrusion, where is the femoral head in relation to Kohler's line?

Posterior

Medial (correct)

Lateral

What is the defining characteristic of protrusio acetabuli?

Shallow socket (correct)

High alpha angle

Normal acetabular anatomy

Femoral head lateral to Kohler's line

What does the alpha angle measure in the context of femoral neck deformity?

Femoral head radius

Transition of femoral head into neck (correct)

Size of bony anomaly

Curvature of acetabulum

What does an alpha angle greater than 60 indicate in a patient?

Presence of cam impingement Signup and view all the answers

Why should a high alpha angle in an asymptomatic patient be considered an incidental finding?

Suggests a potential bony anomaly Signup and view all the answers

What is the recommended duration to hold a sub-maximal contraction when correcting an anterior rotated pelvis?

15 seconds Signup and view all the answers

What is the primary reason for activating transverse abdominis to facilitate multifidus activation?

To help with segmental instability Signup and view all the answers

Which type of muscle activation is preferred for lumbar stabilization according to the text?

Segmental (local) muscle activation Signup and view all the answers

Why is an anterior neutral spine important in lumbar stabilization?

To maintain normal lordotic curve Signup and view all the answers

What is the goal of using an assistive device to correct a posterior rotated pelvis?

Facilitate a simultaneous correction on both sides Signup and view all the answers

Which type of training is lumbar stabilization described as in the text?

Motor control and neural input combination training Signup and view all the answers

What is the primary goal of performing repeated movements during assessment or treatment for stenosis?

To centralize or reduce leg pain Signup and view all the answers

During a prone press up, what instructions are typically given to the patient?

Breathe out and sag your hips while pressing up Signup and view all the answers

Which special test is considered indicative of adverse neural tension when back pain is triggered during leg raise?

Straight leg raise with dorsiflexion Signup and view all the answers

What is the purpose of strapping a patient to an iron board as part of home exercise?

To mimic pressing down to straighten neural tension Signup and view all the answers

In what position might a patient experience pain while performing a special test involving different positions like 'C' and 'D'?

'A' position Signup and view all the answers

Which nerve is involved in knee extension, plantar flexion, and inversion according to the SLR variation described in the text?

Peroneal nerve Signup and view all the answers

What is the goal of therapy intervention when dealing with radicular pain?

Centralization of pain Signup and view all the answers

Which technique can help reduce adverse neural tension according to the text?

Flossing Signup and view all the answers

What is neural tension defined as in the context of the text?

Inability of the nerve to slide and glide through the tissue Signup and view all the answers

Why should one be cautious with nerve pain according to the text?

Nerve pain can have latency Signup and view all the answers

What is the recommended starting position for treating radicular pain according to the text?

Laying position Signup and view all the answers

In the context of acetabular inclination, what is considered normal for the angle in degrees?

33-38 degrees Signup and view all the answers

What are some contributing factors to hypomobility in the lumbar spine and pelvis?

Facet issues and neural tension Signup and view all the answers

Why is hypermobility considered a contraindication for manipulation in the lumbar region?

Hypermobility may result in neural tension Signup and view all the answers

What should be done with hypermobility in the lumbar area before proceeding with mobilization?

Conduct a lumbar roll screen Signup and view all the answers

Which technique involves imparting a force on the low lumbar region or SI?

Manipulation Signup and view all the answers

What intervention should be used for a patient experiencing directional preference for extension?

Gradual increase in mobility through flexion exercises Signup and view all the answers

Which factor is NOT considered a contributing factor to hypomobility in the lumbar spine and pelvis?

Overstretching Signup and view all the answers

Study Notes

Hip and Pelvis Abnormalities

DDH (developmental dysplasia of the hip): characterized by acetabular inclination >25 degrees
Acetabular protrusion: femoral head is medial to Kohler's line (ilioischial line)
Protrusio acetabuli: shallow socket with femoral head medial to Kohler's line
Alpha angle: formed by a line parallel to femoral neck axis and a line from the center of the femoral head to the transition of the femoral head into the femoral neck
Alpha angle >60 indicates a bony anomaly

Femoral Neck Deformity and Cam Impingement

Femoral neck deformity: excessive curvature of the femoral neck
Cam impingement: femoral head/neck profile exceeds the radius of curvature of the acetabulum

Chronicity and Contributing Factors

Chronicity: duration of symptoms
Contributing factors:
- Adjacent joint mobility (too mobile or too stiff)
- Occupational hazards
- Posture
- Psychosocial factors (fear of movement, fear of getting better, fear of coming in)

Prognosis and Exercise Prescription

Prognosis: determined by knowledge of stages of healing
Exercise prescription:
- Choose exercises the patient will do (e.g., walking, sit-to-stand)
- Make exercises specific to the current presentation (not diagnosis)
- Provide accountability techniques (diary, check-ins)
- Consider aquatic exercise as an alternative

Hypermobility and Hypomobility

Hypomobility: lack of movement contributing to pain and stiffness
Contributing factors:
- Facet issues
- Muscle tension
- Neural tension
- Inflammatory issues
- Pain
- Lifespan/age considerations
- Compensatory movements
Mobilization and manipulation techniques:
- Treat with appropriate grade III and IV moves
- Combine movements
- Screen for hypermobility contraindications
- Get consent and screen for lumbar roll

Lumbar and Pelvic Mobilization

Pelvis mobilization: mobilize the hemipelvis in sidelying
Lumbar mobilization: impart a force on the low lumbar region or SI joint
Be specific with mobilization techniques (e.g., gapping between vertical segments, rotation of thoracic spine)
Stepping up/down curbs, stairs) - self-correction (e.g., thumb closer to the ground when checking ASIS)

Anterior and Posterior Rotated Pelvis

Anterior rotated pelvis: pull leg up on the side that is anteriorly rotated
Posterior rotated pelvis: want to activate hip flexors
Provide resistance with the hand as you push out toward the wall
Hold sub-maximal contraction for 10 seconds, repeat 3 times

Local and Global Muscles

Muscle activation should be segmental (local)
Global muscles will not assist segmental instability
Teach in various positions
Activation of transverse abdomens will then facilitate multifidus
Emphasis should be 'up & in' not flat back or posterior pelvic tilt

Studying That Suits You

Use AI to generate personalized quizzes and flashcards to suit your learning preferences.

Description

Test your knowledge on techniques for correcting pelvic misalignments including anterior and posterior rotated pelvis and maintaining an anterior neutral spine. Questions cover methods like palpating ASIS, providing resistance, and activating hip flexors.