80 Questions
Which of the following is NOT one of the objectives of the presentation on the pelvis?
Understanding the effect of pelvic tilt
Which of the following is NOT a screening test for the pelvis mentioned in the text?
Valsalva
What is the first step in the pelvis protocol?
Rule out anatomical short leg
Which landmark is used to determine dysfunction in the pelvis?
Superior/inferior height relationship of pubic tubercles
What is the purpose of the standing flexion test?
To determine the side of dysfunction
What is the recommended action if the standing flexion test and seated flexion test are both positive on the same side?
Treat the hamstrings if necessary
Which of the following is NOT mentioned as a possible indicator for pelvis assessment?
Positive standing flexion test
What is the purpose of the Valsalva test?
To assess joint play for crepitus
What is the purpose of the Patrick's (Faber) test?
To assess pain in the SI joint
What should be treated first if pubic subluxation exists?
Superior/inferior height relationship of pubic tubercles
Which of the following is NOT a possible pelvic finding in the standing flexion test?
No dysfunction present
What does a positive seated flexion test indicate?
Right side dysfunction
If both the standing and seated flexion tests are positive, what does it suggest?
Possible hamstring influence
What is the purpose of the Pelvis Assessment Protocol?
To determine if a pelvis problem exists
What should be done if hamstrings are identified as the issue in the standing flexion test?
Treat the hamstrings, redo the standing flexion test, and go with the findings
What should be done if hamstrings are not the issue in the standing flexion test?
Redo the standing flexion test and assume dysfunction is on the side that travels a greater distance
What is the first step in the Three Step Treatment Protocol?
Apply extrinsic techniques
When should the boney landmarks be reassessed in the treatment protocol?
After completing step 2 of the treatment protocol
What can be done to verify the cause of pelvic dysfunction?
Isolate the dysfunctional musculature and apply appropriate MET’s
What should be done if extrinsic techniques are not satisfactory for dysfunctional musculature?
Apply appropriate MET’s
Which of the following is NOT a type of muscular dysfunction mentioned in the text?
Myofascial release
According to the Wellington College Scale for Tissue Dysfunction, what does a score of 2 indicate?
Exaggerated Tone
Which technique is NOT mentioned as an extrinsic technique for tissue dysfunctions?
Myofascial release
What is the cause of adhesion according to the text?
Reduced lymph flow
Which technique is recommended for treating hypertonicity?
Strain Counter/Strain
Which of the following techniques is best suited for increasing muscle tone in cases of neuromuscular weakness or nerve impingement?
Stripping palpation
Which of the following techniques is primarily used for hypertonicity?
Strain/counterstrain
Which technique involves applying pressure to the center of hypertonicity and slowly easing off the pressure after approximately 1 inch or less, without exceeding 90 seconds?
Ischemic compression
Which technique involves finding the ends of hypertonicity and placing a contact at each end, and then further approximation of contact points is applied until no further approximation or up to a maximum of 90 seconds?
Strain/counterstrain
Which technique involves a passive stretch to the ends of the muscle and can cause reflexive hyperemia?
Strain/counterstrain
Which of the following is the correct application technique for IFMS on the 2nd to 4th digit tips?
Apply pressure at a right angle to the muscle fibers
What is the main effect of IFMS on muscle tissue?
It stretches muscle tissue at a right angle
Which of the following is NOT a mechanical effect of IFMS?
Minimal force applied to the muscle
Which of the following is the recommended approach for applying IFMS?
Apply quick and forceful pressure
What must be ruled out first before applying IFMS?
Nerve impingement
Which of the following is the correct definition of hypertonicity?
An abnormal shortening of muscle tissue due to a pathological neural communication
Which of the following is NOT a characteristic of hypertonicity?
Damage to muscle cell
Which technique is best suited for the treatment of hypertonicity as a warm-up technique/desensitize?
Goading
Which technique is best suited for the treatment of hypertonicity in any situation as a warm-up technique/desensitize?
GCF
What is the determining factor as to whether there is primarily a mechanical or neurophysiological effect in the application of LCF technique?
Whether the technique is being applied to a contracture
According to the Wellington College Scale for Tissue Dysfunction, what does a score of 4 indicate?
Hypertonicity
Which of the following is NOT mentioned as an extrinsic technique for tissue dysfunctions?
Reciprocal Inhibition
What is the cause of adhesion according to the text?
Reduced lymph flow
What is the main effect of IFMS on muscle tissue?
Improved tissue texture
What should be done if extrinsic techniques are not satisfactory for dysfunctional musculature?
Switch to intrinsic techniques
Which technique is best suited for the treatment of hypertonicity in any situation as a warm-up technique/desensitize?
18 ISCHEMIC COMPRESSION
What is the purpose of the Patrick's (Faber) test?
To determine the presence of a dysfunctional joint
What is the main effect of IFMS on muscle tissue?
Decreased muscle tone
Which of the following is NOT a possible indicator for pelvis assessment?
Positive Patrick's (Faber) test
Which technique should be ruled out first when applying IFMS to a muscle belly?
Nerve impingement
What is the cause of adhesion according to the text?
Intramuscular tension
What is the main purpose of applying IFMS?
To create myotatic stretch reflex
Which technique is best suited for a hypotonicity?
IFMS
What is the size of the muscle dictate when applying IFMS?
The direction of finger placement
Which of the following is NOT a mechanical effect of IFMS?
Causing autogenic inhibition
Which of the following is the correct definition of hypertonicity?
An abnormal shortening of muscle tissue due to a pathological neural communication
Which technique involves applying pressure to the center of hypertonicity and slowly easing off the pressure after approximately 1 inch or less, without exceeding 90 seconds?
LCF
What is the purpose of the Valsalva test?
To evaluate muscle tone
Which of the following is NOT a mechanical effect of IFMS (Inhibitory Functional Muscle Stretch)?
Local thermal changes
What should be done if extrinsic techniques are not satisfactory for dysfunctional musculature?
Try intrinsic techniques
Which of the following muscles is responsible for the anterior rotation of the innominates during the walking cycle?
Rectus femoris
Which muscle contraction is responsible for the posterior rotation of the innominates during the walking cycle?
Hamstrings
What is the purpose of the standing flexion test in pelvic dysfunction assessment?
To determine the side of dysfunction
Which of the following landmarks is assessed in the ASIS assessment for rotations?
A.S.I.S.
What is the position of the left ASIS in relation to the right ASIS, based on the assessment findings?
Anterior/inferior
Which muscle(s) is/are primarily responsible for the anterior innominate rotation on the left?
All of the above
Which muscle(s) should be palpated to determine if there is tightness in the illiocostalis?
Erector spinae
What is the recommended passive test to assess tightness in the rectus femoris?
Hamstrings resisted test
Which muscle(s) should be palpated to determine if there is tightness in the quadratus lumborum?
Erector spinae
What is the recommended technique to treat tightness in the rectus femoris?
MET (Isometric)
Which of the following muscles is NOT mentioned as a potential cause of posterior innominate rotation?
Rectus Femoris
Which of the following tests is NOT mentioned as a verification method for posterior innominate rotation?
Apparent Short Leg Test
What is the primary purpose of the standing flexion test?
To determine the side of dysfunction
What is the primary cause of posterior innominate rotation?
Hypertonicity of the gluteus maximus
Which of the following is NOT a finding associated with posterior innominate rotation?
Knee flexion restriction
Which of the following is a treatment protocol for hamstring hypertonicity?
Passively extend the client's knee to the first barrier
Which of the following is a treatment protocol for gluteus maximus hypertonicity?
Stand in front of the client and provide resistance as the patient attempts to extend their hip
What is the purpose of the exercise rehabilitation manual?
To provide stretches for the appropriate musculature causing dysfunction
Which of the following conditions may be associated with the dysfunction mentioned in the text?
Posterior tibial displacement
Which of the following techniques is best suited for increasing muscle tone in cases of neuromuscular weakness or nerve impingement?
MET(Isometric)
This quiz on the pelvis will test your knowledge on indications to assess the pelvis, different dysfunctions assessed, screening tests, landmarks used for assessment, and assessment findings and muscular involvement. Test your understanding now!
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