Pelvis Treatment Techniques Quiz

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Questions and Answers

Which motion of the sacrum occurs in response to lumbar extension?

  • Sacral base moving anteriorly
  • Sacral extension around the MTA
  • Sacral base moving posteriorly
  • Sacral flexion around the MTA (correct)

What does a negative Sulci depth test indicate?

  • Intact lumbar spring function
  • Normal sacral motion
  • Flexed dysfunction (correct)
  • Extended dysfunction

Which test helps determine if the sacrum lives in flexion or extension?

  • Posterior transverse process of L5 test
  • Lumbar Spring test (correct)
  • Seated flexion test
  • BBT (sphinx) test

What is the main function of the BBT (sphinx) test?

<p>Testing sacrum's ability to flex (D)</p> Signup and view all the answers

In which condition does the sacrum move around the STA in response to inhalation?

<p>Sacral extension (A)</p> Signup and view all the answers

What happens to the sacral base during sacral extension?

<p>It moves posteriorly (C)</p> Signup and view all the answers

In a left on left sacral rotation, how is L5 typically rotated?

<p>To the right (D)</p> Signup and view all the answers

What does a 'compensated' L5 mean in terms of its rotation?

<p>Rotated opposite to the sacrum (C)</p> Signup and view all the answers

What type of mechanics does a compensated L5 follow in forward torsions?

<p>Type 1 mechanics (C)</p> Signup and view all the answers

Why is it important to correct a non-compensated L5 before addressing the sacrum?

<p>To allow full correction of the sacrum (C)</p> Signup and view all the answers

What indicates that L5 has rotated in the same direction as the sacrum?

<p>Non-Compensated L5 (A)</p> Signup and view all the answers

How do you differentiate between a 'compensated' and 'non-compensated' L5?

<p>'Compensated' rotates opposite to sacrum; 'non-compensated' rotates with sacrum (D)</p> Signup and view all the answers

What is the main movement described in the text for addressing anterior pelvic rotation?

<p>Flexing the hip and knee to the first restrictive barrier (B)</p> Signup and view all the answers

Which action is advised against when addressing an inferior shear of the pelvis?

<p>Whipping (hyperextending) the knee (B)</p> Signup and view all the answers

During the pelvis treatment ilial outflare, what action should be taken when you hit the first barrier?

<p>Ask the patient to push their knee laterally (D)</p> Signup and view all the answers

What should be done to address posterior pelvic rotation according to the text?

<p>Stabilize sacral base with fingertips and ask patient to extend their hip by pushing with the knee (A)</p> Signup and view all the answers

What is the key instruction given for treating superior shear of the pelvis?

<p>Standing on the dysfunctional leg and jumping up and down (B)</p> Signup and view all the answers

What is the next step after performing muscle energy 3-5 times during the pelvis treatment ilial inflare?

<p>Reset the pelvis and recheck findings (B)</p> Signup and view all the answers

Which technique involves asking the patient to lie supine and gently drop the ischial tuberosity on the dysfunctional side down?

<p>Standing on the dysfunctional leg and jumping up and down (A)</p> Signup and view all the answers

In the pelvis treatment superior pubic shear, what is used to stabilize the opposite ilium?

<p>Opposite hip (A)</p> Signup and view all the answers

What position should the patient be in for pelvis treatment superior pubic shear?

<p>Supine near the edge of the table on their affected side (C)</p> Signup and view all the answers

What action should be avoided when resetting the pelvis according to the text?

<p>Whipping (hyperextending) the knee (A)</p> Signup and view all the answers

What is the purpose of asking the patient to flex their hip by pushing their knee towards the ceiling during a pelvis treatment?

<p>To create an isometric contraction (C)</p> Signup and view all the answers

In which position can you also treat during pelvis treatment according to the provided text?

<p>Lateral recumbent position (D)</p> Signup and view all the answers

What is the most appropriate next step after creating an isometric contraction by asking the patient to flex and adduct their hip?

<p>Pause for 1-2 seconds and extend the hip further to the next restrictive barrier (D)</p> Signup and view all the answers

What action should be taken after stabilizing the ipsilateral ischial tuberosity during the muscle energy technique?

<p>Ask the patient to try to extend their hip by pushing with the knee for 3-5 seconds (D)</p> Signup and view all the answers

What would be a likely finding on osteopathic exam for a patient presenting with sacroiliac pain after a right knee replacement?

<p>Positive seated flexion test on the right (B)</p> Signup and view all the answers

Which somatic dysfunction would be consistent with findings of a deep sacral sulcus on the right and a backwards bend test being negative?

<p>Right ILA anterior and superior (D)</p> Signup and view all the answers

During muscle energy technique, if you find the left sulcus anterior and left ILA posterior and caudad, what somatic dysfunction could be diagnosed?

<p>Left pubic shear (A)</p> Signup and view all the answers

When would it be appropriate to add an anterior and superior force between isometric contractions during muscle energy technique?

<p>When trying to correct an anterior inferior iliac torsion (A)</p> Signup and view all the answers

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