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</p> Signup and view all the answers

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

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

    What happens to the sacral base during sacral extension?

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

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

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

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

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

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

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

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

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

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