709 1.10 - 1.11 SIJ Assessment and Treatment

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What is the proportion range of people with low back pain that is caused by SIJ dysfunction?

2% to 47% (correct)

1% to 20%

50% to 70%

10% to 30%

Why is the SIJ considered separately in the assessment process?

To complicate the process

To simplify the process (correct)

To confuse patients

To ignore SIJ symptoms

Which condition makes symptoms likely in the SIJ?

Common cold

Systemic inflammatory conditions (correct)

High fever

Headache

When are symptoms in the SIJ likely during pregnancy?

Typically third trimester Signup and view all the answers

What contributes to the differing estimates of SIJ dysfunction causing low back pain?

Differing criteria used for diagnosis Signup and view all the answers

What situation can lead to symptoms in the SIJ due to trauma?

Landing unevenly on feet or on bottom Signup and view all the answers

What is the likely interpretation if compressing the pelvis results in less effort or less symptoms?

Excessive movement of the SIJ Signup and view all the answers

What is the potential consequence of increased mobility of the SIJ?

Deficit in form closure Signup and view all the answers

What is a common method to reduce load in cases where there is excessive movement of the SIJ?

Bed rest Signup and view all the answers

What kind of support do SIJ belts provide?

Increased force closure Signup and view all the answers

What is a useful indicator of the effectiveness of an SIJ belt according to Bertuit et al.?

Immediate improvement in ASLRT Signup and view all the answers

When should an exercise program be considered to increase strength and/or control for force closure?

When there is decreased form closure Signup and view all the answers

What are the expected findings on assessment when there is limited movement of the SIJ?

(Yes, No, Hypermobile) Signup and view all the answers

What does a deficit in form closure typically result in?

'Fixated instability' Signup and view all the answers

What is the first question advised in a physical assessment to determine if the SIJ is a likely source of a person's symptoms?

All of the above Signup and view all the answers

'Force closure' refers to forces produced by which structures?

'Passive structures including joint surfaces and ligaments' Signup and view all the answers

'Form closure' is produced by what type of activity?

'Passive structures including joint surfaces and ligaments' Signup and view all the answers

Which tests are part of the SIJ provocation test cluster to determine if further testing is needed?

Thigh thrust, SIJ distraction and compression, sacral thrust, and FABER test Signup and view all the answers

What does a positive screening test for SIJ pain indicate?

Potential SIJ involvement but no information on specific motion element impairments Signup and view all the answers

According to Hazle and Nitz, what are the two main non-inflammatory conditions likely to result in SIJ symptoms?

Excessive movement and limited movement (fixated instability) Signup and view all the answers

What is the purpose of the Active Straight Leg Raise Test (ASLRT) in evaluating SIJ stability?

To evaluate SIJ stability Signup and view all the answers

In treatment direction tests like ASLRT, what constitutes a significant change indicating an appropriate treatment direction?

$50%$ improvement in symptoms Signup and view all the answers

During ASLRT, what compensatory movement should the physiotherapist observe for?

Pelvic rotation or lumbar lordosis change Signup and view all the answers

What is the purpose of manually compressing to stabilize the pelvis during ASLRT?

To stabilize the pelvis during leg movement Signup and view all the answers

What principle can be applied to active or functional movements that reproduce the client’s symptoms?

Treatment direction tests (TDTs) Signup and view all the answers

What does ASLRT stand for in relation to evaluating SIJ stability?

Active Straight Leg Raise Test Signup and view all the answers

What does recent unpublished evidence suggest about the detectability of SIJ movement?

It is detectable with ease by physiotherapists. Signup and view all the answers

Which approach uses muscle contractions to produce changes in the mobility of muscles and joints?

Muscle Energy Approach Signup and view all the answers

In which condition are problems with the SIJ most likely to occur?

Following a sports injury Signup and view all the answers

What is the purpose of using surrogate measures of SIJ mobility mentioned in the text?

To simplify perception and relate directly to treatment Signup and view all the answers

What is a common misconception about SIJ problems based on the text?

They occur frequently due to poor posture. Signup and view all the answers

Which movement technique is presented as a treatment approach for SIJ conditions in the text?

Muscle Energy Techniques Signup and view all the answers

What is mentioned as a common issue related to assessing and treating the SIJ?

The complexity and unreliability of assessment techniques. Signup and view all the answers

What characterizes the Muscle Energy Approach mentioned in the text?

'Hands-on' technique involving manual muscle contractions. Signup and view all the answers

What is the purpose of reassessing after each treatment according to the text?

To know the effects of each treatment Signup and view all the answers

Why might a therapist choose to target an element that will change more quickly during a treatment session?

To have a visible impact on the patient's condition sooner Signup and view all the answers

In the provided treatment example, what does SLR stand for?

Single Leg Raise Signup and view all the answers

Why might a therapist want to reassess motor control even if pain has been reduced in a patient?

To ensure comprehensive evaluation of progress Signup and view all the answers

What should Lucas avoid doing as part of his home program?

Sitting for long durations Signup and view all the answers

What does the text suggest when it mentions breaking sitting into chunks of no longer than 10 minutes?

To avoid exacerbating symptoms Signup and view all the answers

Why does the text advise against increasing sitting time for therapeutic purposes?

It could worsen the patient's condition Signup and view all the answers

What implication does Lucas's goal to play golf in 3 days have on his treatment plan?

It influences the pace and type of exercises given Signup and view all the answers

Why does the text suggest being gentle during Lucas's next treatment session?

To prevent any setbacks in his progress Signup and view all the answers