709 1.10 - 1.11 SIJ Assessment and Treatment

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Questions and Answers

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?

<p>Typically third trimester (A)</p> Signup and view all the answers

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

<p>Differing criteria used for diagnosis (A)</p> Signup and view all the answers

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

<p>Landing unevenly on feet or on bottom (A)</p> Signup and view all the answers

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

<p>Excessive movement of the SIJ (C)</p> Signup and view all the answers

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

<p>Deficit in form closure (B)</p> Signup and view all the answers

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

<p>Bed rest (C)</p> Signup and view all the answers

What kind of support do SIJ belts provide?

<p>Increased force closure (D)</p> Signup and view all the answers

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

<p>Immediate improvement in ASLRT (C)</p> Signup and view all the answers

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

<p>When there is decreased form closure (A)</p> Signup and view all the answers

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

<p>(Yes, No, Hypermobile) (B)</p> Signup and view all the answers

What does a deficit in form closure typically result in?

<p>'Fixated instability' (B)</p> 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?

<p>All of the above (D)</p> Signup and view all the answers

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

<p>'Passive structures including joint surfaces and ligaments' (C)</p> Signup and view all the answers

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

<p>'Passive structures including joint surfaces and ligaments' (A)</p> Signup and view all the answers

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

<p>Thigh thrust, SIJ distraction and compression, sacral thrust, and FABER test (B)</p> Signup and view all the answers

What does a positive screening test for SIJ pain indicate?

<p>Potential SIJ involvement but no information on specific motion element impairments (D)</p> 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?

<p>Excessive movement and limited movement (fixated instability) (D)</p> Signup and view all the answers

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

<p>To evaluate SIJ stability (D)</p> Signup and view all the answers

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

<p>$50%$ improvement in symptoms (D)</p> Signup and view all the answers

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

<p>Pelvic rotation or lumbar lordosis change (B)</p> Signup and view all the answers

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

<p>To stabilize the pelvis during leg movement (A)</p> Signup and view all the answers

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

<p>Treatment direction tests (TDTs) (C)</p> Signup and view all the answers

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

<p>Active Straight Leg Raise Test (A)</p> Signup and view all the answers

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

<p>It is detectable with ease by physiotherapists. (D)</p> Signup and view all the answers

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

<p>Muscle Energy Approach (D)</p> Signup and view all the answers

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

<p>Following a sports injury (B)</p> Signup and view all the answers

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

<p>To simplify perception and relate directly to treatment (D)</p> Signup and view all the answers

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

<p>They occur frequently due to poor posture. (B)</p> Signup and view all the answers

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

<p>Muscle Energy Techniques (A)</p> Signup and view all the answers

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

<p>The complexity and unreliability of assessment techniques. (C)</p> Signup and view all the answers

What characterizes the Muscle Energy Approach mentioned in the text?

<p>'Hands-on' technique involving manual muscle contractions. (C)</p> Signup and view all the answers

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

<p>To know the effects of each treatment (D)</p> Signup and view all the answers

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

<p>To have a visible impact on the patient's condition sooner (D)</p> Signup and view all the answers

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

<p>Single Leg Raise (C)</p> Signup and view all the answers

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

<p>To ensure comprehensive evaluation of progress (A)</p> Signup and view all the answers

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

<p>Sitting for long durations (D)</p> Signup and view all the answers

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

<p>To avoid exacerbating symptoms (D)</p> Signup and view all the answers

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

<p>It could worsen the patient's condition (B)</p> Signup and view all the answers

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

<p>It influences the pace and type of exercises given (C)</p> Signup and view all the answers

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

<p>To prevent any setbacks in his progress (D)</p> Signup and view all the answers

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