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Ortho PTA 2009

Sacroiliac Joint

QuestionAnswer
muscles of the SIJ? glut max, glut medius, glut minimus, bicep femoris, iliacus, iliopsoas, piriformis, quadatus lumborum
Standing forward flexion test to determine hypomobility of the ilia on the sacrum, thumbs on each PSIS, + if one PSIS moves upward w/one thumb during standing trunk flexion
what does the standing forward flexion test indicate restricted mobility in the side that moves up, usually indicates the side of the lesion
sitting forward flexion test to determine if there is abnormal biomechanics of the ilium resulting in leg length discrepancy. + when one medial malleoli apears to lengthen or shorten as the patient does a long sit-up. thumbs monitor malleolli at the foot of the plinth.
short-to-long on the sitting forward flexion test indicates? posterior ilium rotation
long-to-short leg on the sitting forward flexion test indicates? anterior illium rotation
sitting forward SIJ test, side that changes length usually correlates w/the involved or uninvolved side of the standing forward flexion test? involved
SI Gap & Compression test (may perform in sidelying) to determine if pain is of the SI origin. + when SIJ pain as you approximate or separate the ilia, while the patient is supine.
+ SI gap & compression test indicates? anterior SI ligament sprain if there is pain during separation (gapping) & posterior SI lesion if pain w/ilia approximation (compression)
leg length discrepancy testing apparent leg length discrepancy
patient sx are back pain sometimes w/radiculopathy, uneven iliac crests/ASIS/PSIS or rotation evident upon examination of ASIS & PSIS ....could be? SIJ
tx for SIJ modalities, massage/manual, normalize hypoextensible mm tissue, jt mobs, muscle energy techniques, core stabilization exercise, mobility on stability exercises.
exercise for SIJ resistend R hip extension, (L hip flexion), direct technique: rotate ilium posteriorly, isometric hip add after correction & stg exercises, "shot gun" technique, SI belt,
Created by: djbari