Pelvis and SIJ
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Pelvis and SIJ - Details
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8 questions
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Diarthrodial synovial joint It transfer for bidirectionally prox to distal and vice versa It also dissipates force | What kind of joint is the SIJ? What is the SIJs function? |
1) Sacrotuberous 2) Posterior Sacroiliac 3) Ilio lumbar 4) Interosseous sacroiliac 5) Scarospinous | Name the main ligaments of the SIJ |
P) between Posterior iliac crest, and gluteal fold, partic in the vacinity of the SIJ 16-35% of LBP disorders | What is the definition of SIJ pain? What is it's prevalence? |
1) 94% in buttock 2) 50% in lower limb - mostly thigh, but can be in foot etc. No, the referral patterns could be the same as a chronic LBP pt | Where can you expect symptoms in a SIJ Patient? Can it help you to discriminate these patients? |
1) Posterior shear/thigh thrust/posterior pelvic pain provoc test 2) Pelvic torsion (Gaenslen's test) 3) Sacral thrust /PA sacrum 4) Compression 5) Distraction | What are the Laslett tests? How many tests need to be +ve to be reliable/valid? |
1) Palpation a) inferior jt line of SIJ (inferior (& slightly lateral) to PSIS b) Long dorsal SI ligament (PSIS to dorsal sacrum S2-4 palpate inferior & slightly medial to PSIS) 2)Active SLR (Reliable/valid test of load transference through pelvis between LL & spine | What other tests (not Laslett) might be useful in diagnosing an SIJ dysfunction? |