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ECOS II Midterm > Sacral Somatic Dysfunction > Flashcards

Sacral Somatic Dysfunction Flashcards

1
Q

what types of dysfunctions can we have in the sacrum?

A

unilateral, bilateral, and torsions

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2
Q

what are the steps of sacral testing?

A
  1. static testing 2. motion testing
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3
Q

what are we inspecting during static testing?

A

the sacral sulcus, L5 rotation (for torsions), and the inferior lateral angles

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4
Q

what is the sacral sulcus?

A

the difference between where the PSIS is and where the sacral base is

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5
Q

how does an anterior sacral sulcus appear?

A

deeper than the opposite sacral sulcus

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6
Q

how does a posterior sacral sulcus appear?

A

shallower than the opposite sacral sulcus

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7
Q

what are the 3 methods of motion testing?

A

lateralization, active motion, and passive motion

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8
Q

what test is used for the lateralization method?

A

seated forward bending test

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9
Q

what are the tests used for the active motion method?

A

backward bending test and respiratory motion test

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10
Q

what are the tests used for the passive motion method?

A

lumbosacral spring test and oblique axis passive motion

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11
Q

what will the lateralization be in a bilateral dysfunction?

A

negative

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12
Q

what will the lateralization be in a unilateral dysfunction?

A

it will be positive on the side of the dysfunction

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13
Q

what will the lateralization be in a torsion dysfunction?

A

a positive test is opposite of the side of the axis

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14
Q

what does a positive seated flexion test identify?

A

the side of the sacroiliac dysfunction

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15
Q

what does a positive backward bending test show?

A

the sacrum is unable to flex (so you have an extended sacrum)

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16
Q

how should the bilateral sacral base move during inhalation?

A

posteriorly (extension position)

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17
Q

how should the bilateral sacral base move during exhalation?

A

anteriorly (flexed position)

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18
Q

what does the lumbar spring test define?

A

flexion/extension

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19
Q

what does a positive lumbar spring test indicate?

A

the lumbar spine does not move well into extension

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20
Q

what does a negative lumbar spring test mean for the sacrum?

A

a flexed sacrum

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21
Q

what does a positive lumbar spring test mean for the sacrum?

A

an extended sacrum

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22
Q

what are the different types of sacral axis (broad)?

A

transverse, oblique, and vertical

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23
Q

what are the different types of transverse axis?

A

superior transverse axis (S2 posteriorly), middle transverse axis (S2 anteriorly), and inferior transverse axis (S3)

24
Q

what is the superior transverse axis responsible for?

A

for our respiratory motion

25
Q

what is the middle transverse axis responsible for?

A

postural motion

26
Q

dysfunction along the middle transverse axis will have what kind of findings?

A

bilateral

27
Q

what is the inferior transverse axis responsible for?

A

innominate rotation

28
Q

dysfunction along the left oblique axis will have an anterior sacral sulcus on what side of the posterior ILA?

A

the opposite side

29
Q

dysfunction along the vertical axis will have an anterior sacral sulcus on what side?

A

on the same side as the posterior ILA

30
Q

what is the restriction along with a torsion diagnosis?

A

an oblique axis

31
Q

what is the restriction along with a unilateral diagnosis?

A

vertical axis

32
Q

what is the restriction along with a bilateral diagnosis?

A

along the middle transverse axis

33
Q

what would a seated forward bending test look like for a right sacrum flexed dysfunction?

A

it would be positive on the right

34
Q

what would the BBT/Lumbar Spring test be for a left sacrum extended dysfunction?

A

it would be positive on the left (gets worse/difficulty of spring)

35
Q

what would the seated forward bending test be of a left sacrum extended dysfunction?

A

it would be positive on the left

36
Q

what would the seated forward bending test be for a bilateral sacrum flexed dysfunction?

A

it would be negative- there is no lateralization

37
Q

what would the sacral sulci look like in a bilateral sacrum flexed dysfunction?

A

deep (anterior) bilaterally

38
Q

what would the sacral sulci look like in a bilateral sacrum extended dysfunction?

A

bilateral posterior (shallow) sacral sulci

39
Q

how should you name a torsion?

A

first you name for the rotation of the sacrum second you name for the axis involved (e.g. left rotation on a right oblique axis sacral torsion: L/R ST)

40
Q

what would an example of a flexed/forward torsion be?

A

left on left ST or Right on right ST

41
Q

what would the BBT and lumbar spring be for a left rotation on left axis ST?

A

they would be negative (gets better, same letter)

42
Q

what is the seated forward bending test for a left rotation on left axis ST?

A

it is positive on the right

43
Q

what would the BBT and lumbar spring be for a right rotation on right axis ST?

A

they would be negative

44
Q

what would the seated forward bending test be for a right rotation on a right axis ST?

A

it would be positive on the left

45
Q

what would the BBT and lumbar spring be of a left rotation on a right axis ST?

A

they would be positive (it is an extended dysfunction)

46
Q

what would the sacral sulcus on the right look like for a left rotation on right axis sacral torsion?

A

it would be anterior (deep)

47
Q

what would the ILA on the left be for a left rotation on a right axis sacral torsion?

A

it would be posterior on the left

48
Q

what would the seated forward bending test be for a left rotation on a right axis be?

A

it would be positive on the left

49
Q

what would the seated forward bending test be for a right rotation on left axis ST?

A

it would be positive on the right

50
Q

what does compensation of the lumbar spine/sacrum mean?

A

means that the lumbar spine and the sacrum are moving in opposite directions that gives us balance

51
Q

if we have an uncompensation in our sacral base and L5, what should we do first?

A

treat L5 first

52
Q

how does L5 sidebend?

A

toward the oblique axis of the torsion

53
Q

if we have a flexed dysfunction in the sacrum (L/L ST and R/R ST), what will the position/mechanics of L5 be?

A

it will be neutral (type 1)

54
Q

if we have a flexed dysfunction in the sacrum (L/R ST or R/L ST) what would the position/mechanics of L5 be?

A

flexed/extended (Type 2)

55
Q

If i have a right rotation on a right axis ST, what should the sidebending and rotation be of L5?

A

SRRL

ECOS II Midterm (19 decks)

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