Sacral Somatic Dysfunction Flashcards Preview

ECOS 2 Pre-Midterm > Sacral Somatic Dysfunction > Flashcards

Flashcards in Sacral Somatic Dysfunction Deck (73)
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1

LSF/LSE

Left Sacral Flexion/Extension
- Unilateral

2

RSF/RSE

Right Sacral Flexion/Extension
- Unilateral

3

BSF/BSE

Bilateral Sacral Flexion/Extension

4

L/L ST

Left rotation on a Left axis Sacral Torsion

5

L/R ST

Left rotation on a Right axis Sacral Torsion

6

R/R ST

Right rotation on a Right axis Sacral Torsion

7

R/L ST

Right rotation on a Left axis Sacral Torsion

8

What are the steps to sacral testing?

1. Static Testing
2. Motion Testing

9

What are the Static Tests for sacral testing?

Sacral sulcus
Inferior lateral angle (ILA)
L5 rotation for torsions

10

Describe the setup for the sacral sulcus static test

Palpate PSIS with thumbs and then move them medially and inferiorly
- Check for symmetry

11

If the sacral sulcus static test feels deeper on one side compared to the contralateral side, it is considered?

Anterior

12

If the sacral sulcus static test feels shallower on one side compared to the contralateral side, it is considered?

Posterior

13

Describe the setup for the Inferior Lateral Angle static test (ILA)

Palpate with heel of hand down midline sacrum until it drops anteriorly
- Place 1 thumb on side of hand to feel ILA and then mirror its placement with the other thumb
-- Compare each side for anterior/posterior and superior/inferior

14

What shape can be used to diagram the physical exam findings of the sacrum?

Home plate

15

What are the 3 categories of motion testing for sacral testing?

Lateralization
Active motion
Passive motion

16

What is the lateralization test for sacral motion testing?

Seated Forward Bending Test

17

What does a (+) Seated Forward Bending Test tell you?

Unilateral - side of dysfunction
Torsion - opposite side of axis

18

When will a Seated Forward Bending Test be negative?

With a bilateral dysfunction!

19

Describe the setup for the Seated Forward Bending Test for sacral motion

- Pt seated with feet on the floor and the physician's eyes level with the PSIS
- Physician's thumbs are placed on the inferior aspect of the PSIS
-- Pt instructed to bend forward
(+) = one of physicians thumbs moves superior!

20

What are the active motion tests for sacral motion testing?

1. Backward Bending (sphinx) Test
2. Respiratory Motion Test

21

Describe the setup for the Backward Bending (sphinx) Test

Pt lies prone and physician's thumbs are placed in the sacral sulcus on each side (inferomedial to PSIS)
- Pt instructed to bend backward
(+) = asymmetrical sacral sulci throughout bending

22

What does a (+) Backward Bending Test indicate?

EXTENDED sacrum

23

What does a (-) Backward Bending Test indicate?

Flexed sacrum - sacral sulci appear symmetrical during movement

24

Describe the setup for the Respiratory Motion Test

Pt lies prone and physician places hand over sacrum and other hand on top of 1st hand
- Have patient breathe in and out
-- During inhalation = sacrum posterior
-- During exhalation = sacrum anterior

25

What are the passive motion tests for sacral motion testing?

Lumbar Spring Test
Oblique Axis passive motion test

26

What does the lumbar spring test tell you?

If sacrum is flexed or extended

27

Describe the setup for the lumbar spring test

Pt lies prone and physician places hand over spinous processes of lumbar spine
- Then presses downward attempting to induce extension

28

(+) test for a lumbar spring test feels like and indicates?

Feels resistant to compression (extension)
(+) = EXTENDED sacrum

29

(-) test for a lumbar spring test indicates?

Flexed sacrum

30

What 2 tests will have the same results?

Backward Bending Test (BBT) AND
Lumbar Spring Test (LS)