Flashcards in Sacral Somatic Dysfunction Deck (73)
Left Sacral Flexion/Extension
Right Sacral Flexion/Extension
Bilateral Sacral Flexion/Extension
Left rotation on a Left axis Sacral Torsion
Left rotation on a Right axis Sacral Torsion
Right rotation on a Right axis Sacral Torsion
Right rotation on a Left axis Sacral Torsion
What are the steps to sacral testing?
1. Static Testing
2. Motion Testing
What are the Static Tests for sacral testing?
Inferior lateral angle (ILA)
L5 rotation for torsions
Describe the setup for the sacral sulcus static test
Palpate PSIS with thumbs and then move them medially and inferiorly
- Check for symmetry
If the sacral sulcus static test feels deeper on one side compared to the contralateral side, it is considered?
If the sacral sulcus static test feels shallower on one side compared to the contralateral side, it is considered?
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
What shape can be used to diagram the physical exam findings of the sacrum?
What are the 3 categories of motion testing for sacral testing?
What is the lateralization test for sacral motion testing?
Seated Forward Bending Test
What does a (+) Seated Forward Bending Test tell you?
Unilateral - side of dysfunction
Torsion - opposite side of axis
When will a Seated Forward Bending Test be negative?
With a bilateral dysfunction!
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!
What are the active motion tests for sacral motion testing?
1. Backward Bending (sphinx) Test
2. Respiratory Motion Test
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
What does a (+) Backward Bending Test indicate?
What does a (-) Backward Bending Test indicate?
Flexed sacrum - sacral sulci appear symmetrical during movement
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
What are the passive motion tests for sacral motion testing?
Lumbar Spring Test
Oblique Axis passive motion test
What does the lumbar spring test tell you?
If sacrum is flexed or extended
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
(+) test for a lumbar spring test feels like and indicates?
Feels resistant to compression (extension)
(+) = EXTENDED sacrum
(-) test for a lumbar spring test indicates?