Term
|
Definition
|
|
Term
| nutation force resisted by ____ ligts (2) |
|
Definition
sacrospinous
sacrotuberous |
|
|
Term
| ligts contributing to SI jt stability (7) |
|
Definition
interosseous
ant SI
post SI
sacrospinous
sacrotuberous
iliolumbar
symphysis pubis |
|
|
Term
|
Definition
|
|
Term
| ant SI jt ligt: mm support (2) |
|
Definition
|
|
Term
| postt SI jt ligt: mm support (4) |
|
Definition
quadratus L
glut max/min
erector spinae
lats |
|
|
Term
|
Definition
| SI stability provided by ligts, jt surface/congruence |
|
|
Term
|
Definition
| SI stability provided by mm/fascia |
|
|
Term
|
Definition
|
|
Term
| Bogduk's postulates on considering potential source of LBP (5) |
|
Definition
1. nerve supply
1b. able to move
2. capable of causing pain in healthy volunteers
3. susceptible to dz/injury
4. reliably/validly shown to be source of pain |
|
|
Term
| Nerve supply to SI jt - posterior |
|
Definition
| dorsal rami of L4-S2 (primarily S1) |
|
|
Term
| Nerve supply to SI jt - anterior |
|
Definition
post rami of L2-S2
sup gluteal n
obturator n |
|
|
Term
| Mvmt of SIJ: reliable method |
|
Definition
| radiostereometric msmt of fluroscopically guided implanted tantalum balls |
|
|
Term
| motion >> greatestm mvmt at SIJ |
|
Definition
|
|
Term
| Inflammatory dz affecting SIJ |
|
Definition
| seronegative spondyloarthropathies |
|
|
Term
| Traumatic disorders affecting SIJ |
|
Definition
pelvic insufficiency fx
stress fx |
|
|
Term
| common pain pattern for SIJ |
|
Definition
buttock (94%)
low back (72%)
groin
thigh (48%)
lower leg (28%)
ankle (14%)
foot (12%) |
|
|
Term
| SIJ dysfxn: Association of younger pt age and distal pain |
|
Definition
|
|
Term
|
Definition
pain provocation (distraction, compression, thigh thrust, pelvic torsion [Gaenslen's])
Stork test |
|
|
Term
|
Definition
|
|
Term
| Pregnancy Related Pelvic Pain: reliable tests |
|
Definition
Active SLR
resisted hip add |
|
|
Term
| SIJ: Problem with gold standard (jt block) (4) |
|
Definition
does not allow for ligt source of pain
leaking of anesthetic
Ø response to 2nd block (50% pts)
high placebo effect |
|
|
Term
| Peri-Partum Pelvic Pain: identified risk factors |
|
Definition
BMI>30
LBPP during previous pregnancy
hx of hypermobility
amenorrhea |
|
|
Term
| Peri-Partum Pelvic Pain: pain distribution |
|
Definition
***
Sacral pain (76%)
Groin pain (57%)
Both (30%)
*** |
|
|
Term
| Peri-Partum Pelvic Pain: provoking activity |
|
Definition
pain incr:
walking, prolonged postures, change in posture |
|
|
Term
| Peri-Partum Pelvic Pain: physical exam |
|
Definition
gait abnormalities
(+) FABER, ASLR, resisted hip add, passive hip abd, thigh thrust, Trendelenburg, painful symphysis pubis |
|
|
Term
| Peri-Partum Pelvic Pain: ASLR rating scale - 0 |
|
Definition
|
|
Term
| Peri-Partum Pelvic Pain: ASLR rating scale - 1 |
|
Definition
|
|
Term
| Peri-Partum Pelvic Pain: ASLR rating scale - 2 |
|
Definition
|
|
Term
| Peri-Partum Pelvic Pain: ASLR rating scale - 3 |
|
Definition
|
|
Term
| Peri-Partum Pelvic Pain: ASLR rating scale - 4 |
|
Definition
|
|
Term
| Peri-Partum Pelvic Pain: ASLR rating scale - 5 |
|
Definition
|
|
Term
| Peri-Partum Pelvic Pain: classifications (5) |
|
Definition
pelvic girdle syndrome
one-sided SI syndrome
double-sided SI syndrome
symphysioloysis
misc. |
|
|
Term
| Peri-Partum Pelvic Pain: pelvic girdle syndrome |
|
Definition
| DAILY pain in 3 pelvic jts (6%) |
|
|
Term
| Peri-Partum Pelvic Pain: one-sided SI syndrome |
|
Definition
| DAILY pain in 1 SIJ (5.5%) |
|
|
Term
| Peri-Partum Pelvic Pain: double-sided SI syndrome |
|
Definition
| DAILY pain in both SIJs (6.3%) |
|
|
Term
| Peri-Partum Pelvic Pain: symphysiolysis |
|
Definition
| DAILY pain in groin (2.3%) |
|
|
Term
| Peri-Partum Pelvic Pain: miscellaneous |
|
Definition
| DAILY pain in any of 3 jts c inconsistent objective findings (1.6%) |
|
|
Term
| Peri-Partum Pelvic Pain: outcomes |
|
Definition
62.5% pts pain-free 1mo p delivery (esp symphysiolysis group)
8.6% pts c pain p 2yr (more likely pelvic girdle syndrome group) |
|
|
Term
| Peri-Partum Pelvic Pain: best measures to track outcomes (3) |
|
Definition
QBPDS (Quebec back pain disability scale)
ASLR
hip add strength |
|
|
Term
| (CPR?) for success of SIJ manip (92% successful when 4/5 are present) |
|
Definition
symptoms <16 days
no symptoms below knee
FABQ<19
1 hip >35º IR
**lumbar hypomobility** |
|
|
Term
| SIJ dysfxn: decr force closure - altered mm timing in standing hip flex |
|
Definition
delayed contraction: IO, multifidus, glut max
earlier activation: biceps fem |
|
|
Term
| SIJ dysfxn: decr force closure - altered mm timing in ASLR |
|
Definition
decr diaphragmatic motion
incr respiratory rate
incr pelvic floor descent
(manual compression reverses altered motor strategies) |
|
|
Term
| best position for pelvic belt (to incr SIJ stiffness) |
|
Definition
| just below ASISs; ≥50N tension |
|
|
Term
| Effectiveness of Rx for LBP (e.g. manip, stabilization) for SIJ |
|
Definition
|
|
Term
|
Definition
| nothing verified as helpful |
|
|
