Somatic Dysfunctions

Question 1

what nomenclature would you use to diagnose an SC joint that prefers an anterior glide

Answer 1

Extension SD

Question 2

Describe Adduction SD (that is ADD at the GH joint) of the SC joint.

Answer 2

SC joint prefers superior glide assoc. w/ shoulder depression

Question 3

What is my mnemonic for one of the coupled SDs of the SC joint?

Answer 3

Super Ant Extreme Addition =
Superior Glide + Anterior Glide + Extension + Adduction

Question 4

Describe Abduction SD of the SC Joint.

Answer 4

inferior glide assoc. w/ shoulder elevation

Question 5

what nomenclature would you use to diagnose an SC joint that prefers a posterior glide?

Answer 5

Flexion SD

Question 6

what is the prefered position of the clavicle for an AC joint w/ an acromion a step UP?

Answer 6

depressed clavicle
or
clavicle inferior to the acromion

Question 7

what are the coupled motions for a Step Up SD of the AC joint?

Answer 7

Mnemonic: SIB
superior glide
Internal rotation
Abduction

Question 8

what are the coupled motions for a Step Down SD of the AC joint?

Answer 8

mnemonic: DIE
Adduction
Inferior glide
External rotation

Question 9

Anterior glide of the carpal bones is assoc. w/ what SD of the wrist?

Answer 9

extension SD

Question 10

T or F: lateral glide of the carpal bones is assoc. with Abduction of the wrist.

Answer 10

False
lateral glide of the carpal bones is assoc. with adduction of the wrist

Question 11

T or F: Innominate Inflares are almost always assoc. with a posterior innominate

Answer 11

false
inflares are usually assoc. with an anterior innominate

Question 12

What are your mnemonics for the minor glides of the TF (tibiofemoral) and FF (fibiofemoral) joints?

Answer 12

TF: AM (AnteroMedial)
FF: PM (PosteroMedial)

Question 13

what minor glide of the tibiofibular joint is assoc. with internal rotation of the knee

Answer 13

posterolateral glide

Question 14

Posteromedial glide of the FF joint describes what SD of the FF joint?

Answer 14

Posterior Fibula

Question 15

What is your mnemonic for the rotational component for an anteromedial glide of the TF joint?

Answer 15

Amber Ex:
Anteromedial glide of the tibia is assoc. w/ external rotation at the knee

Question 16

what are your mnemonics for the coupled motions of the FF joint?

Answer 16

Anterior fibula: denver-DF & Ever.
posterior fibula: supplant- PF & Supination

Question 17

Describe the glide of the talus with PF and DF respectively.

Answer 17

during PF, the talus glides anteriorly as the foot is being pushed down
during DF, the talus glides posteriorly as the foot is being pushed up

Question 18

What is your mnemonic for the coupled motions of tibia and talus at the TC joint?

Answer 18

Amber In
Minor glide of talus is AnteroMedial which is assoc. w/ interal rot. of the tibia

***almost the same mneomic I use for the Tibiofemoral joint (Amber Ex)

Question 19

internal rotation of the tibia is assoc. w/ what minor glide of the talus at the TC joint?

Answer 19

AM glide of the talus

Question 20

what nomenclature do you use to describe a tarsal bone that is more superficial in the plantar fascia?

Answer 20

plantar glide of the tarsal

Question 21

what are the rules for the seated flexion test?

Answer 21

torsion: axis on opposite side
unilateral: SD on same side

Question 22

List the L5 rules for sacral diagnosis

Answer 22

Applies to Torsion Model Only!!!!!!

oblique axis is ALWAYS the SB component of L5
the deep sacral sulcus ALWAYS rotates in the OPPOSITE direction of the L5 rot. componenet

Backward sacral torsion assoc. w/ Type II mechanics at L5
Forward sacarl torsion assoc. w/ Type I mechanics at L5

Question 23

what are the AP rules for sacral torsion?

Answer 23

base & ILA are aligned vertically in 3D space
eg: sulcus & base are both posterior on the left

Question 24

what are the AP rules for unilateral sacral SD?

Answer 24

base & ILA are not aligned vertically in 3D space
eg: left sulcus posterior but the left ILA is anterior

Question 25

what is the primary goal of heel lift therapy for treating short leg syndrome?

Answer 25

to level the sacral base - this will prevent chronic MSK issues

Question 26

an anterior sole lift extending from heel to toe becomes necessary when the length of the heel lift required exceeds how many inches?

Answer 26

1/2"

Question 27

What are the heel lift guidelines for the fragile and the flexible pt.?

Answer 27

fragile: start w/ 1/16" heel lift and increase to 1/8" every two weeks flexible: start w/ 1/8" heel lift and increase to 1/8" every two weeks

Question 28

a heel lift added to the outside of the shoe is applied when the interior heel lift required exceeds what length?

Answer 28

1/4"

Question 29

T or F: piriformis hypertonicity will be palpated on the side of the short leg.

Answer 29

false the CL long leg will have a hypertonic piriformis muscle w/ compensatory ipsilateral hypertonicity of the QL & psoas

Question 30

How does the pelvis move & shift to compensate for short leg syndrome?

Answer 30

doward tilt of the iliac crest on the short side results in a pelvic side shift towards the long leg This will create an anterior innominate on the short side w/ a compensatory posterior innominate on the long leg

Question 31

how does the lumbar spine compensate for short leg syndrome?

Answer 31

convexity on the side of the short leg; In other words, SB away from the side of the short leg

Question 32

how does the sacrum move & shift to compensate for short leg syndrome?

Answer 32

deep & inferior sacral sulcus on side of the short leg w/ a compensatory CL posterior ILA In other words, a forward sacral torsion ex: rt. short leg will be accoc. w/ a left on left forward sacral torsion

Question 33

T or F: a seated flexion test will be positive on the side of the short leg?

Answer 33

true

Question 34

What is SD Dilday's 3D rule for forward vs. backward sacral torsion?

Answer 34

Forward: opposite oblique axis from the leading vector Backward: same oblique axis as the leading vector ***In both cases the deep sulcus is always the vector