Week 2- SI Joint Interventions

Question 1

What are the (4) core goals with interventions of the SIJ?

Answer 1

• Educate (activity modification, diagnosis/prognosis/intervention planning)
• Reduce Pain (manual therapy, exercise)
• Improve Stability
• Improve Functional Activity Performance and Participation

Question 2

What are some prognostic indicators for antepartum population? (5)

Answer 2

• Hx of pregnancy
• Increased BMI
• Smoking
• Work dissatisfaction
• Lack of belief of improvement

Question 3

External Stability (Support Belts)

• ________ evidence.
• Placement at the level of the ______ has demonstrated increased resistance to vibration forces at the SIJ.
• • _________ Test positive prognostic indicator for use of support belt.

Answer 3

• conflicting
• ASIS
• SLR Test

Question 4

Internal Stability (Exercise):

• ________ evidence.
• ______ ______ Exercises

Answer 4

• conflicting

- Pelvic Floor

Question 5

Internal Stability (Exercise):

• __________ stabilizers.
• What muscles tilt the pelvis anterior? (3)
• What muscles tilt the pelvis posterior? (3)

Answer 5

• Lumbosacral
• Lumbar extensors, Iliopsoas, Rectus Femoris
• Glutes, Rectus Abdominis, Hamstrings

Question 6

Joint Manipulation and the SIJ:

• Clinical improvement reported with intervention.
• Is the position of the SIJ altered with manipulation?

Answer 6

-No

Question 7

Patients with LBP likely to benefit from spinal manipulations:

• Duration of symptoms ___ degrees of IR ROM.
• ______mobility in l-spine.

Answer 7

• Duration of symptoms <16 days.
• No symptoms distal to knee.
• FABQ score <19.
• At least one hip with >35 degrees of IR ROM.
• Hypomobility in L-spine.

Question 8

What 2 criteria are most supportive for manipulations if they have LBP?

Answer 8

• Duration of symptoms <16 days.

- No symptoms distal to knee.

Question 9

Joint Mobilization for the Pelvic Girdle:

• Oscillations and Sustained Hold Mobs (Innominate _______/_______ rotation)
• Thrust Manipulations (____ ____ Distraction, Supine Lumbopelvic Thrust Manipulation)
• Other (Adduction Isometric of the Pubic Symphysis)

Answer 9

• Innominate Anterior/Posterior Rotation

- Long Leg Distraction, Supine Lumbopelvic Thrust Manipulation