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OMT Sacral Pelvis

This document outlines various tests and findings used in osteopathic medicine to diagnose sacral and pelvic issues. It lists static findings like positions of the iliac bones, sacrum, and pubic ramus that can indicate conditions. It also lists motion-based tests like the stork test, iliosacral rock test, and seated lumbar flexion that evaluate sacral mobility and identify shear, rotation, or torsion in the pelvis. The results of these physical exams are used to make diagnoses like right or left posteriorly rotated pelvis, superior or inferior shear, or bilateral sacral extension. Anatomical drawings also show the sacrum and innominate bones to illustrate key assessment points.

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2K views3 pages

OMT Sacral Pelvis

This document outlines various tests and findings used in osteopathic medicine to diagnose sacral and pelvic issues. It lists static findings like positions of the iliac bones, sacrum, and pubic ramus that can indicate conditions. It also lists motion-based tests like the stork test, iliosacral rock test, and seated lumbar flexion that evaluate sacral mobility and identify shear, rotation, or torsion in the pelvis. The results of these physical exams are used to make diagnoses like right or left posteriorly rotated pelvis, superior or inferior shear, or bilateral sacral extension. Anatomical drawings also show the sacrum and innominate bones to illustrate key assessment points.

Uploaded by

MedShare
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© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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Osteopathic Principles Sacral and Pelvic Diagnosis

Static Findinds Tests


ILA Deep Shallow L5 Seated Lumbar Sphinx
Axis Diagnosis
Posterior Sulcus Sulcus Rotation Flexion Spring Test
Right Right Left - Right Negative Negative - Right Unilateral Shear
Left Left Right - Left Negative Negative - Left Unilateral Shear
Right Left Right Right Left Negative Negative Right Oblique Right on Right (R on R) Rotation
Right Left Right Left Left Negative Negative Right Oblique Right on Right (R on R) Torsion
Left Right Left Left Right Negative Negative Left Oblique Left on Left (L on L) Rotation
Left Right Left Right Right Negative Negative Left Oblique Left on Left (L on L) Torsion
Right Left Right Right Right Positive Positive Left Oblique Right on Left (R on L) Rotation
Right Left Right Left Right Positive Positive Left Oblique Right on Left (R on L) Torsaion
Left Right Left Left Left Positive Positive Right Oblique Left on Right (L on R) Rotation
Left Right Left Right Left Positive Positive Right Oblique Left on Right (L on R) Torsion
Even Bilateral - - Equivocal Negative Negative Transverse Bilateral Sacral Flexion
Even - Bilateral - Equivocal Equivocal - Transverse Bilateral Sacral Extension

Tests Static Findings


Standing Stork Iliosacral ASIS ASIS Deep PSIS PSIS
Pubic Ramus Diagnosis
Flexion Test Rock Higher Lower Sulcus Higher Lower
Right Right Right Right Left Right Left Right - Right posteriorly rotatated pelvis
Left Left Left Left Right Left Right Left - Left posteriorly rotated pelvis
Right Right Right Left Right Left Right Left - Right anteriorly rotated pelvis
Left Left Left Right Left Right Left Right - Left anteriorly rotated pelvis
Irght Right Right Right Left - Right Left - Right superior shear
Left Left Left Left Right - Left Right - Left superior shear
Right Right Right Left Right - Left Right - Right inferior shear
Left Left Left Right Left - Right Left - Left inferior shear
Right - - - - - - - Right Higher Right superior pubic shear
Left - - - - - - - Left Higher Left superior pubic shear
Right - - - - - - - Right Lower Right inferior pubic shear
Left - - - - - - - Left Lower Left inferior pubic shear

Version: 09Apr2009 Page 1 of 3


Osteopathic Principles Sacral and Pelvic Diagnosis

Sacrum

James Lamberg

Version: 09Apr2009 Page 2 of 3


Osteopathic Principles Sacral and Pelvic Diagnosis

Innominate

Version: 09Apr2009 Page 3 of 3

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