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BACK PAIN MANAGEMENT Quoc To Ai Giang D.C.
Statistics ,[object Object],[object Object],[object Object],[object Object],[object Object]
Sacroiliac Joint ,[object Object],[object Object]
Sacroiliac Joint ,[object Object],[object Object]
Sacroiliac Joint ,[object Object],[object Object]
Sacroiliac Joint ,[object Object],[object Object]
Sacroiliac Joint ,[object Object],[object Object],[object Object],[object Object]
Form Closure ,[object Object],[object Object],[object Object]
[object Object],Ligamentous Structures
Sacroiliac Joint ,[object Object],[object Object],[object Object],Shape of the SIJ effectively resists flexion.
Sacroiliac Joint ,[object Object],[object Object],[object Object]
Sacroiliac Joint ,[object Object],[object Object],[object Object],[object Object],1 2 4 4 3
Sacroiliac Joint ,[object Object],[object Object],5
Sacroiliac Joint - Capsule ,[object Object],[object Object],[object Object],5
Sacroiliac Joint - Innervation ,[object Object],[object Object],5
Sacroiliac Joint ,[object Object],[object Object]
Force Closure ,[object Object],[object Object],[object Object]
Force Closure ,[object Object],[object Object],[object Object]
Force Closure ,[object Object],[object Object],[object Object]
Force Closure ,[object Object],[object Object],[object Object],[object Object]
Form Closure ,[object Object],[object Object],[object Object],[object Object]
Force Closure ,[object Object],[object Object],[object Object]
Force Closure ,[object Object],[object Object],[object Object]
Force Closure ,[object Object],[object Object]
Force Closure ,[object Object],[object Object]
Force Closure ,[object Object],[object Object]
Force Closure ,[object Object],[object Object],[object Object],[object Object]
Joint Functions  ,[object Object],[object Object],[object Object]
Joint Functions ,[object Object]
Integration  ,[object Object],[object Object],[object Object],[object Object],[object Object]
Inner Core  ,[object Object],[object Object],[object Object],[object Object]
The   Tranversus Abdominus   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Lumbar Multifidi  ,[object Object],[object Object],[object Object]
Pelvic Floor  ,[object Object],[object Object],[object Object]
3 Phases to LBP Rehabilitation ,[object Object],[object Object],[object Object]
3 Phases to LBP Rehabilitation ,[object Object],[object Object],[object Object]
3 Phases to LBP Rehabilitation ,[object Object],[object Object],[object Object],[object Object]
Common Causes ,[object Object],[object Object],[object Object],[object Object],[object Object]
Common Causes ,[object Object],[object Object],[object Object],[object Object]
Common Causes ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Movement Dysfunction
[object Object],[object Object],Joint Fixation or Restriction
[object Object],[object Object],[object Object],[object Object],Movement Dysfunction Causes:
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Alterations in the Arthrokinetic Reflex
Directional Instability Nutation vs. Counternutation Dominance ,[object Object],[object Object],Nutation   Counternutation  Nutation Counternutation
Assessments ,[object Object],[object Object]
Orthopedic (Functional) Exams/Assessments ,[object Object],[object Object],[object Object]
Gillet’s Test Performed knee to chest while standing: Pull knees alternately to chest. The PSIS that moves down the furthest in relation to the opposite one is the unblocked side. The blocked side will come very little or appear to move cephalically. Recruitment is from the bottom up. Hip flexion must be at least 90 degrees.
Gillet’s Test
Piedallu’s Sign : The movement of the posterior superior iliac spines upon forward flexion. A positive Piedallu’s sign is asymetrical movement.
Gaelen’s Test: The patient lies on the side with the upper leg (test leg) hyperextended at the hip (1st photo). The patient holds the lower leg flexed against the chest. The examiner stabilizes the pelvis while extending the hip of the uppermost leg. The test can also be performed supine (2nd) but this position may limit the amount of hyperextension. Position patient so the test hip extends beyond the edge pf the table. Then draw up both legs onto the chest then slowly lower the test leg into extension.  Pain in the sacroiliac joints indicates a positive test.
Gait Analysis
Gait ,[object Object]
Gait – Heel Strike ,[object Object],[object Object],[object Object],[object Object]
Gait – Stance Phase ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Gait – Swing Phase ,[object Object],[object Object]
Gait ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object]
Treatments ,[object Object],[object Object],[object Object],[object Object],[object Object]
INTEGRATED METHOD OF TREATMENT
Treatments ,[object Object],[object Object],[object Object],[object Object]
Why Failures?
Application With all our knowledge in anatomy we need to learn how to apply it to the patient who is having pain after all the treatments they’ve had. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Application ,[object Object],[object Object],[object Object],[object Object],[object Object]
Applications ,[object Object],[object Object],[object Object]
Applications ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Applications ,[object Object],[object Object],[object Object],[object Object]
Failed Self Bracing ,[object Object],[object Object],[object Object],[object Object],[object Object]
Failed Self Bracing ,[object Object],[object Object],[object Object],[object Object]
Failed Self Bracing ,[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
References ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Low Back Pain Quiz

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Low back pain

  • 1. BACK PAIN MANAGEMENT Quoc To Ai Giang D.C.
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  • 48. Gillet’s Test Performed knee to chest while standing: Pull knees alternately to chest. The PSIS that moves down the furthest in relation to the opposite one is the unblocked side. The blocked side will come very little or appear to move cephalically. Recruitment is from the bottom up. Hip flexion must be at least 90 degrees.
  • 50. Piedallu’s Sign : The movement of the posterior superior iliac spines upon forward flexion. A positive Piedallu’s sign is asymetrical movement.
  • 51. Gaelen’s Test: The patient lies on the side with the upper leg (test leg) hyperextended at the hip (1st photo). The patient holds the lower leg flexed against the chest. The examiner stabilizes the pelvis while extending the hip of the uppermost leg. The test can also be performed supine (2nd) but this position may limit the amount of hyperextension. Position patient so the test hip extends beyond the edge pf the table. Then draw up both legs onto the chest then slowly lower the test leg into extension. Pain in the sacroiliac joints indicates a positive test.
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  • 60. INTEGRATED METHOD OF TREATMENT
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Hinweis der Redaktion

  1. Get explanation of panjabi model
  2. Add in answer to question
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