Pelvic Mal-alignment
NPTE Clinical Files | Physical Therapy
Kyle Rice
4.9 • 631 Ratings
🗓️ 20 February 2019
⏱️ 14 minutes
🧾️ Download transcript
Summary
Kerri presents with significant pelvic girdle pain with ambulation. The patient is found to have a notable innominate rotation during the examination.
The physical therapist is challenged with determining the BEST intervention to address the pelvic mal-alignment.
How well do you know innominate rotations? Can you treat one effectively? Let's test your ability in this excellent episode about pelvic mal-alignment.
Are you looking for an awesome cheatsheet to help with determining innominate rotations and follow up interventions? Look no further https://www.nptecheatsheet.com/innominate
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Transcript
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| 0:00.0 | You are now tuning in to the MPTE Clinical Files, two mock MPTE-based questions told and solved |
| 0:07.0 | week by week. Thank you for tuning in to the MPT Clinical Files. My name is Kyle Rice, the MPT |
| 0:12.3 | PrEPP Coach, the founder of the PT Hustle and the creator of the MPT Prep Success Coaching |
| 0:17.3 | Program. And if you would like a free cheat sheet that goes along with this specific |
| 0:22.4 | question, tune in to the end of this episode. And I'm going to give you more information on how to |
| 0:27.7 | get that. All right. So for our next MPT clinical file, we have our patient Carrie. And carry presents |
| 0:33.6 | with persistent pelvic girdle pain when ambulating long distances. |
| 0:38.9 | Upon examination, the patient's left lower extremity is shorter than the right and supine, |
| 0:45.0 | but longer when long sitting. |
| 0:48.1 | Which of the following is the most effective intervention to address the patient's condition. So we have A, hook lying with |
| 0:56.7 | patient isometrically resisting hip flexion on the left. B, hook lying, single leg bridging on the left. |
| 1:05.5 | C is step-ups to an eight-inch step with the left lower extremity leading and d is right-side line |
| 1:14.9 | resisted left hip abduction all right let's knock this one down let's start off at the top |
| 1:22.6 | again we have carry and carry presents with persistent pelvic girdle pain. |
| 1:28.7 | All right, cool. |
| 1:29.7 | And now that's when she's ambulating long distances. |
| 1:33.4 | All right. |
| 1:33.8 | So I'm getting an idea of what's kind of going on here, but that doesn't really tell us much of anything at this point. |
| 1:40.7 | Right. |
| 1:41.4 | But then it says upon examination, the patient's left lower extremity is shorter |
| 1:47.7 | than the right and supine. All right. Let me read that again. Upon examination, the patient's left |
| 1:53.0 | lower extremity is shorter than the right and supine, but then longer when long sitting. |
... |
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