By Anne Hartley
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Additional info for Practical Joint Assessment: Lower Quadrant: A Sports Medicine Manual 2nd Edition
1-14). Structural scoliosis may also cause the shoulders to be at dif ferent heights. Unilateral muscle spasm in the low back can cause a function al scoliosis and the shoulders may not be level. A leg-length difference can cause scoliosis and uneven shoul der heights. Rib Cage Position With structural scoliosis, the vertebrae are rotated and one side of the rib cage may be more prominent and turned closer to the midline than the other side. Umbilicus Position Note if the umbilicus is in the midline of the body.
Lumbar Spine and Sacroiliac Joint Assessment ASSESSMENT 15 INTERPRETATION quality and travels down the involved limb. For example, shoot ing radicular pain in the Sl dermatome may also have a decreased ankle jerk and weak gastrocnemius and hamstring muscle groups. The pain is usually more severe in its distal dis tribution than at the irritation site. It is important to note that the dermatomes, myotomes, and scleratomes have a great deal of variation in their distribution in the general population.
Umbilicus Position Note if the umbilicus is in the midline of the body. An offcenter umbilicus can be because of the following: • asymmetrical abdominal muscle development • pelvic obliquity • scoliosis • unilateral muscle spasm • nerve injury Abdominal Development The abdominals should be well developed with good muscle tone to protect and balance the pelvis. J->-=- Arm ap'pears longer Fig. 1-14 Anterior view. Drop shoulder. lumbar Spine and Sacroiliac Joint Assessment ASSESSMENT 25 INTERPRETATION truding abdomen and the associated muscle weakness, the back is susceptible to excessive lordosis and its related problems.