See the following pages for how you can earn up to 8 AMA PRA Category 1 Credits™ and help meet the Part II requirements of the American Board of Physical Medicine and Rehabilitation (ABPMR) Maintenance of Certification (MOC®). This supplement is tied to an SAE-P that can help you assess your knowledge of idiopathic pelvic girdle pain. Once you’ve finished reading the articles, take the time to test and reinforce your understanding by answering questions on the following pages. Then submit your answers online at mē® (me.aapmr.org) to receive up to 8 AMA PRA Category 1 Credits™ and help meet the Part II Self-Assessment requirement of ABPMR MOC ® . Don’t forget: Fellow and Associate members received a complimentary SAE-P coupon upon membership renewal. Log in to mē® to use your code. Idiopathic Pelvic Girdle Pain as it Relates to the Sacroiliac Joint Self-Assessment Examination for Practitioners (SAE-P) Questions Included Partial support of this journal supplement has been provided through an educational grant from SI-Bone in compliance with ACCME Guidelines. CME expires 8/31/2022
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See the following pages for how you can earn up to 8 AMA PRA Category 1 Credits™ and help meet the Part II requirements of the American Board of Physical Medicine and Rehabilitation (ABPMR) Maintenance of Certification (MOC®).
This supplement is tied to an SAE-P that can help you assess your knowledge of idiopathic pelvic girdle pain. Once you’ve finished reading the articles, take the time to test and reinforce your understanding by answering questions on the following pages. Then submit your answers online at mē® (me.aapmr.org) to receive up to 8 AMA PRA Category 1 Credits™ and help meet the Part II Self-Assessment requirement of ABPMR MOC®.
Don’t forget: Fellow and Associate members received a complimentary SAE-P coupon upon membership renewal. Log in to mē® to use your code.
Idiopathic Pelvic Girdle Pain as it Relates to the Sacroiliac JointSelf-Assessment Examination for Practitioners (SAE-P) Questions Included
Partial support of this journal supplement has been provided through an educational grant from SI-Bone in compliance with ACCME Guidelines.
CME expires 8/31/2022
Idiopathic Pelvic Girdle Pain as it Relates to the Sacroiliac JointAtul T. Patel, MD, MHSA, Chair Frederick Bagares, DO; Hans L. Carlson, MD; Carol Y. Crooks, MD; Sarah M. Eickmeyer, MD; David J. Haustein, MD; Robert A. Lavin, MD; Matthew P. Mayer, MD; Ameet Nagpal, MD; Marilyn S. Pacheco, MD; Mark E. Tornero, MD
1. Hodges et. al. found experts who treat pelvic girdle pain (PGP) reflect bias toward which category of components related to causes, outcomes and treatments for pain?a. Biomechanicalb. Behavioral/lifestylec. Psychologicald. Tissue injury or pathological
2. In the fuzzy cognitive mapping (FCM) model of pelvic girdle pain (PGP), which of the following components within the biomechanical category had the highest centrality?a. Joint flexibilityb. Movement restrictionsc. Mechanical overloadingd. Poor anatomical/structural characteristics
3. In the Hodges study, which treatment modality did the experts expect to be the most effective for pelvic girdle pain?a. Injectionsb. Pelvic floor therapyc. Manipulationd. Patient education
4. Which lumbopelvic kinematic characteristic is most influential on the severity of sacroiliac joint pain?a. Immobilityb. Inhibitionc. Hypermobilityd. Asymmetry
5. A 1 cm leg length discrepancy will increase stress on the long side of the sacroiliac joint (SIJ) by a factor of: a. 3 b. 5 c. 8 d. 12
6. According to the 2008 European Guidelines for the Diagnosis and Treatment of Pelvic Girdle Pain (PGP), which of the following is recommended in the evaluation of pelvic girdle pain?a. Gaenslen testb. Imaging of the sacroiliac (SIJ)c. SIJ injectionsd. Ultrasound
7. For intra-articular hip pathology, what is the most common distribution of pain?a. Lateral hipb. Kneec. Posterior thighd. Groin
8. According to the Framingham Osteoarthritis Study, what is the prevalence of coexisting hip symptoms and radiographic arthritis?a. 4%b. 8%c. 14%d. 18%
9. In “hip-spine syndrome” described by Offierski et al, which subgroup includes a structural diagnosis existing in both the lumbar spine and hip, but only one causing the disability.a. Incidentalb. Simplec. Complexd. Secondary
10. The MAT-7 is used primarily as a screening test to assess: a. Dynamic core strength b. Functional kinetic chainc. Displacement of center of gravityd. Maximum joint loads
11. According to Geraci and Creighton, the primary clinical benefit of using the MAT-7 isa. its use as a baseline for starting or reassessing
an exercise program.b. its greater sensitivity and specificity as a
diagnostic tool than SI joint provocative tests.c. its reproducible scoring system and ease to
implement with little training.d. that it has been shown to be a valid measure of
SI joint function in multiple studies.
12. Which MAT-7 functional test is the most difficult to perform?a. Balance-reach, step-up, step-down,
jump-downb. Multiplanar core and extremity range of motionc. Eccentric control of core and scapular hip
reactiond. Prone plank, side bridges and planks,
supine bridge
13. What percent of patients with sacroiliac joint pain describe foot pain?a. 50%b. 25%c. 14%d. <1%
14. Which reported pain referral pattern is statistically significant for sacroiliac joint pain when compared with a reference standard such as diagnostic sacroiliac joint injections?a. No specific referral patternb. Radiating pain with sittingc. Pain exacerbated by walkingd. Increased pain with coughing
15. Which provocative physical exam maneuver for testing sacroiliac joint pain is described? • Patient is supine with hip flexed to 90 degrees on affected side • Pelvis is stabilized at the contralateral anterior superior iliac spine • Steady, increasing pressure is applied through the axis of the femura. Gaenslen testb. Thigh thrust testc. Patrick test (FABER)d. Compression test
16. In a double-blind, randomized controlled trial in the treatment of patients with piriformis syndrome, injection of which pharmacologic agent was found to be most likely to decrease pain? a. Botulinum toxinb. Normal salinec. Dexamethasoned. Lidocaine
17. In patients with piriformis syndrome, what is the most common positioning of the lateral rotators of the hip?a. Lengthenedb. Shortenedc. Extendedd. Neutral
18. Which physical examination maneuver has been demonstrated to have 100% sensitivity and specificity for the diagnosis of piriformis syndrome?a. Active piriformis testb. FAIR testc. Intrarectal palpationd. Seated stretch test
19. Movement in the sacroiliac joint is:a. Altered by manipulation of the sacrum relative
to the iliumb. Notable within the pelvic ring in the post-
partum periodc. Inherently unstable in any three-dimensional
21. In setting patient expectations for manual therapy, the treatment goals should:a. Focus on all aspects of disorderb. Use anxiety to alleviate painc. Demote a physiological responsed. Change understanding of disorder
22. Which of the following is the best choice regarding objective tests to confirm the diagnosis of SIJ dysfunction and pain:a. Radiographic imaging of the sacroiliac jointb. There are no specific tests to confirm this
diagnosisc. MRI imaging of the sacroiliac jointd. Sedimentation rate and c reactive protein labs
23. Which SIJ provocative maneuver requires the examiner to passively move the hip and apply force through the hip and pelvis? a. FABER maneuverb. Compression maneuverc. Distraction maneuverd. Sacral thrust maneuver
24. Which hip deformity seen on a radiographic study has been shown to have the highest potential link to posterior pelvic pain? a. Acetabular anteversionb. Acetabular arthritisc. Acetabular retroversiond. Acetabular pathology is irrelevant
25. Patients with which of the following characteristics were found to benefit the most from surgical management of pain originating from the sacroiliac joint (SIJ)? a. Longer duration of symptomsb. History of smokingc. Past opioid used. Previous spine surgery
26. Inadequate pelvic joint stability has been correlated to lumbopelvic pain. Self-bracing of the pelvis is one of the mechanisms that accommodates shear forces at the sacroiliac joint (SIJ). This mechanism of bracing the crucial anteroinferior rotation of the sacral promontory in anticipation of joint loading is known as:a. Force closure b. Nutationc. Form closured. Counternutation
Submit your answers online at mē® (me.aapmr.org) to receive up to 8 AMA PRA Category 1 Credits™ and help meet the Part II Self-Assessment requirement of ABPMR MOC®. Don’t forget: Fellow and Associate members received a complimentary SAE-P coupon upon membership renewal. Log in to mē® to use your code.
