Sacroiliac Joint Pain: Difference between revisions
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Rising of the crest upon anterior SI rotation is paradoxical, and its explanation cannot be reduced to a two-dimensional model. | Rising of the crest upon anterior SI rotation is paradoxical, and its explanation cannot be reduced to a two-dimensional model. | ||
Schamberger’s | Schamberger’s rule of the five Ls, which relates to the side of the anteriorly rotated innominate: “Leg Lengthens Lying, Landmarks Lower” (supine vs long sitting) <ref>Wolf Schamberger. The Malalignment Syndrome 2nd Edition. Churchill Livingstone. 2012</ref> | ||
Those patients showing pelvic asymmetry caused by dysfunction of the SI joint received one of two treatment options: (1) high-velocity and low-amplitude thrust technique applied through the ankle on the side of the dysfunctional SI joint or (2) restoration of symmetry by the selfembracing muscle energy technique. In this procedure, a patient resists thigh extension, alternating on both sides, to produce a corrective rotational force on the pelvis. Both methods have been described in detail elsewhere.3,12 The estimation of asymmetry as described was repeated after the corrective treatment. | Those patients showing pelvic asymmetry caused by dysfunction of the SI joint received one of two treatment options: (1) high-velocity and low-amplitude thrust technique applied through the ankle on the side of the dysfunctional SI joint or (2) restoration of symmetry by the selfembracing muscle energy technique. In this procedure, a patient resists thigh extension, alternating on both sides, to produce a corrective rotational force on the pelvis. Both methods have been described in detail elsewhere.3,12 The estimation of asymmetry as described was repeated after the corrective treatment. |
Revision as of 09:39, 14 June 2020
Pelvic Malalignment
The chart below is from Timgren et al, and outlines the changes seen on examination with pelvic malalignment.[1]
Innominate | A. Posterior rotation | B. Anterior Rotation |
---|---|---|
Iliac Crest | Elevated ↑ | Elevated ↑ |
ASIS | Elevated ↑ | Depressed ↓ |
PSIS | Depressed ↓ | Elevated ↑ |
scapula | Depressed ↓ | Elevated ↑ |
leg | Longer ↑ | Shorter ↓ |
10-15mm lift | Increased crest difference ↑ | Reduced crest difference ↓ |
Spinal curvature | C type scoliosis | S type scoliosis |
C0-C1 function | Symmetric rotation in flexion | Restricted rotation in flexion |
All changes are in reference the ipsilateral side.
Rising of the crest upon anterior SI rotation is paradoxical, and its explanation cannot be reduced to a two-dimensional model.
Schamberger’s rule of the five Ls, which relates to the side of the anteriorly rotated innominate: “Leg Lengthens Lying, Landmarks Lower” (supine vs long sitting) [2]
Those patients showing pelvic asymmetry caused by dysfunction of the SI joint received one of two treatment options: (1) high-velocity and low-amplitude thrust technique applied through the ankle on the side of the dysfunctional SI joint or (2) restoration of symmetry by the selfembracing muscle energy technique. In this procedure, a patient resists thigh extension, alternating on both sides, to produce a corrective rotational force on the pelvis. Both methods have been described in detail elsewhere.3,12 The estimation of asymmetry as described was repeated after the corrective treatment.