Sacroiliac dysfunction

Sacroiliac dysfunction is shown to be the common causes of back pain in sports and non sport peoples.

Motions of sacrum on ilia

    On transverse axis
  • Nutation
  • Counter-nutation
  • On oblique axis (Physiological/Forward torsion)
  • Right on Right
  • Left on Left
  • On oblique axis (Non-physiological/Backward torsion)
  • Right on Left
  • Left on Right

Dysfunctions and Treatment

Left on Left dysfunction

Deep sulciRight
Shallow sulciLeft
ILA posteriorLeft
L5 rotationERS-Right
Seated flexion testRight
Sphinx testSymmetry
LordosisIncreased
Short legLeft

MET procedure

  • Patient position: SIMS position on Right side.

Right on Left dysfunction

Deep sulciLeft
Shallow sulciRight
ILA posteriorRight
L5 rotationFRS-Left
Seated flexionRight
Sphinx testAsymmetry (Right base shallow)
LordosisDecreased
Short legRight

MET procedure

  • Patient position: Side lying on left side.
  • Flexing the top leg and extending the lower leg.
  • Ask the patient lift the leg (Horz abd) against the therapist resistance isometrically for 10 secs. Then ask the patient to relax and lower the leg towards the floor. The muscle energy technique is repeated for 3 - 5 times to correct the R-L SI dysfunction.

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References
  1. The body master method by John Gibbons.
Creator Details
Name : Deva senathipathi
Qualifications : Physiotherapist
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