Chapter 11

LUMBO-PELVIC: TESTING FOR ILIAL ROTATION POSITION


The patient is lying supine on a firm table. The therapist stands at the foot of the table.


TESTING PROCEDURE:

o The patient slides his heels on the table as he bends his knees. He stops when his feet are flat on the table.
o The patient performs three hip bridges.
o The patient extends his knees until his legs rest flat on the table again.
o The therapist places one towel under each of the patient’s heels. The towels should be in a position to move freely and independently of each other.
o The therapist places one thumb firmly against the inferior edge of each of the patient’s medial malleoli.

The therapist assesses the patient’s relative leg length symmetry (position #1).

o The therapist stands at the side of the table and places his forearm across the patient’s ASIS. His other forearm is placed underneath the patient supporting the scapulae.
o The therapist assists the patient to a long sitting position while stabilizing the patient’s pelvis across the ASIS.
o The therapist returns to the foot of the table and places one thumb firmly against the inferior edge of each of the patient’s medial malleoli.

The therapist assesses the patient’s relative leg length symmetry (position #2).


INTERPRETATION OF FINDINGS:

To avoid confusion it is best to designate one ilium as “dysfunctional”, determined by previous positive findings. Compare its relative leg length of position #1 to position #2.

Anterior ilial rotation is suspected when position #1 is longer than position #2.

Posterior ilial rotation is suspected when position #1 is shorterthan position #2.

TESTING FOR ILIAL ROTATION POSITION

TESTING FOR ILIAL ROTATION POSITION (Image 1)

TESTING FOR ILIAL ROTATION POSITION (Image 2)

TESTING FOR ILIAL ROTATION POSITION (Image 3)

TESTING FOR ILIAL ROTATION POSITION (Image 4)

TESTING FOR ILIAL ROTATION POSITION (Image 5)

 

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