Chapter 13

LUMBO-PELVIC: MUSCLE ENERGY TREATMENT FOR AN ANTERIORLY ROTATED ILIUM


The patient is lying in supine. The therapist is standing at the patient’s left side. The patient’s right hip is extended and the thigh rests on the table. The patient flexes the left hip to approximately 90 degrees and the knee to approximately 120 degrees. The therapist’s left hand is placed on the patient’s left anterior, distal thigh. The patient rests his left anterior tibia against the therapist’s left shoulder. The therapist’s right second or third finger is placed on the patient’s left PSIS (for palpation).


MOBILIZING TECHNIQUE:

(1) The therapist assists in flexing the patient’s left hip until the therapist palpates the patient’s left ilium and sacrum moving together. The patient’s left hip is then extended only enough to remove this barrier.

(2) The patient is instructed to extend the left hip for 3 - 5 seconds while the therapist resists this effort. No movement should occur in the left hip during this technique.

(3) The patient relaxes the left hip and the therapist flexes the patient’s left hip until the patient’s left ilium and sacrum move together. The patient’s left hip is extended only enough to remove this barrier.


The therapist and patient repeat steps #1 through #3, 3 - 5 times.

The therapist repeats the TEST FOR ILIAL ROTATION POSITION. If the relative leg length in position #2 is the same as in position #1, joint correction has been achieved and the muscle energy technique is discontinued. If the relative leg length in position #2 is different from that of position #1, the dysfunction remains and the muscle energy technique is repeated.


* Due to the sensitivity of the structures being mobilized, it is recommended that the therapist employs only 2 — 3 sequences of this technique in a treatment session.

* An alternate method which places less stress on the patient’s knee may be utilized. The patient rests his posterior left knee on the therapist’s shoulder.

* For treatment of a right anteriorly rotated ilium, this procedure is administered on the patient’s right leg and the therapist’s hand placements are reversed.

MUSCLE ENERGY TREATMENT FOR AN ANTERIORLY ROTATED ILIUM

Muscle Energy Treatment for an Anteriorly Rotated Ilium (Image 1)

Muscle Energy Treatment for an Anteriorly Rotated Ilium (Image 2)

Muscle Energy Treatment for an Anteriorly Rotated Ilium (Image 3)

Muscle Energy Treatment for an Anteriorly Rotated Ilium (Image 4)

 

  Next: Chapter 14