Chapter 15

LUMBO-PELVIC: MUSCLE ENERGY TREATMENT FOR A POSTERIORLY ROTATED ILIUM


The patient is lying on his right side. The therapist stands behind the patient. The patient flexes his right hip to end range and grasps it with both hands. The therapist extends the patient’s left hip until a barrier is met. The therapist’s left hand is placed on the patient’s left anterior, distal thigh. The therapist’s right hand is placed firmly on the patient’s left posterior ilium (for mobilization).


MOBILIZING TECHNIQUE:

The patient must maintain full right hip flex at all times.

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

(2) The patient relaxes his left hip. The therapist extends the patient’s left hip as he applies an anterior force on the patient’s left posterior ilium. Once a barrier is detected, no additional hip extension is performed.


The therapist and patient repeat steps #1 and #2, 3 - 5 times.

The therapist repeats the TEST FOR ILIAL ROTATION POSITION after performing 3 - 5 repetitions of the muscle energy technique. 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 in 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 one treatment session.

* If the patient slides forward during this technique, it may be necessary to stabilize the patient’s anterior trunk (help from an assistant is needed).

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

MUSCLE ENERGY TREATMENT FOR A POSTERIORLY ROTATED ILIUM

Muscle Energy Treatment for a Posteriorly Rotated Ilium (Image 1)

Muscle Energy Treatment for a Posteriorly Rotated Ilium (Image 2)

Muscle Energy Treatment for a Posteriorly Rotated Ilium (Image 3)

 

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