Flashcards in 03 SI 3 Deck (24):
What are the treatment methods for SI?
- SI joint manipulation
muscle energy technique
What is the MET used for?
- to decrease rotation
How can you use MET to correct a left posteriorly rotated pelvis?
- left hip flexors
- right hip extensors
Which method has more research to back it up: manipulation or MET?
What is the rationale behind using MET?
Depending on where muscles attach on the pelvis, you can contract certain ones to pull on it in the desired direction
What are two MET techniques?
- shotgun technique
- innominate correction
What must you check before doing the shotgun technique?
check the pelvic landmarks for asymmetry
What do you have the patient do before and after doing the shotgun technique? Why?
- Weber Barstow maneuver
- reset the pelvis
What is the Weber Barstow maneuver?
- lift hips, come back down
- straighten legs
What is the shotgun technique?
series of resisted hip abduction followed by a resisted hip adduction
The shotgun technique itself will not likely give the patient complete relief. What must also be done?
How do you perform innominate correction? (position)
same as for Gaenslen's test
timing of innominate correction
must apply flexion and extension resistance simultaneously
If the patient has right sided pain (anteriorly rotated innominate), which muscle group would be more lengthened on the right?
If the patient has right sided pain (anteriorly rotated innominate), where should flexion and extension be focused?
- R: resisted hip extension (contract hamstrings)
- L: resisted hip flexion (contract hip flexors)
If the patient has right sided pain (posteriorly rotated innominate), where should flexion and extension be focused?
- R: resisted hip flexion (contract hip flexors on the right to pull forward)
- L: resisted hip extension
What might you need to do for the innominate correction for a larger patient?
have them bridge up on one side
What needs to be done after leveling the pelvis?
core and hip strengthening to maintain the level pelvis
If there's pain and a rotated pelvis, what do you do?
- level it
- have them exercise
If there's no pain but there is a rotated pelvis, what do you do?
- leave the pelvis alone
- have them exercise
- idea is that it helps the patient stay neutral
- provides biofeedback mechanism
If they're going to use an SI belt, when should it be put on?
after they've done MET and before they stand