A direct action, muscle energy procedure for treating a left flexed sacrum in the prone position.
Diagnosis
- Position: Left unilateral anterior nutated sacrum (left flexed sacrum).
- Motion restriction: Left Unilateral Posterior Nutation.
Overview
Step 1
The operator's left hand monitors left sacral base of the patient while the right arm introduces abduction of patient's left leg to approximately 15°.
Step2
The operator internally rotates the patient's left leg, gapping the posterior aspect of the left sacroiliac joint. The patient should be instructed to hold the leg in that position.
Step 3
With his right arm straight, the operator places the heel of his hand on the left inferior lateral angle and springs the patient's sacrum from above, below, and from side to side until the point of maximum motion is identified at the left sacral base.
Step 4
The patient should be instructed to take a maximum inhalation and to hold that breath as the operator maintains a ventral and cephalic compressive force on the left inferior lateral angle.
No commercial support was received for the development of this content. The developers and presenters have no conflicts to disclose. This product is intended for instructional use only. It is not designed for clinical or diagnostic purposes. The authors, producers, and publishers of these materials shall not be held liable for any loss and/or injury arising from the use of information and procedures contained in these programs.