Principles of Manual Medicine
Right Anterior Rotated Innominate
A direct action, muscle energy procedure for treating a right anterior innominant in the prone position.
Diagnosis
- Position: Right innominant anteriorly rotated.
- Motion restriction: Posterior rotation of right innominant.
The patient should be prone with the operator standing on the right side.
Overview
The operator grasps the patient's pelvis and slides the patient's lower trunk to the right edge of the table. The operator controls the patient's right leg by placing the patient's foot between operator's knees and grasping the patient's right knee with the operator's right hand.
Step 1
The operator's left hand stabilizes the patient's sacrum in the midline with the left index finger monitoring the right sacroiliac joint.
Step 2
The operator controls the patient's right leg with abduction, external rotation, and flexion to engage the barrier to posterior rotational movement. The patient should be instructed to perform muscle effort for 3-5 seconds of extending the right leg by pushing the right foot against operator's thigh.
Step 3
The operator engages the new barrier of posterior rotation between each patient contraction, and repeats the process three to five.
Step 4
Diagnosis
Overview
Step 1
Step 2
Step 3
Step 4