The Muscle Energy Manual Volume Three: Evaluation and treatment of the pelvis and sacrum

Front Cover
......Page 1
Back Cover
......Page 2
Title Page
......Page 5
Dedication
......Page 6
Preface for The Muscle Energy Manual Series
......Page 7
Volume Three Preface
......Page 8
Brief Contents
......Page 9
List of Tables
......Page 10
List of Line Art Illustrations
......Page 11
List of Procedures
......Page 12
Detailed Table of Contents
......Page 13
Historical Chronology of Muscle Energy Technique
......Page 18
Introduction
......Page 19
Osteology
......Page 31
Table 1.A. Pelvic Landmarks for Structural Diagnosis in the Mitchell Model
......Page 33
Bony Landmarks Indicating Innominate Position or Movement
......Page 34
Locating the Posterior Superior Iliac Spines (PSISs) and Posterior Iliac Prominence (PIP)
......Page 35
Umbilicus
......Page 36
Sacrotuberous Ligaments
......Page 38
Pubic Crests, Superior Surfaces
......Page 39
Finding the ILAs
......Page 40
Anatomic Considerations when Palpating for Sacral Sulci * Depth
......Page 41
Pelvic Ligaments
......Page 42
Muscles of the Pelvis
......Page 44
Table 1.B. Muscles Attached to the Sacrum
......Page 45
Table 1.C. Muscles Attached to the Innominates from Above
......Page 46
Table 1.D. Muscles Attached to the Innominates from Below
......Page 48
Influence of the Fibula on the Pelvis
......Page 50
2. NORMAL SAGITTAL PLANE MOTIONS IN THE PELVISACRAL JOINTS
......Page 51
Instantaneous Axes and the Sacroiliac Ligaments
......Page 54
Sacral Middle Transverse Axis
......Page 53
How the Axis Shifts from Middle to Superior
......Page 56
Non-Weight Bearing Sagittal Movement
......Page 57
Iliosacral Inferior Transverse Axis
......Page 59
Summary of Pelvic Axes
......Page 60
Causes of Sacroiliac Motion
......Page 61
Amplitude of Craniosacral Motions
......Page 62
3. NORMAL COUPLED MOTIONS IN THE SACROILIAC JOINTS: TORSION AND UNILATERAL SACRAL FLEXION
......Page 63
Sacral Torsion and the Oblique Axes
......Page 64
The Four Sacral Torsion Movements
......Page 66
Spinal Forces and Sacral Torsion
......Page 68
Original Walking Cycle as Described by Fred Mitchell, Sr.
......Page 71
Phases of the Gait Cycle
......Page 72
Unilateral Sacral Flexion Movement
......Page 76
Lumbosacral Adaptive Mechanics
......Page 77
The Sacral Base/ILA Paradox Revisited
......Page 80
4. OVERVIEW OF MANIPULABLE DISORDERS OF THE PELVIS
......Page 83
Pubic Symphyseal Dislocation or Subluxation
......Page 85
Upslipped Innominate
......Page 86
Rhomboid Pelvis
......Page 88
Sacroiliac Dysfunctions
......Page 89
Unilaterally Flexed Sacrum
......Page 90
Mechanism of Injury in Flexed Sacrum
......Page 91
Forward and Backward Sacral Torsions
......Page 92
Effects of Sacral Torsion Dysfunction
......Page 93
Comparison of a Unilaterally Flexed Sacrum on the Left and a Torsioned Sacrum to the Left
......Page 94
Anteriorly or Posteriorly Rotated Innominate
......Page 95
Functional Relationship between Weakness-Prone and Tightness-Prone Muscles
......Page 96
Functional Relationship of the Pelvis to the Cranium
......Page 98
Sacral Oscillation
......Page 99
Coccygeal Dysfunction and Malposition
......Page 100
5. INTRODUCTION TO EVALUATION AND TREATMENT OF THE PELVIS AND SACRUM
......Page 101
MET and the Evaluation and Treatment of Pelvic Dysfunction
......Page 102
6. SCREENING AND LATERALIZATION TESTS FOR THE PELVIS
......Page 105
Relative Leg Length
......Page 106
Measuring Anatomic Leg Length
......Page 107
Trunk Adaptations to Sacral Base Asymmetry
......Page 108
Procedure Task Analysis
......Page 110
Flexion Tests for Pelvisacral Mobility
......Page 111
Prior to Performing the Standing Flexion Test
......Page 114
Task Analysis for Finding the PIPs
......Page 115
Protocol Task Analysis
......Page 116
Interpretation of Results
......Page 117
The Seated Flexion Test Procedure Protocol
......Page 118
Interpretation of Results
......Page 119
Biomechanical Events of the Flexion Tests
......Page 120
Effect of Pubic Subluxation on Pelvic Flexion Tests
......Page 121
Hip Drop Test
......Page 122
Interpretation of Results
......Page 123
Dynamic Leg Length Tests
......Page 124
The Dynamic Leg Length Test of Pelvic Motion Symmetry
......Page 125
A. Patient Alignment
......Page 126
B. Leg Shortening Procedure
......Page 127
C. Leg Lengthening Procedure
......Page 128
Interpretation of the Dynamic Leg Length Test
......Page 129
7. SUBLUXATIONS AND DISLOCATIONS OF THE PELVIS: EVALUATION AND TREATMENT
......Page 131
The Pubic Crest Heights Test
......Page 132
The Pubic Crest Heights Test Procedure Protocol 
......Page 133
Treatment for Inferior Pubic Subluxation
......Page 134
Treatment for Inferior Pubic Subluxation Procedure Protocol
......Page 135
Combination Treatment for Superior or Inferior Pubic Subluxation
......Page 136
Incidence of Upslipped Innominate
......Page 137
Diagnostic Criteria for Upslipped Innominate
......Page 138
Using Mobility Tests for Lateralization and Confirmation of Upslipped Diagnosis
......Page 139
A. Testing for Ishial Tuberosity Heights Procedure Protocol
......Page 140
Interpretation of Results
......Page 141
Interpretation of Results
......Page 142
Procedure Protocol
......Page 143
Sacroiliac Belt
......Page 144
The Results of ASIS Flare Testing (for Iliac Flare)
......Page 146
Treatment for the Iliac Infare Lesion Procedure Protocol
......Page 147
Treatment for the Iliac Outflare Lesion Procedure Protocol
......Page 148
Summary of Pelvic Subluxations
......Page 149
Sacroiliac Dysfunction
......Page 151
Flexed Sacral Dysfunction
......Page 152
Evaluation for Sacroiliac Dysfunction
......Page 153
The Prone and Sphinx Tests for ILA Positions Procedure Protocol
......Page 154
The Test for Sacral Sulci Depths Procedure Protocol
......Page 156
Interpretation of Results for the ILA Position and Sacral Sulci Depths Test
......Page 157
The Lumbar Component of Sacroiliac Dysfunction and the Sphinx Test
......Page 158
Prone Treatment for Unilaterally Flexed Sacrum
......Page 159
Prone Treatment of a Unilaterally Flexed Sacrum Procedure Protocol
......Page 160
Self Treatment for Recurrent Unilaterally Flexed Sacrum
......Page 162
Diagnostic Criteria for Torsioned Sacrum
......Page 163
Mitchell Sr. Procedure Protocol for Treatment of the Forward Torsioned Sacrum (Left-on-Left) Protocol Task Analysis
......Page 164
Mitchell Jr. Treatment of the Forward Torsioned Sacrum- Operator Seated Method
......Page 166
Mitchell Jr. Treatment Procedure Protocol for Sacrum Torsioned Forward
......Page 167
Self Treatment Task Analysis
......Page 168
Treatment Techniques for Backward Torsioned Sacrum
......Page 169
Treatment for Backward Torsioned Sacrum Procedure Protocol
......Page 170
Evaluation for Anterior or Posterior Rotated Innominate Procedure Protocol
......Page 172
Lateral Recumbent Technique for AIR
......Page 173
Lateral Recumbent Treatment for Anterior Innominate Right (AIR) Procedure Protocol
......Page 174
The Prone Treatment for Anterior Innominate (AIR) Procedure Protocol
......Page 176
Self Treatment Procedure Protocol for Anterior Innominate on the Right (AIR)
......Page 177
Prone Treatment for Posterior Innominate Procedure Protocol
......Page 178
Lateral Recumbent Treatment for Posterior Innominate Procedure Protocol
......Page 179
Sacroiliac Respiratory Dysfunction
......Page 180
The Dimple Tests Procedure Protocol
......Page 181
Treatment of Restricted Sacroiliac Respiratory Motion Procedure Protocol
......Page 182
Coccygeal Dysfunction
......Page 184
Examining the Coccyx for Rotation Procedure Protocol
......Page 185
Ischiorectal Foss Technique Procedure Protocol for Treatment of Coccygeal Dysfunction
......Page 186
Pelvic Diagnostic Table
......Page 187
APPENDIX A. YOUR DISLOCATED PELVIS OR LIFE WITH A SACROILIAC BELT
......Page 189
APPENDIX B. OF CLINICAL INTEREST
......Page 191
BIBLIOGRAPHY AND RECOMMENDED READING
......Page 192
INDEX
......Page 198