New research: No such thing as "stuck" SI joint

[neuromuscular]

[QUOTE=estherderu;23438]dear everybody,

the discussion about the SI joint being able to move/not move get stuck/ or not, has been around as long as I have been a physio. I did train as a OMT with Cyriax and Kalternborn.... at the time, so you could say I have some extra education in this field.
I am, however, not going to react in detail to this Y/N discussion but with a little practical idea of mine.

Because I have always found spinal + SI mobilisation/manipulation physically strenuous and an extremely passive way of treating patients I optrd for a more active approach.
Whatever the real reason, stuck or not stuck, we will find asymmetric movement patterns and strenght differences in these patients.
One of the most efficient ways of dealing with this is, in my opinion, using the PNF trunk patterns. I can really recommend them to everybody.




Thank you.

I agree that one hundred years of believing the the SIJ is the problem is too long. Try the test for APAS. You will find the data obtained of interest.

The problem with doing what we feel will make the patient better or makes the nociceptors " recalibrate " to allow for an abnormal condition is that we may not have made the patient's condtiion actually better.

We need an objective, reliable, accurate guage of how the patient is progressing.

I feel that in the low back or pelvic treatment the four sided assessment using the ASIS and PSIS landmarks gives us a benchmark for deciding if what we did actually improved the patient's condition by returning them to a more anatomical neutral.
I have been to several seminars where after the "therapy" the patient felt "better" and the ego of the therapist was pacified, but there was no difference in the pelvic position. So did they like the manipulative therapy that opens and closes joints but does more to reset the nociceptors to an atrificial normal than normalize the postural position of the patient to anatomical neutral.

The PSIS to sacrum with hip abduction will disprove the SIJ dysfunction "posivite" and is a guage of the joint better than the present "standards".

The SIJ is not stuck, but present direction is stuck in testing it. Try the APAS test on your patients to see if there is a change after your theraputic intervention. Please give me feedback.

Best regards,

Neuromuscular.