Dear neuromuscular & alophysio

Firstly happy new year to you both. Secondly, thanks for your continuing contributions to the forum as I am many others enjoy a heated debate. And your's is one of the best.

But I think generally you guys are getting a little personal, perhaps through frustration as you both believe strongly in the views you are suggesting.

Alophysio is perhaps on the hard line or peer reviewed trials and evidence based stuff. Neuromuscular is perhaps on that side where people are trying to come up with something practical that others can later investigate to their satisfaction.

I would not want any comments that "get personal" to interfere with your great contributions.

For what it is worth I think it is great that someone is clinically trying to develop our assessment. As a pure maths and physics student prior to physio I am also very, very critical on the collection of data, the operationalisation of the initial questions asked as to what that data was collected and importantly the subsequent conclusions or statements that are made about the results. I do take alophysio's comments on that and think this is worth stating.

For what it is worth this topic refers to a "Stuck Wikipedia reference-linkSIJ". This is where I believe most people researching this topic miss the point. You cannot look for mobility in something that is stuck. You cannot show it in realtime Wikipedia reference-linkMRI etc. The point is that it move from a position at time A and through some force moved to a position B. Clinically we cannot see the move from A to B as they are at B when they come t visit us.

Perhaps a 3D scan such as PET or SPEC scan when the patient is asymptomatic (perhaps a position A) with some type of rotational marker system and later a follow-up comparison3D scan when they are symptomatic (perhaps a position B) might lend itself to assisting us whether or not to acknowledge that a shift is the SIJ is possible and then whether that might lead to pain. So far I have not seen evidence of this but it seems pretty logical to me.

Clinically though it doesn't really matter what us going on as long as there is an assessment technique that leads to a treatment technique/process, that leads to a reduction in symptoms. For the later is what we are after as clinicians.

We do not like to remove any commentary from this forum suffice to say that I am happy to remove any personal things that may have been said in frustration. SO please let me know via a direct message if there are things you'd like removed.

Try to keep things on track, perhaps (as I have seen from email correspondence) you two should be working on the same development as coming up with something together after all this debate would be a benefit to us all and a great forum on which to facilitate that for the wider community.

Big smile to all.