Innominate Bone Position test

Have you ever wondered if hip ABD could provide needed information on the client's condition in pelvic, hip or low back pain situations???

What could be learned???

There is no test using hip ABD for innominate bone position that I know of, so try this:

Step 1: Do gross postural assessment from all four sides as the client/patient does hip ABD

Step 2: Have the client/patient do hip ABD to 25 cm, 50 cm, 75 cm, 100 cm, etc., to the ability of the patient to comply. Landmark each side with the ASIS to ASIS, PSIS to PSIS, ASIS to PSIS (R&L).

Note how the innominate bones move into anterior or posterior rotation.

See if this gives you any new information on your client/patient.

Best regards,

Neuromuscular

To all:

IBP is the acronym for the "innominate bone position" test.

The test maps how nutation or rotation occurs to the innominate bones as hip ABD progresses. It is best used to find out the condition termed APAS or "asymmetric pelvic angle syndrome".

It maps the specific muscular imbalances as this happens. It is dynamic and static in concept.
The test could be liked to several frames of the persons condition that can be mapped as the forces are generated and exert influence on the innominate bones.

Please try the test without bias or prejudice to evaluate yourself.

Best regards,

Neuromucular.

Hi all,

I agree - try the test.

Neuromusucular, just a quick question...you say that muscle imbalances cause the positions seen...what happens if the person has OA of the hip or a labral tear which causes hip (and so pelvic) asymmetry?

is that a fair question to ask?

Thanks

Dear A Lo physio:

The scientific method is not to go in with preconcieved ideals of others or our own, but to let the test prove itself.

By your statements, you have shown that "you know what a test will show before you do it" for whatever reason you may give. Where would science be on that premise? Therefore, I will not answer your questions or reply to you any more.

I go into a new endeavour with using only anatomy as my basis. Why? Because physiology changes with time. What Punjab, Vleeming, Winkel, Lee et al have "discovered" can change and no doubt will change over time. Time is the greatest friend or enemy.

I am confident that time will show this to be factual and reality.

I do not go into something with the rose colored glasses of another. Science would not be where it is if this were the scientific method.

However, today is more of a paper chase of what others have said before you than to see something on its own validity.

Choose your method and MO. You have the right to it.

However, goodbye A Lo.

Neuromusuclar.

Fair enough neuromuscular. You are right. Having said that, it is allowable to try to predict the result of something before doing a test. It is how the mind works.

Quid pro quo my friend. Have you tried my suggested tests?

I tried yours for quite some time - you still haven't tried mine.

To be open minded, you have to be open-minded :) If you want to have people respect your point of view, respect theirs.

Also, the scientific process is designed to make the process robust.

Your test is flawed for what you say it does. You rely on bony positions. Bony positional testing is not a strong basis to start from. Having said that, the intra-pelvic torsions that you see can be from so many different sources, it doesn't tell you what it is from, just that hip ABD causes a torsion in the pelvis somewhere from something.

You are right...there is nothing new and your test is not new either. Assess the effect of hip abduction on the spine and pelvis is taught at undergrad level. I know i have taught it at post-grad level. Just because you wish to make arbitrary measurement points either in cm or degrees doesn't mean you have developed something new.

Open your eyes my friend...try my test then have a go at me.

To all, try his test then tell us what you think - i am all in support for trying new things. The researchers i have contacted about his test don't want to have anything to do with neuromuscular because of his stubborness...surely that says something....

...hmmm perhaps i shouldn't write at 3am....