The Muscle Energy Manual, Vol. 3: Evaluation and Treatment by Fred L. Mitchell, Jr., P. Kai Mitchell

By Fred L. Mitchell, Jr., P. Kai Mitchell

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Extra info for The Muscle Energy Manual, Vol. 3: Evaluation and Treatment of the Pelvis and Sacrum

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On its left and right sides, the L-shaped auricular (latin for "ear-shaped") articular surfaces S1 and S3) of the sacrum articulate with (approximately located between the articular (auricular) surfaces of the ilia. The left and right innominates also directly articulate with each other, anteriorly and medially, at the pubic symphysis. The acetabulum of the pelvis provides the articular sur­ face for the head of the femur, and is located laterally on that portion of the pelvis where the ilium, pubis, and ischium join.

THE MUSCLE ENERGY MANUAL 21 CHAPTER 2 Normal Sagittal Plane Motions in the Pelvisacral Joints I n order to understand dysfunctions and subluxations of the pelvic joints, it is necessary to first understand normal sagittal plane translatory and rotatory motions of the sacrum in relation to the ilia. Translatory move­ ment is linear displacement in any plane of one bone in relation to another, and rotation is turning about an axis. Movements of pelvic joints are caused either by changes in vertebral col­ umn position or by leg movements.

To make the palpatory search for the edge of the mons pubis. pubic crests as brief as possible, the palm should be placed Pubic crests should not be con­ fused with the pubic tubercles which are located more lat­ flat on the midline of the lower abdomen and the upper erally and project laterally along the line of the inguinal lig­ margin of the pelvis identified stereognostically with the ament which attaches to them. heel of the hand before placing the fingers on the patient. Palpation of the pubic crests entails placing index finger tips at the anterior center Evaluation consists of comparing the crests for superior or of the mons pubis, gently sliding the fingers superiorly to inferior subluxation in the frontal plane.

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