Sacral Torsion Correction
Type 1 rotation of the sacrum with L5 & L4 rotated in the same direction. (n0n-compensatory)
Sacral Torsion Correction
Type 1 Dysfunction: (20% effort)
- Involves a group motion restriction that is maintained by muscles spanning several spinal segments.
- Usually can see imbalance with the naked eye.
- Involves the large, extrinsic muscle groups.
- Side bending and rotation usually occur to opposite sides.
Sacral torsions (rotations) commonly cause sciatic nerve pain.
Type 1 rotation: if the sacrum, L5 & L4 were rotated in the same direction.
- Side lying with the deep sulcus down.
- Straighten the lower leg into neutral. this traction the lumbar spine.
- Palpate the sacrum with your downhill hand and with your uphill hand, the spinous process of the upper most rotated lumbar spine (L-4) that is rotated along with the sacrum (non-compensatory)
- Place arm behind back and instruct the patient to take 2-3 deep breaths to relax and let the L-spine rotate.
- Rotate the top shoulder(spine) backward to a pathological motion barrier to induce lumbar rotation all the way down to the uppermost rotated L-spine segment. (L-4 in this example)
- Move the sacrum in opposition to the lumbar spine, by taking the top leg into flexion until you feel movement at L-4.
- Place your uphill hand on the front of the patient's shoulder.
- Lower the patient's leg into adduction. Place your downhill hand on the outside of the patient's thigh just above the knee.
- Instruct the patient to push into both of your hands with a 20% effort. Hold this contraction for 6-8 seconds.
- Following complete relaxation, increase the rotation of the spine and the adduction of the thigh slowly to the new pathological motion barrier.
- Repeat 3-5 times.
