Sacroiliac Joint Dysfunction and Piriformis Syndrome by Paula Clayton

Author:Paula Clayton [Clayton, Paula]
Language: eng
Format: epub
Tags: MED073000 Medical / Physical Medicine & Rehabilitation
ISBN: 9781623170868
Publisher: North Atlantic Books
Published: 2016-09-15T00:00:00+00:00

The compression that is noted to be most helpful for the patient during the ASLR test should be kept in mind when planning the treatment.

Keep in mind that if there is too much compression the patient will not do well or may find the task of lifting the leg even more difficult.

What if you find that compression (force closure) is reduced?

1. Assess and treat lumbar spine and hips, as these are likely to be hypomobile

▪ Compensation or strain on the structures impacting on the SIJ

2. Temporary use of an SIJ belt

3. Walking and swimming activates gluteus maximus

▪ Increases tension on the thoracolumbar fascia (TLF)

4. Specific training of gluteus maximus and latissimus dorsi (posterior oblique sling), erector spinae and multifidus (Vleeming and Stoeckart, 2007)

▪ Assists force closure

▪ Strengthens TLF.

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