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Evaluation of sacroiliac joint mobility
Blockage of the sacroiliac joint with reactive tension within the deep pelvic musculature is often recognised through an inhibition of hip abduction. To test for this, a leg is drawn-up and splayed out to the side. The degree of abduction is tested whilst observing
a) right versus left symmetry
b) the so-called end feeling, i.e. whether the end position with maximal abduction is hard and painful or soft and elastic.
Evaluation of hip musculature mobility
The hip musculature serves to stabilise the pelvis. The hip musculature must prevent an overloading of the spine, also during asymmetric loading and whilst standing on one leg. If weakened, a result is reduced stability of the upper body. This is apparent from side-to-side swinging movements or tipping of the pelvis with a lateral inclination towards the affected leg. In both cases, a lateral movement is made instead of the natural turning of the torso which is incorrect both for normal walking and every type of sport.
The following exercise can be used both for diagnosis and for prevention:
Walking with turning of the torso, pelvis maintained in a vertical position.
Should the pelvis sag whilst walking, this indicates a dysfunction of the natural rotation of the torso
Voucher for a movement therapy evaluation
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