You cannot view this unit as you're not logged in yet.
8 Comments
“old school” pelvic landmark and level assessment for supine (and for leg length), we would set patients up by asking them to do a bridge or 2 to find a more neutral position. Are you doing any of this, or simply assessing in a comfortable or habitual supine position? I can see benefit to assessing in whatever position they put themselves as this is a habit, but does it then skew findings?
When palpating the sacrum, I usually palpate with cervical spine in neutral. I might then have the pt turn the head side to side to see if there is a change. Do you take into acct cervical rotation when assessing the sacrum?
No I don’t because I”m focusing more on mobility and not position. I always treat immobility. Now you could check the sacral mobility with the head in different positions to see if it changes anything. If it does then treat what you find.
How can you tell if one pelvic innominate is shifted up (cranially) vs the other side being shifted down? What landmarks (if any) are we using to which innominate is actually the one in neutral?
I teach this in the Holistic Postpartum course. I do it by pulling on the leg. It’s rare to have a downslip, it is possible, but rare. Upslips don’t like inferior mobility. You could also palpate iliac crests and see if one is higher than the other. I go by mobility testing, never postional as you don’t know which one is which. But if the ilium doesn’t like going inferior then it is stuck up cranially. Hope this helps.
“old school” pelvic landmark and level assessment for supine (and for leg length), we would set patients up by asking them to do a bridge or 2 to find a more neutral position. Are you doing any of this, or simply assessing in a comfortable or habitual supine position? I can see benefit to assessing in whatever position they put themselves as this is a habit, but does it then skew findings?
I’ve done it both ways and I still find the rotation with and without doing the bridge to clear it. It seems to remain.
When palpating the sacrum, I usually palpate with cervical spine in neutral. I might then have the pt turn the head side to side to see if there is a change. Do you take into acct cervical rotation when assessing the sacrum?
Thanks!
No I don’t because I”m focusing more on mobility and not position. I always treat immobility. Now you could check the sacral mobility with the head in different positions to see if it changes anything. If it does then treat what you find.
How can you tell if one pelvic innominate is shifted up (cranially) vs the other side being shifted down? What landmarks (if any) are we using to which innominate is actually the one in neutral?
Alyssa,
I teach this in the Holistic Postpartum course. I do it by pulling on the leg. It’s rare to have a downslip, it is possible, but rare. Upslips don’t like inferior mobility. You could also palpate iliac crests and see if one is higher than the other. I go by mobility testing, never postional as you don’t know which one is which. But if the ilium doesn’t like going inferior then it is stuck up cranially. Hope this helps.
I like short videos like this, with clear and basic information.
Thanks!
Thanks!