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Foundations of the Pelvis

OVERVIEW: Structure & Function

SACRAL AXES – Where Motion Occurs

THE INNOMINATES & ILIOSACRAL DYSFUNCTION

Clinical Assessment and Patient History

THE CLINICAL SETTING

CASE HISTORY TAKING

Common Sign & Symptoms of SID

Indications to Treatment

Contraindications to Treatment

Evaluating Leg Length Discrepancies

LEG LENGTH DISCREPANCIES (LLDs)

Structural vs. Functional Leg Length

LLD - Examination

Iliosacral Examination Sequences

I-S EXAMINATION SEQUENCE: OVERVIEW

Standing

Seated

Prone ('Reseat')

Supine ('Reseat')

Sacroiliac Diagnosis and Testing

THE SACRUM & SACROILIAC DYSFUNCTION

S-I EXAMINATION SEQUENCE: OVERVIEW

Sphinx Test

Spring Test

Classifying Pelvic Dysfunctions

TYPES OF INNOMINATE DYSFUNCTIONS

INNOMINATE ROTATIONS

INNOMINATE FLARES

INNOMINATE SHEERS

PUBIC RAMI DYSFUNCTION

TYPES OF SACRAL DYSFUNCTIONS

Corrective Techniques: MET and HVLAT

METS: Corrective METs for Innominate (Iliosacral) Dysfunctions

MET CORRECTION: Innominate Rotations

METS: Corrective METs for Sacral (Sacroiliac) Dysfunctions

HVLATs: Corrective HVLATs for Innominate (Iliosacral) Dysfunctions

HVLAT CORRECTION: Anterior Innominate Rotations

HVLATs: Corrective HVLATs for Sacral (Sacroiliac) Dysfunctions

Quiz

Structural Leg Length

Functional Leg Length

Posterior Innominate

Examinations

THE INNOMINATES

CLASSIFICATION: Iliosacral Somatic Dysfunction

Physiological Lesions

Non-Physiological Lesions

EXAMINATION for ILIOSACRAL Somatic Dysfunction

Observation & Palpation

Active Motion & Special Tests

Sheers

Compression

FLOW DIAGRAM: Diagnosing Pelvic Dysfunction

Anterior Innominate Rotation

Posterior Innominate Rotation

MET CORRECTION: Innominate Flares

Innominate Outflare (externally rotated)

Innominate Inflare (internally rotated)

MET CORRECTION: Innominate Sheers

Superior Innominate Sheer ('Upslip')

Inferior Innominate Sheer ('Downslip')

MET CORRECTION: Pubic Dysfunction

The 'Shotgun' Technique

Sideline 'Modified Lumbar Roll'

Chicago Roll

HVLAT CORRECTION: Posterior Innominate Rotations

Prone

HVLAT CORRECTION: Upslipped Innominate

'Leg-Tug' Technique

Survey/Feedback

Course Feedback Survey

Welcome to the comprehensive course on the Clinical Assessment and Examination of Pelvic Somatic Dysfunction. The pelvic girdle is the foundational keystone of human biomechanics, and dysfunction in this area can lead to a cascade of musculoskeletal issues, chronic pain, and mobility limitations.

Welcome to the comprehensive course on the Clinical Assessment and Examination of Pelvic Somatic Dysfunction. The pelvic girdle is the foundational keystone of human biomechanics, and dysfunction in this area can lead to a cascade of musculoskeletal issues, chronic pain, and mobility limitations. This expertly designed online course provides healthcare professionals, physical therapists, osteopaths, and manual therapists with the essential knowledge and practical skills required to accurately diagnose and effectively treat pelvic somatic dysfunctions.

Throughout this in-depth program, you will explore the intricate anatomy and biomechanics of the pelvis, sacrum, and innominate bones. We will guide you step-by-step through clinical setting preparation, comprehensive patient history taking, and the identification of common signs and symptoms of sacroiliac dysfunction (SID). You will master the evaluation of structural versus functional leg length discrepancies (LLDs) and learn how to perform precise iliosacral and sacroiliac examination sequences, including the Sphinx and Spring tests.

Beyond assessment, this course delves into the classification of various pelvic dysfunctions, such as innominate rotations, flares, sheers, and pubic rami dysfunctions. Finally, you will be equipped with highly effective, evidence-based corrective techniques, including Muscle Energy Techniques (MET) and High-Velocity Low-Amplitude Techniques (HVLAT), ensuring you can provide immediate and lasting relief for your patients. Elevate your clinical practice, enhance your diagnostic accuracy, and transform your therapeutic approach with this definitive guide to pelvic somatic dysfunction.

Clinical Assessment and Examination of Pelvic Somatic Dysfunction

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            <p>The pelvic girdle serves as the central hub of human biomechanics, transferring forces between the upper body and the lower extremities while supporting the core. Understanding its complex anatomical structures, including the innominate bones and the intricate axes of sacral motion, is essential for any practitioner addressing musculoskeletal pain and movement limitations. This course provides a comprehensive exploration of pelvic somatic dysfunction, beginning with the foundational anatomy and biomechanics of the pelvis. Practitioners will learn how to establish a safe clinical environment, conduct thorough case histories, and recognize the key signs and symptoms of sacroiliac dysfunction. Additionally, the curriculum covers the critical differentiation between structural and functional leg length discrepancies, ensuring a highly accurate starting point for physical evaluation.</p>

<p>Building upon these foundational concepts, the course guides clinicians through systematic, step-by-step examination sequences in standing, seated, prone, and supine positions. Through specialized diagnostic maneuvers such as the Sphinx and Spring tests, participants will develop the skills necessary to classify various pelvic dysfunctions, including innominate rotations, flares, sheers, and pubic rami imbalances. Finally, the course details evidence-based corrective interventions, focusing on the precise application of Muscle Energy Techniques (MET) and High-Velocity Low-Amplitude Techniques (HVLAT). By bridging the gap between anatomical theory and hands-on clinical practice, this training equips healthcare professionals with the diagnostic precision and therapeutic confidence required to restore optimal pelvic alignment and function.</p>
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