688 9/30 Lab Pelvis Muscle Energy

Indications of Pelvis Muscle Energy

low back pain, pelvic pain, groin pain, si joint pain, sacral pain, visceral complaints (constipation, urination), pregnant patients

Relative Contraindications

acute fracture within the pelvis or lower extremity, DVT, cancer of pelvis, instability of the hip joint, arthritis of the hip

Pelvic Landmarks to Palpate

iliac crest, ASIS, PSIS, pubic symphysis, pubic tubercle

Anterior Innominate Muscle Energy

Anterior Innominate and Inferior Pubic Shear Muscle Energy Patient Position

supine, flex and adduct affected hip

Inferior Pubic Shear Muscle Energy

Posterior Innominate Muscle Energy

Posterior Innominate and Superior Pubic Shear Muscle Energy Patient Position

supine, extend affected hip off of the side of the table while pracitioner holds down opposite asis

Superior Pubic Shear Muscle Energy

Innominate Inflare Muscle Energy

Innominate Inflare Muscle Energy Patient Position

supine, flex knee of affected side with foot flat on table, pracitioner holds down opposite ASIS and pushes knee laterally

Innominate Outflare Muscle Energy

Innominate Outflare Muscle Energy Patient Position

supine, flex knee of affected side with foot flat on table, pracitioner pulls affected side psis laterally and pushes knee medially

Superior Innominate Shear Muscle Energy

Superior Innominate Shear Muscle Energy Patient Position

supine, abduct and internally rotate leg of affected side, practitioner leans back

Inferior Innominate Shear Muscle Energy

Inferior Innominate Shear Muscle Energy Patient Position

supine, abduct and internally rotate affected leg then place foot on practitioner’s knee, grab unaffected ankle and adduct unaffected leg with external rotation

push affected leg superiorly

Public Muscle Energy/Thrust

Public Muscle Energy/Thrust Patient Position

supine with legs flexed and feet on table

first, pracitioner holds outside of knees and instructs patient to abduct them

second, pracitioner puts hands between knees and instructs patient to adduct them

Muscles Used to Correct Anterior Rotation/Inferior Pubic Shear

gluteus maximus and biceps femoris

Muscles Used to Correct Posterior Rotation/Superior Pubic Shear

primarily iliopsoas, may see rectus femoris or sartorius

Muscles Used to Correct Inflare

adductors (longus, brevis, magnus), may see gracilis or pectineus

Muscles Used to Correct Outflare

abductors (glut med and min)

Muscles Used to Correct Superior and Inferior Innominate Shear

quadratus lumborum, obliques internus and externus