11.3 Sacroiliac joint

Left innominate anterior

Patient supine

Assume somatic dysfunction (S-T-A-R-T) is identified and you wish to thrust the left innominate posteriorly.

Key

Stabilization

Applicator

Plane of thrust (operator)

Direction of body movement (patient)

Note: The dimensions for the arrows are not a pictorial representation of the amplitude or force of the thrust.

1 Contact points

(a) Left anterior superior iliac spine (ASIS)

(b) Posterior aspect of left shoulder girdle.

2 Applicators

(a) Palm of right hand

(b) Palmar aspect of left hand and wrist.

3 Patient positioning

Patient lying supine in a comfortable position. Move the patient’s pelvis towards their right. Move the feet and shoulders in the opposite direction to introduce left sidebending of the trunk. Place the patient’s left foot and ankle on top of the right ankle. Ask the patient to clasp their fingers behind the neck (Fig. 11.6).

Figure 11.6

4 Operator stance

Stand at the right side of the patient, feet spread slightly and facing the couch. Stand as erect as possible and avoid crouching as this will limit the technique and restrict delivery of the thrust.

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