These findings of altered movement and glide support the concept that altered mechanics of the sacroiliac joint are correlated with the presence of pain.
The treatment for a hypomobile sacroiliac joint (SIJ) joint is Grade IV joint mobilization (also known as arthrofascial stretching).
Assessment of sacroiliac joint dysfunction is done by motion palpation, in which the joint is challenged to move while the motion of the joint is assessed.
The application of this study is enormous. Many manual therapy professions employ joint mobilization techniques, either Grade IV and/or Grade V.
Joint mobilization treatment (Grade IV or V) is the most effective treatment technique to remedy a spinal joint dysfunction hypomobility once it is present.
A joint functions to allow motion, so two forms of joint dysfunction exist: Hypomobile joint has restricted motion; Hypermobile joint has excessive motion.
There are two major reasons why a massage therapist should consider working toward and earning a Continuing Education Certificate in Manual Therapy.
Grades IV and V joint mobilization are essentially pin and stretch technique.
Bone “A” is pinned and then Bone “B” is moved relative to Bone “A.”
The following techniques are considered to be Manual Therapy techniques: Massage (Soft Tissue Manipulation), Stretching, Joint Mobilization, Hydrotherapy.