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 connection between the hamstrings and the sacroiliac joint is through what is known as the superficial back line myofascial meridian/anatomy train. If the hamstrings are tight, their tension pulling force will be exerted through the sacrotuberous ligament and onto the sacrum.
When deep pressure is needed, it is important to be able to generate it with the least amount of effort and physical stress to your body. In essence, this blog post article is about learning how to employ proper body mechanics so that you work smart instead of working hard.
Bracing the contact means that the two hands must work together instead of each contacting the client separately. Less area of the client’s body will be covered this way, but stronger and more efficient pressure will be created at the area that is being worked, which is more important when deep pressure is needed.
Make sure that the feet are not too far apart. A wide stance may feel more stable but creates a static position that makes it difficult to transfer weight from one foot to the other. With a narrower stance, it is easier to shift the center of weight of the body from one foot to the other as a stroke is done.
A common body mechanics error is for the therapist to stand above the face cradle at the head end of the table. Standing here only distances you from the client, causing you to lean over the client to reach the low back; this compromises body mechanics and does not allow for the efficient use of body weight.
Even more important than table width is table height. As a rule, when generating deep pressure, you want the table to be as low as possible so that you can more easily position your body above the client to take advantage of gravity and body weight.
No assessment procedure is more important to the manual therapist than bone and muscle (myofascial) palpation.
This blog post article is part of a series of articles on assessment of the low back and pelvis. Scroll to the end of this article to see the others in this series. Range of Motion Range of motion (ROM) …
Treatment should never be administered without a diagnosis. In the world of manual therapy, treatment should only be performed if an assessment is made.
Four of the most common causes of tight muscles of the low back (or anywhere in the body) are: overuse, splinting, adaptive shortening, and overstretching.
Low back muscle spasming is common because lumbar extensor muscles must contract eccentrically, isometrically, and concentrically whenever we bend forward.
Manual therapy treatment for low back muscle tightness involves hot and cold hydrotherapy, soft tissue manipulation, stretching, and joint mobilization.
Self care for a low back strain / sprain involves avoiding offending postures and activities such as bending and lifting, and using heat and stretching.
For a low back strain / sprain, because the muscles of the low back are so large and powerful, the first goal of manual therapy is to reduce the spasming.
A low back sprain and strain present a similar clinical picture. The client/patient will have low back spasming and pain, which will increase with motion.
The two most common causes for a low back sprain / strain are macrotrauma and repetitive microtraumas, often involving bending and lifting.