Functional Disturbance in the Ilio-lumbal-hip Joints Region. Diagnosis and Therapy
Keywords:
functional disturbance, ilio-lumbal-hip joints region, iliosacral jointsAbstract
This kind of dysfunction, the hypomobility, is sometimes caused by sports trauma. Another dysfunction of the sacroiliac joint is its hypermobility that forces different from normal muscles tension, both static and active, in this region. Functional diagnosis of the lumbo-pelvic-iliac region is possible with biomechnical examination. Various functional tests commonly used in physiotherapeutical diagnosing are helpful in the examination. They enable to determine the type and character of the sacroiliac joints dysfunctions. The most valuable are positive findings made with a few tests, therefore the same set of tests shoud be used in each examination. The basic set of tests includes provocative manoeuvers and functional tests. Therapy of functional dysfunctions consists of apropriate manual techniques that are aimed on the type and character of the dysfunction. There are distinguished articular, muscular and ligamentous techniques. The articular techniques restore restricted mobility of the joint by recreating specific movement direction: mobilisation or manipulation. Muscular therapy consists of muscular tension redressing and treatment of reflectory changes in muscles and fasciae. Pressure mobilisations, postisometrc relaxation of the muscle and functional massage are counted among the effective methods. The ligamentous techniques include stretching of the ligaments in the maximally possible positions and pressure mobilisations of the ligaments). Preliminary results of this study led to opening of doctoral thesis in our Department of Physiotherapy.
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