Pelvic Categories:Pelvic Categories: Comparison Comparison

Definition Definition

Functional TestingFunctional Testing

CorrectionCorrection

Muscle InvolvementMuscle Involvement

DefinitionsDefinitions

CATEGORY IICATEGORY II– SUBLUXATION of SI jointSUBLUXATION of SI joint

PI or AS Ilium (Posterior Ischium)PI or AS Ilium (Posterior Ischium)

CATEGORY ICATEGORY I– Pelvic Torsion WITHOUT subluxationPelvic Torsion WITHOUT subluxation

Category IIICategory III– Dysfunction of the pelvis & 5th Dysfunction of the pelvis & 5th

lumbarlumbar

Therapy LocalizationTherapy Localization

Cat. II = 1 hand on 1 SI at a timeCat. II = 1 hand on 1 SI at a time Cat. I = 1 hand on each SI at Cat. I = 1 hand on each SI at

same same time time– - then 2 hands on 1 SI at a - then 2 hands on 1 SI at a

time time - POSITIVE - POSITIVE SIDESIDE

Cat. III = NO Therapy LocalizationCat. III = NO Therapy Localization– - Only CHALLENGE- Only CHALLENGE

ChallengesChallenges

Cat. II = Rebound challenge as either:Cat. II = Rebound challenge as either:– PI or AS Ilium (posterior ischium)PI or AS Ilium (posterior ischium)

Cat. I = Rebound challenge:Cat. I = Rebound challenge:– Contact PSIS & opposite ischial tuberosityContact PSIS & opposite ischial tuberosity

Cat. III = Rebound challenge:Cat. III = Rebound challenge:– Lateral to medial on L5 spinousLateral to medial on L5 spinous

Toward Ischial contactToward Ischial contact

– Anterior to posterior on ANTERIOR ischiumAnterior to posterior on ANTERIOR ischium side opposite L5 contactside opposite L5 contact

CorrectionsCorrections

Cat. II = ADJUST subluxationCat. II = ADJUST subluxation– PI or AS; any techniquePI or AS; any technique

Cat. I = ADJUST pelvic torsionCat. I = ADJUST pelvic torsion– Block Pelvis; blocks angledBlock Pelvis; blocks angled– Enhancement ProcedureEnhancement Procedure

““Pump” PSIS or Ischial TuberosityPump” PSIS or Ischial Tuberosity– NOT on the primary side; NOT over a blockNOT on the primary side; NOT over a block

Cat. III = ADJUST L5/Pelvic Cat. III = ADJUST L5/Pelvic DysfunctionDysfunction

Corrections (Continued)Corrections (Continued)

Cat. III = ADJUST L5/Pelvic Cat. III = ADJUST L5/Pelvic DysfunctionDysfunction– Block pelvis; adjust blocks w/S5 Block pelvis; adjust blocks w/S5

tendernesstenderness– Evaluate for sacral respiratory faultEvaluate for sacral respiratory fault

Correct if present; Cat. III correction Correct if present; Cat. III correction completecomplete

If sacral fault NOT present, block 5-10 If sacral fault NOT present, block 5-10 minutesminutes

Correct Muscle ImbalanceCorrect Muscle Imbalance

Using the “5 FACTORS OF THE IVF”Using the “5 FACTORS OF THE IVF” Cat. II = PI: Sartorius and/or Cat. II = PI: Sartorius and/or

gracilis gracilis AS: Hamstring AS: Hamstring ( medial / lateral)( medial / lateral)

Correct Muscle ImbalanceCorrect Muscle Imbalance

Using the “5 FACTORS OF THE IVF”Using the “5 FACTORS OF THE IVF” Cat. I = Priority List: Piriformis, Cat. I = Priority List: Piriformis,

Gluteus Maximus,Gluteus Medius, Gluteus Maximus,Gluteus Medius, Quad. Lumborum, Oblique Quad. Lumborum, Oblique Abdominals, SacrospinalisAbdominals, Sacrospinalis