SI Joint (Full Version)

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PTmom -> SI Joint (April 4, 2001 11:45:00 AM)

I attended a conference this past weekend entitled "The Pelvic Girdle" by Richard Jackson, PT, OCS. The course was not a "pediatric" course, of course (ha ha), but it got me thinking about my CP kids and checking more for uplsips, flares or rotations of the ilia and flexion and extension of the sacrum. Has anyone had much experience or success with these techniques with our pediatric population?



Andrew M. Ball, MS, PT -> Re: SI Joint (April 5, 2001 10:38:00 AM)

Personally, I don't do much with kids with the SI joint. Not because I disagree with it, but because I've not really read enough to formulate an opinion on the subject, and I've not structured my own continuing education toward that. I'm intriqued though.

Do you feel that that kind of approach would be well accepted in your area of the country? Could you describe in further detail what you're considering? Why do you suppose this would be effective? What exactly would you be trying to accomplish in terms of function? Do kids with upslips have predictable gait abnormalities?

Drew



PTmom -> Re: SI Joint (April 6, 2001 7:52:00 AM)

Well.....I was mostly thinking of CP hemi's. The fact that pelvic musculature stabilizes the pelvis and hemi's (or any other child with tonal differences) have differneces in tone and or strength on the right side versus the left.....these differences may been seen functionally with ROM in the hip, lumbar spine, etc. which would have a direct effect on gait. Also, leg length would need to be considered and dealt with properly, as well.

The "muscle energy" techniques used would be to "wake up" and re-educate the muscles and remind them of the job they are suppose to be doing.

I am just brainstorming right now....



gerry -> Re: SI Joint (April 9, 2001 5:04:00 AM)

I sometimes enjoy going to adult based courses and making my own applications to the pediatric population.

I attended a manual therapy for the pediatric client course once that was taught by pediatric and adult therapists, including Judi Bierman and Stanley Paris, both of whom I respect very much. It was interesting to watch Stanley Paris work with kids with neuromotor problems. I do not remember if there were children diagnosed with hemiplegia or not, but he did not find many "restrictions" in the joints of the children. He seemed fairly surprised. But I don't remember him looking specifically at pelvic assymetry.

At the time, he wondered if most of the children were so young that neuro-motor assymetries had not developed into joint capsule tightness yet. Just a consideration.



Clint Jayme -> Re: SI Joint (August 15, 2001 10:17:00 PM)

Hi guys ,]

Would it be possible to ask what kind of assessment forms do you have for pediatric rehab.

What are the important things that a form should have inorder to be helpful.



Andrew M. Ball, MS, PT -> Re: SI Joint (August 16, 2001 8:46:00 AM)

What kind of setting are you in and can you describe your patient population? Your question is a great one, but difficult to answer without knowing specifics of your situation.

Drew



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