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Daily Archives: December 12, 2011

Motion Palpation of the Pelvis

By |December 12, 2011|Diagnosis, Education|

Motion Palpation of the Pelvis

The Chiro.Org Blog

We would all like to thank Dr. Richard C. Schafer, DC, PhD, FICC for his lifetime commitment to the profession. In the future we will continue to add materials from RC’s copyrighted books for your use.

This is Chapter 6 from RC’s best-selling book:

“Motion Palpation”

These materials are provided as a service to our profession. There is no charge for individuals to copy and file these materials. However, they cannot be sold or used in any group or commercial venture without written permission from ACAPress.

Chapter 6:   Motion Palpation of the Pelvis

Differentiating Sacroiliac from Lumbar Fixations

To differentiate sacroiliac from lumbar fixations, Faye offers the following comments for consideration.

With the patient sitting and their hands placed behind their head, rotate the patient’s trunk first to the right and then to the left. Special care should be taken not to lift the patient’s pelvis. Motion restriction of the patient’s left lumbar facets or left sacroiliac joint will reduce rotation to the left (positive theta Y). Motion restriction of the patient’s right lumbar facets or right sacroiliac joint will inhibit rotation of the patient’s trunk to the right (negative theta Y).

To discern between a lumbosacral or sacroiliac lesion, the patient is allowed to relax against the doctor (patient’s hands are still behind their head). In this position, the lumbosacral joint is relatively stress free. Next, twist the patient’s trunk into posterior rotation on the right until the patient’s left ischial tuberosity lifts slightly (buttocks remaining on palpation stool). In this position, there is a marked posterior torsion strain on the right sacroiliac joint. If pain arises in the right sacroiliac that can be relieved by pushing the left ilium posteriorly, then the pain can be assumed to arise from the right sacroiliac joint. Reverse the doctor-patient positions to differentiate fixations on the left. This is Mennell’s modified Kemp’s test for the lumbosacral area.

Here are some helpful clues: The patient suffering from sacroiliac dysfunction gets up in the morning with stiffness that improves with activity. The patient suffering with facet inflammation and/or an IVD lesion arises improved, but the condition worsens as the day goes on. Fixation produces a sharp pain on certain movements that is relieved when the site is not stressed. Other points characteristic of a sacroiliac lesion are:

  1. There is usually unilateral pain in the sacroiliac joint.
  2. The patient may describe an onset involving a lifting or twisting maneuver upon which a “catch” in the back is felt.
  3. The patient has difficulty rising from bed, and the disability is worse in the morning, improving with activity. (more…)

Australian scientists urge Central Queensland University to reconsider chiropractic science degree

By |December 12, 2011|News|

Source Adelaide Now

Some of Australia’s most eminent scientists have their noses, at least, out of joint after learning that a Queensland university will offer a “chiropractic science” degree next year.

A letter made public this week, signed by 34 scientists and doctors, including eight from Adelaide, urges Central Queensland University to reconsider.

“Our concerns are not limited to chiropractic but extend to all tertiary institutions that are involved in legitimising anti-science,” the letter says.

“It would be most regrettable to find that financial pressures may be tempting universities to betray their academic heritage.

“We appeal to you as fellow academics to reconsider your plans.”

The signatories are a who’s who of medical science, including former Australian of the Year Professor Ian Frazer, who created the cervical cancer vaccine.

Professor Alastair MacLennan, head of obstetrics and gynaecology at the University of Adelaide is one leading the charge.

He wants the public protected from alternative therapy. “We are trying to encourage universities not to introduce or continue anti-science nonsense degree courses in quackery (such as) naturopathy, homeopathy, iridology, acupuncture, energy medicine and chiropractic,” he says. (more…)