SI Joint – Sacrum Caudal & Cranial Glides (human model)
Posted on 17. Apr, 2010 by Don in Sacroiliac Mobilizations
Loading ...Purpose
Provocational tests used to determine if the sacrum is positioned cranially or caudally. Also mobilization techniques used to correct a cranially or caudally positioned sacrum.
Technique
Sacrum Caudal
Patient is positioned prone.
Clinician stands on the side being tested. Clinician could also stand opposite the side being tested for this technique.
Clinician’s cranial hand palpates PSIS on side being tested and he places the ulnar side of the cranial hand on the sacral promontory.
Clinician uses the MCP of index finger on his caudal hand to stabilize and hold back the ischium.
Clinician performs a caudal mobilization with his cranial hand.
Sacrum Cranial
Patient is positioned prone.
Clinician stands opposite the side being tested.
Clinician stabilizes the ilium on the side being tested by shaping the web space of his cranial hand around the iliac crest.
Clinician palpates the coccyx with his caudal hand then places the ulnar side of his just lateral to the coccyx on the lower caudal side of the sacrum.
Clinician then performs a cranial directed mobilization with his caudal hand.
Interpretation
Sacrum Caudal
If this technique relieves pain, the patient has a cranially positioned sacrum.
If this technique produces pain, the patient has a caudally positioned sacrum.
Sacrum Cranial
If this technique relieves pain, the patient has a caudally positioned sacrum.
If this technique produces pain, the patient has a cranially positioned sacrum.
References
- Kaltenborn, F.M. (2009). Manual mobilization of the joints: The spine volume I I (5th ed.). Minneapolis, MN: OPTP.
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