CHICAGO TECHNIQUE MANIPULATION

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/ sportsphysiotherapystefanduell • An anterior rotated Ilium bone causing a functional long leg requires posteriorization. First of all you should make sure to have released all myofascial structures which cause an anterior rotation of the ilium bone: Iliacus muscle, Erector spinae muscles, Latissimus dorsi muscle, Adductor muscles, Rectus femoris muscle, Quadratus lumborum muscle, Tensor fascia latae muscle, gluteus medius muscle and External obturator muscle. Usually if you do a proper myofascial release treatment the ilium will correct itself but sometimes it can still stay anteriorized. If so, it requires a high velocity low amplitude thrust technique to get the ilium bone to the right position otherwise it can force lower back problems through an so-called ascending kinematic chain or even knee or foot problems through a descending kinematic chain. The therapist stands on the opposite site of the dysfunction, you move the shoulders of the patient so that the upper torso is sideband away. Have the patient interlace the fingers behind the back of the neck. You now cross the leg of the opposite site over the leg nearest to you and then move the legs towards the opposite site of the table hints the patient is smiling away. This helps to focus the force at the left/right sacroiliac joint. You now insert your hand between the flexed arm of the patient that your dorsum is resting on the sternum. Introduce rotation through your arm pivoting the shoulder and the patients upper torso towards you. Place the caudal hand over the anterior superior iliac spine on the opposite site, continue rotation from above until the force is felt to accumulate under your caudal hand. Perform a high velocity low amplitude thrust (HVLA) with the caudal hand. The vector force is towards the opposite site of the table. Do not overrotate as the force will not accumulate at the sacroiliac joint.

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