Issue link: https://www.massageandbodyworkdigital.com/i/1471270
L i s te n to T h e A B M P Po d c a s t a t a b m p.co m /p o d c a s t s o r w h e reve r yo u a cce s s yo u r favo r i te p o d c a s t s 35 TECHNIQUE The practitioner's hand position and direction of gentle pressure, which would encourage easier ilia rotation to the client's right. Active client participation might include dropping the raised knees or rotating the head to the left, either of which would highlight counter-rotation at the SI joints. Image 3 from Advanced-Trainings.com's Ilia & SI Joints: AMT video course. Image 4 courtesy of Anatomy Standard (publishers of the Biomechanics of the Spine app), used by permission. 3 4 Ilia Rotation Technique Indications • Sensitivity or stiffness when walking, running, stepping, or twisting, especially when felt in the sacroiliac joints, low back, pelvis, pubic symphysis, gluteals, or hip joints. Purpose • Refine proprioception, decrease sensitivity, and increase evenness of left/right horizontal plane (rotational) mobility at the sacroiliac joints. Instructions 1. Starting with a very light touch at both ASISs, assess for left/right differences in the ilia's rotational mobility and SIJ sensitivity. • Use a crossed-arm position to assess lateral rotation (Image 2), or uncrossed arms (not pictured) to assess medial rotation. Compare each direction. 2. Ask for your client's report of sensitivity and mobility: "Which direction is more sensitive?" And/ or, "Which direction is stiffer?" • Gently increase your assessment's pressure if differences are not felt with the initial very light levels of touch. There should be no discomfort from your pressure. • Come to an agreement about the direction of interest. Help your client feel what you do, or have your client help you feel what they do. 3. Use the same hand position to gently desensitize, de-threaten, and/or encourage mobility, typically in the more sensitive or difficult direction (Images 3 and 4). • If no left/right differences are found, you can repeat the technique in both directions. 4. Wait for a breath, then remove your hands. Wait for another breath and repeat the assessment. • Also repeat the mobilization phase, if needed, or use other techniques to address any other sensitivity or mobility restrictions found. 5. Have your client walk and sense into their movement as a way to help their brain register and integrate the proprioceptive and mobility shifts. For More Learning • "The Ilia & SI Joints" (a-t.tv/iliavideo) in the Advanced Myofascial Techniques series of workshops, live- online, and recorded video courses.