Muscle Energy Technique for Pelvic Rotation

[@laurettafetta]

Dr. Mandy Kirk, I also am a DPT. A couple pieces of constructive criticism on this video. 1) You would need to check the PSIS to make sure it wasn't an upslip and was truly a L posteriorly rotated innominate. I'm assuming you did this, though. 2) You activated the hamstrings on the left instead of the hip flexors on that side. You want to activate the opposite muscle group than is tight. So if there is a L ASIS that is elevated (which may be an indication of a L posteriorly rotated innominate?), then you would activate the antagonistic muscle group (ie. the hip flexors) on that side. You may want to re-think through your work and logic of which direction you decided to do the unilateral METs. Other than that? The video would've been great!

[@wellspring2life]

I'm so glad I read your post, I'm fairly new to outpatient and the way you described gave me back my confidence...lol I thought how does this make since. Of course the people need to stretch and strengthen afterwards.

[@cynrod10]

Would you mind explaining me this further? lol. I’m a DPT student on my clinical rotations and I got a a glimpse of METs in my first rotation, but this second one no one is aware of this technique. What you said makes sense!

[@tessp5497]

Great explainer. Thank you!

[@wellspring2life]

Love this video good effort. I think the glute contractions will pull an innominate bone back and up, hip flexor will pull asis down and forward. Is that right

[@dorisperez1474]

Hello Dr Mandy ! I wish you could be in Massachusetts because it's hard to find a good Dr like you .

[@dr.mandykirkmovetosuccessp3983]

That's so sweet! I appreciate your support. I hope you find a good doctor soon!

[@gillianbennett4518]

Thanks!

[@rssings8540]

Thank you so much mam for this information ❤️ ☺️☺️

[@dr.mandykirkmovetosuccessp3983]

You're welcome!

[@rssings8540]

@@dr.mandykirkmovetosuccessp3983 i viewed various videos regarding this but all confuse me, You clear up all things so sweetly 😄

[@stephanies4346]

what if you keep going back to the uneven position? How often should you do this adjustment?

[@dorisperez1474]

Thank you so much for this information it worked for me thanks a lot .

[@dr.mandykirkmovetosuccessp3983]

Glad it helped!

[@johns3668]

Interesting so u have the patient push down with the leg that appears to be shorter and then extend the longer leg up? I'll have to try thx

[@dr.mandykirkmovetosuccessp3983]

Yes! Hope it works out well for you!

[@Dralbastaki]

how many weeks should patients do this?

[@dr.mandykirkmovetosuccessp3983]

Ideally it could be corrected in one visit and then maintained with low core strengthening. But may have to be performed multiple times if the patient continues to slip out of position.

[@dorisperez1474]

How can I get in touch with you

[@dr.mandykirkmovetosuccessp3983]

Feel free to message me on Instagram @dr.mandykirkdpt or on Facebook @ Move to Success Physical Therapy business page

[@dorisperez1474]

Great !thank you for your response

[@zoltantrapp7412]

How do you know the left leg is shorter not the right one longer? (On which side is problem?)

[@dr.mandykirkmovetosuccessp3983]

It doesn't matter which side the problem is on because the muscle energy that I teach in this video corrects for both - they are doing it with both legs simultaneously.

[@diananguyen5395]

Hi Dr, I saw a physical therapist and he diagnosed me with right posterior SIJ and had me do something similar to this. Right leg up, right hand on thigh, push thigh into hand. Pelvis was aligned when I left the office but a couple days after and now months later it stays misaligned. I continue to do this exercise everyday but pelvis won’t go back. Right leg still feels longer when walking. Am I doing the right leg? Do I need to use both legs i stead of one for this MET? Any guidance in what I can try? Thank you!!

[@wellspring2life]

You have to strengthen the glute that is rotated forward to keep the innominate bone pulled back into position. If you don't stretch and strengthen, it won't stay in alignment.

[@diananguyen5395]

Thank you for your reply!! If the PT said it’s right posterior SIJ, does that mean I stretch and strengthen the left glute? Do nothing on my right?

[@wellspring2life]

@@diananguyen5395 I'm sorry, I'm not sure about that. It's definitely something to ask and research

[@diananguyen5395]

No problem. Appreciate your insight. Thank you!

[@sciencebabe]

Thanks for this. Since both of my hips rotate out of place, I can never remember which way to apply force to correct the misalignment.

[@dr.mandykirkmovetosuccessp3983]

No problem! Glad I can help!