Palpation assessment and 'SIMS' treatment for a nutated sacral torsion - R-on-R or a L-on-L

bodymaster-met...
John Gibbons is a registered Osteopath, Lecturer and Multi-published Author and in this video he is explaining how to palpate for a sacral torsion then using the 'SIMS' position to treat a nutated sacral torsion of either a L on L or a R on R - Sacroiliac / pelvis dysfunction.
This techniques is from his online Pelvis, sacroiliac joint and lumbar Spine masterclass that is available to purchase now.
Author and lecturer John Gibbons shares his many years of expertise as he guides you through a comprehensive understanding of the anatomy of the pelvis and very quickly focusses on the biomechanics of the sacroiliac joint, pelvis, hip and lumbar spine. Once this has been learnt, John teaches you how to assess, treat and rehabilitate any dysfunctions that are found within this complex but highly rewarding area.
This course will dramatically change your treatment protocols with patients that present with lower back and pelvic girdle pain!
These are just some of the many lessons you will go be going through:
The walking/gait cycle and its relationship to the pelvic girdle
Leg length discrepancy and its relationship to the kinetic chain
The laws of spinal mechanics
Sacroiliac joint screening
The relationship of the hip joint, gluteal muscles, and lumbar spine to the pelvis
Assessment, treatment and specific core stability exercises for the pelvis and sacroiliac joint
For further information follow this link: bodymaster-met...
In addition, he provides step-by-step techniques to identify and correct a number of impaired patterns and functional exercises for the pelvis that promote recovery. The principles described can be incorporated very quickly and effectively into a treatment plan to assist in the rehabilitation of anyone recovering from injury. In particular, this course will provide the therapist with vital anatomical knowledge of the pelvic girdle and associated areas such as the hip and lumbar spine.
On completion of the course you will have the knowledge and practical experience necessary to identify, assess and treat specific dysfunction within the musculoskeletal framework of the pelvic girdle & lumbar spine, and be equipped to perform a variety of techniques to help restore function. This will lead to greater treatment success, happier customers and a more profitable business.
John also hosts Certified & accredited online courses and these are accessible from your own home. Click the link below for further information and use BMM10 at checkout for a discount!
1. Shoulder Complex - bodymaster-met...
2. Vital Nerves - bodymaster-met...
3. Cervical Spine - bodymaster-met...
4. Pelvis, SIJ & Lumbar - bodymaster-met...
5. K-Taping Techniques - bodymaster-met...
6. Muscle Energy Techniques - bodymaster-met...
7. Glutes & Psoas - bodymaster-met...
In terms of his offer courses he offers, you can attend one at a time if you prefer or book all ten and receive a discount. Once you have completed all the courses you will be able to call yourself a Bodymaster Method ® Practitioner and be registered on his website with the letters 'BmP' after your name.
John is the Author of the highly successful book and Amazon No 1 best seller called 'Muscle Energy Techniques, a practical guide for physical therapists'. John has also written many more books and these include:
1. A Practical Guide to Kinesiology Taping and comes with a complimentary DVD.
2. The Vital Glutes, connecting the gait cycle to pain and dysfunction
3. Functional Anatomy of the Pelvis, SI joint & lumbar spine
4. The Vital Shoulder Complex
5. 2nd Edition of Kinesiology Taping
6. The Vital Nerves
John now offers Advanced Training in all aspects of Sports Medicine to already qualified therapists (athletic trainers, sports massage therapists, osteopaths, chiropractors, physiotherapists, physical therapists, personal trainers, pilates teaches etc) in manual therapy to 'Diploma' Level.
Courses available and all the dates are online www.johngibbon...:
1. Spinal Manipulation & Mobilisation
2. Advanced Spinal Manipulation
3. Kinesiology Taping
4. Muscle Energy Techniques
5. The Vital Shoulder Complex
6. The Vital Cervical spine
7. The Vital hip & groin
8. The Vital Knee
9. Advanced Soft Tissue techniques
10. The Vital Neurological system
11. Pelvis, SIJ & Lumbar spine
12. The Vital Glutes & Psoas
13. Acupuncture & Dry needling
The Bodymaster Method ® Diploma is now recognised as a training provider and accredited with the STO - Sports Therapy Organisation

[@chrisgonecamping]

Sir even though my anatomy physiology is weak. I do have a foundation as a licensed nurse. Wow! Wish I lived in proximity. My back after seeing MRI having it explained, xrays, bone scans. Sir I'm convinced many surgeries for joints of hip and knee could be avoided and quality of life restored with your approx with each area you teach. Are surgeries needed? Yes sir. An opinion money guides Americans more than a doctor seeking quality of life through Bodymaster. Not a put you on a pedestal note; however, an appreciation for your gifts of education through KZbin. Again not ... sorry what Americans would say butter up the teacher... Humbly thank you sir, patients would have better quality of life or 100% knowledge through your approach to patient pain complaint if surgery is the prudent course of action. Again thank you sir for your videos!

[@JohnGibbons]

Thanks for the comments, regards jG

[@wisemedicine7.83]

Watching your videos and thinking how awesome a therapist and educator you are, thank you for sharing! Don't know what I would have done without your books and videos.

[@JohnGibbons]

Thanks for the comment and lovely message, regards JG

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[@randomnessofNadia]

Fabulous demo. Would love to take you r master classes one day

[@JohnGibbons]

This is an old video as well, regards JG

[@mohammedamedlous3113]

Merci

[@JohnGibbons]

Thanks, regards jG

[@shawnpwatsons1]

So the left hip was anterior or posterior? It looked posterior.

[@JohnGibbons]

Cant remember as an old video, hope you liked it though, regards JG

[@kasunkumara8438]

Dear doctor Can i know psis joint moving joint durig standing stiing

[@JohnGibbons]

Easier to watch the videos I have on this - regards JG

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[@JohnGibbons]

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[@jm00727]

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[@JohnGibbons]

Thanks for the visit, regards JG

[@brandtl1486]

John. Love your videos. Thank you. As a practitioner, to correct this finding especially for a very aged patient, I would use the drop table function on my table. Patient lies supine, knees bent, using a thenar contact on left PSIS, careful not to make too much sacral contact, drop is initiated and thenar contact will abruptly stop PSIS and hopefully, nutated sacrum will continue to move, gently moved to neutral. Physics is wonderful. Cheers. Additionally, I did a quick image review in google and it is stunning how much discrepancy there is between anatomical axis, X. Y. Z.

[@JohnGibbons]

Thanks for the message and comments, regards JG

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[@dollysikarwar3424]

Thanku

[@JohnGibbons]

Thanks, regards JG

[@Sahil_Lath]

Sir ! can't we use AP Gilde to illium in Prone Pt. Position to correct this nutation? Therapist active hand at ASIS and non-active hand at sacrum stabilizing it, gliding the illium towards posteromedial direction. Kindly correct me if I am wrong.

[@JohnGibbons]

If the sacrum is nutated (say on left) then the left innominate will be in relative posterior rotation so bringing the innominate anteriorly will potentially help the sacrum come back into relative counter nutation, regards JG

[@Sahil_Lath]

@@JohnGibbons Thank You for your guidance !

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[@JohnGibbons]

Thanks for the message, regards JG

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I really learnt from this video.

[@JohnGibbons]

Thanks and glad it helped, regards JG

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[@OsBboi]

MR. Gibbons, first of all, i am truly grateful for videos. My question is, if we have right rotation and we additionally rotate the thorax on right, isn't that more rotation of sacrum to the right via lumbar spine? Why do we do that additional rotation on the right with upper body since our goal is putting sacrum back left to neutral position? Thank you.

[@JohnGibbons]

Kristijan Žaper thanks for the comments and regarding your query, the technique is from ‘greenman’ and it’s suggested that if you try and induce right rotation of the lumbar then it encourages the sacrum to rotate to the left..remember we add in other components like flexion of the lumbar to allow the sacrum to mutate then we use the legs to initiate a side bending of the spine and this then allows the sacrum to come back on the left through use of the motion and the contraction of the piriformis muscle. Hope that helps - regards JG

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[@hugojames85]

Is someone who has a "nutated" condition a "nutant"...?

[@JohnGibbons]

I like that - but probably not.....funny though, could even be a MUTANT - regards JG

[@kennethheil2381]

Hi John, So I understand how to find which way the sacrum is rotated, but how do you figure out which axis on which it is rotated? Thanks. Ken

[@JohnGibbons]

Thanks for the message and check out my other videos ON SACRAL treatment and assessment as I explain all that on there, regards JG

[@johnditta]

Sir is any Chiropractic practor who is specialst in correcting pelvis AS my pelvis is very badly twisted . Right SI Joint is quite anteriorly twisted & left very much posteriorly twisted backeards. This all happened 20 years ago by a physiotherapist trying manupulate my pelvis & forcebly dislocated Joints. Now my whole body is twisted. PlZ. Send some contacts in Europe or any where.

[@JohnGibbons]

Hi, thanks for the message and there are probably lots of therapists in Europe that specialise in Pelvis as not sure specifically on any names. Regards JG

[@johnditta]

John Gibbons can i get an apointment with you & by the way whats Your treatment fee? I Im doing Axelsons body massage course. I have taken Ayurvedic Neurotherapy course in India at ACHRC ( Ayurvedic Neuro Hospital & Research Center ) In Kota with Dr.Manoj Sharma & attended a Neuro camp in Udhepur . Im a trained Radiographer & recognized in Norway. I want to attend a pelvis treatment course. Can i book the course of 3 days? Best Regards.

[@emmyloumccoy1221]

After each contraction why aren't you getting her to rotate more to the right with her left hand hanging down to relocate the motor barrier?

[@JohnGibbons]

That could work as well...regards JG

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[@metronom_81]

Hi John my question about technique, you got the patient positioned and with flexed lumbar segments you maintained torso rotators and flexors off given that while you are making patient hip internal rotation using only piriformis and piriformis creates a force on sacrum to push through back to be neutralized? Am I right?

[@JohnGibbons]

Thats correct, regards JG

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[@JohnGibbons]

In Oxford in UK and one of my team can see you if required, regards JG

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[@kimcoughlan7992]

Hope all is

[@JohnGibbons]

Thanks for the comments and all good, regards JG

[@matthewp3709]

Was that a cavitation at 4:12? Or some other popping sound from background? Thanks

[@JohnGibbons]

+Matthew Pardini The goal is not to cavitate the joint but to assist in the change of position, I am not sure if it did make the noise but I am sure if it did I don't think it would be from the SI joint, maybe from the LS joint. Thanks for the message and hope you enjoyed the video.

[@matthewp3709]

I enjoy all the videos. Thank you. Love the thought process and detailed narration of the assessments and treatments you do. Thanks. (Yeah, after listening a few more times, I think someone is in the background clunking something around, that's all)

[@JohnGibbons]

Thanks for the comments

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[@v66b]

Hi John, Your videos are awesome, thank you for the content. I have a question on this one: You determine the R sulcus is deeper and then classify it as a R on R torsion. How do you know the R hemibase is not posterior as opposed to L anterior, creating a R on L torsion?

[@JohnGibbons]

Hi Vicki, thanks for the great comments...regarding your question: if you watch the video I say the LEFT sulcus is deeper, not the right and hence the sacrum has rotated to the RIGHT and if the patient is in relative lordosis then it has to be a nutated sacrum and hence a R-on-R torsion, especially if the seated forward flexion test is positive on the LEFT side. Hope that helps. JG

[@jasongaffney2236]

Vicki Bendus it is a right on right when the left sulcus is deeper. The standing and sitting forward flexion test and sphinx test aswell as passive spring test will give more info ad to the dysfunctional side.

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[@davidadelman6945]

Wouldn’t pulling the left piriformis exacerbate the nutation on the left due to its origin at the anterior portion of the sacrum?

[@Gnorde]

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[@himadrisamaddar7408]

Your tutorial is very helpful.

[@JohnGibbons]

Thanks, regards JG

[@sattarsikdar7268]

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[@JohnGibbons]

Thanks, regards JG

[@Firefish222]

Thank you sooooo much!!! I have R on R torsion, and SIMS position really helped me. But It's difficult to do SIMS treatment on myself alone. I understand I'd better strengthen my left piriformis, is there anything I can do myself?

[@JohnGibbons]

The SIMS position is easy enough to do yourself so I would work on that as hard to strengthen the piriformis muscle. regards JG

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[@jasongaffney2236]

John i thought it was the right piriformis which operated in this technique by pulling the right sacrum anteriorly creating left rotation of the sacrum on the right axis.

[@JohnGibbons]

I say dysfunction side up so in this case with a R-ON-R the left side has gone forward into nutation so we use the LEFT piriformis to bring the LEFT sacrum back to neutral as it has rotated to the right (deep on the left) - hope that helps! regards JG

[@user-kr3nz6cp8u]

@@JohnGibbons i think in this position left gluteus maximus more used to fix right rotated sacrum because piriformis orgin inner face of sacrum it mean hard to backward motion of sacrum

[@krismikkelsen11]

Hi John. What is it you exactly do to left piriformis?? Isn't it the right piri you contract when you ask your client to lift feet up? And then the result of Mothner reflex? (I think that the name of it??? 'cause when you lower the feet the left piri is just more relaxed??? (Or haven't I understood the dynamics right???)

[@longce-imingti9014]

Hello Mr Gibbons. Could this technique, using just the piriformis effect the deep and the main muscles like anterior sacroiliac ligament, interosseous sacroiliac ligamnent etc to its balanced state? Hence, achieving the sublaxated sacrum back in its neutral form closure too.I understand you use your other hand to check if the sacrum has come back to its neutral position and if it's functioning back to normal bio mechanics. Thank you and have a nice day.

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[@JohnGibbons]

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[@JohnGibbons]

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[@JohnGibbons]

Thanks for the comment. regards JG

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[@JohnGibbons]

You can contact me via website if needed, regards JG

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