好的物理治療師不止會處理運動員的運動傷害，每天訓練後，更會借由幫運動員全身的按摩，來放鬆運動員的肌肉，達到預防及減少運動傷害的效果。這段影片是我稍覺得腰的肌肉較緊繃，Stefan幫我處理的手法，跟大家分享。
I had some lower back problems and we wanted to show you how we solved that problem together with my Physio Stefan Düll Sports-Physiotherapy.
Osteopathic Manipulation of the Sacroiliac Joint using the Chicago Technique HVLA:
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.
(Treatment technique by Lutz M. Scheuerer - Deutsches Fortbildungsinstitut für Osteopathie)
#Chiropractic #Adjustment #Physiotherapy #Osteopathy
youtu.be/-b1r4GdzV0k
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