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Abstract: The pelvic malalignment syndrome is the most common in sports injuries and even in every client who presents
with low back & pelvis pain or dysfunction. In this study, we used simple bony palpation method to assess the various pelvic
malalignments in football players. While there are many methods to determine pelvic symmetry or asymmetry,...
Citations
... Techniques: To attain the maximum effect on the Muscle energy technique (MET), the therapist must ensure the following eight essential steps [Dowling and Dennis J, 2005]. 1. The therapist must be accurate on their assessment of innominate bone, followed the Bony Pelvis Malalignment Assessment Chart of Ganesh et al., 2014. 2. The therapist must apply the counter restrictive barrier in as many planes as possible. ...
The pelvic or innominate malalignment syndrome is most common in sports injuries and even in every client who presents with low back or pelvis pain and dysfunctions. In my experience, the treatments for the pelvic or innominate malalignments were best, using manual therapy techniques and focused on corrective exercises. The three manual techniques were we used to correct the pelvic malalignments are (i) trigger point release (TrP), (ii) muscle energy techniques (MET), and (iii) the Isolated and/or Core muscles strengthening exercises. The current study focused on the manual therapeutic corrections for the different common innominate malalignment presentations in soccer players.
... During the assessment, we demonstrate to perform the movements to gain access the malalignments of the Sacrum. In addition, to justify our diagnosis we accessed the muscles of the functional slings and muscles related to the sacral malalignments [8,9]. We encouraged all the subjects to relax and not to inform them, that the movements would be judged as "good" or "bad." ...
... We believed these verbal cues decreased subjects' anxiety and, therefore, helped to standardize the testing. The techniques were repeated in different positions and also performed two times per day and continued for fifteen days to standardize [8]. ...
... The sacral malalignments usually accompanied with the malalignment of Innominate and / or Lumbar vertebra [8,9]. The initial steps in the diagnosis of malalignments were to identify the presence of asymmetry; this might be due to one or combination of the following: ...
The present study was primarily focused to determine the common presentations and manual diagnostic
procedures for sacral malalignments. Forty football players (n = 40), from National Football Club (NFC) were selected for the
study. Subjects were constrained to males with no history of orthopedic or neurological issues, and also include the subjects
only with normal muscle power and Range of movement (ROM) of the back and extremities. The mean age of the studied
population was 22.2 ± 3.9 years, height 175.8 ± 6.6 cms, and weight 87.5 ± 7.1 kgs. The important bony landmarks like Sacral
Sulci and Base, Infero-Lateral Angles (ILA) of sacrum, position of L5 vertebra and Sacrotuberous ligament were located
manually. These landmarks were considered as an extremely basic and vital for the manual assessment of sacral
malalignments. In this study, we observed, 50% i.e., majority of the soccer's were suffered with oblique axis malalignments,
includes Right On Right - ROR and Left On Left - LOL of sacral dysfunctions. The players suffered with AP and Transverse
axis of sacral malalignments were encountered up to 17.5% and soccer's who had the vertical axis malalignments was observed
only in 7.5%. However, this method of assessing the sacral malalignments until then not documented. In this sense, the current
study was mainly focused on the assessment and documentation of the different common presentations in sacral
malalignments, which are most common in soccer players. This simple method of evaluation is the literature state of the art.
The present study may provide the useful informations to analyze the common presentations of sacral malalignments in
different sports.
Keywords: Sacral Dysfunction, SI Joint Dysfunction, Low Back Pain, Pelvic Malalignments
... The assessment of innominate bone is followed by the Bony Pelvis Malalignment Assessment Chart of Ganesh et al (2014). ...
... However, this method of assessing the pelvic malalignments is recently documented by our previous work (Ganesh, 2014). In this sense, the current study is mainly focused on the analysis and documentation of the different common presentations in innominate malalignments which are common in soccer players and its simple method of evaluation is the literature state of the art. ...
Abstract: The innominate malalignments are most common in sports injuries and even in every client who presents with low
back & pelvis pain or dysfunction. In this study, we used simple bony palpation method to assess the various innominate
malalignments in football players, which was fails to observe in previous work of various authors. While there are many
methods to determine pelvic symmetry or asymmetry, this method is very simple one and that consistently works well for me.
This study includes the healthy football players from National Football Club (NFC) of our institution, who were training or
playing during the period of investigation (September 2014 – May 2015) (n = 40) were eligible for participation. At entry to
the study, this eligible sample had a mean age of 22.2 ± 3.9 years, height of 175.8 ± 6.6 cm, and mass of 87.5 ± 7.1 kg. The
number of eligible participants at each time point was 40 for all the four session time, point 1 (T1; start of preseason-3) and
point 2 (T2; end of season-3). Subjects were limited to men who had a normal muscle strength and Range of Motion (ROM) of
the back and lower extremities and who had no history of orthopaedic or neurologic disorders. All the individuals are subject to
gain access the malalignment of both Innominate bones of the bony pelvis unit. In addition, to justify our diagnosis we access
the muscles of the functional slings and the muscles around the bony pelvis. The techniques were repeated in different position
and also performed for two times per day and continued for fifteen days to standardize. In this study, we observed, 92.5% i.e.,
the majority of the soccer's are suffering with multiple innominate malalignments. The soccer's suffering with single
component malalignment account for about 25% includes the isolated Rotational, Upslip or Tilt innominate stucks and soccer's
who had the normal innominate at the end of the season is only about 7.5%. Conclusion: This method of assessing the pelvic
malalignments until then not documented. In this sense, the objective of this study is to analyze and document the different
presentations in pelvic malalignments which are common in soccer players and its simple method of evaluation is the literature
state of the art. The present study may provide useful information to analyze common presentations of pelvic malalignments in
different sports.
Keywords: Pelvic Malalignment, Anterior Pelvic-Tilt, Posterior Pelvic-Tilt, Innominate Upslip
Background/aims
The aim of this study was to investigate the effect of eight weeks of core stability-based corrective exercises, on gait parameters in elite soccer players diagnosed with middle crossed syndrome.
Methods
15 male elite soccer players (aged 18–28) were enrolled in a same-subject intervention trial to assess if the middle crossed syndrome could be influenced through core stability exercise. Core stability-based corrective exercises were completed 3 times per week for 8 weeks and changes in gait parameters (pre- and post- intervention) were measured.
Results
The results showed that most gait parameters including stride length (p = 0.025), gait speed (p = 0.023), number of strides (p = 0.007), length of shots (p = 0.003), and also soccer players’ height (p = 0.011) improved significantly in post-intervention in comparison to pre-intervention. Stride width in post-intervention did not show changes in comparison with pre-intervention (p = 0.083).
Conclusion
The results indicate the significant effectiveness of core stability-based corrective exercises on gait parameters in those with middle crossed syndrome. By doing corrective exercises based on core stability during the study period, gait parameters in the post-intervention surpass the results in the pre-intervention in most parameters. Therefore, it is proposed that corrective exercises based on core stability is a safe and useful method for improving function in those with middle crossed syndrome and it could be used as a therapy to help players identified with this finding. In this regard, it is suggested to researchers and coaches to correct imbalances in order to achieve better results in training programs.
