sacroiliac joint (part 1)
DESCRIPTION
Sacroiliac joint (part 1). Presented by: Abdul Rasid. Stabilisasi SIJ. Terdapat 2 aspek yang dapat memberikan stabilitas pada SIJ, yakni : Force closure:: muscle, fascia, Form closure:: bone, ligament, joint Neural. Posterior view of SIJ. - PowerPoint PPT PresentationTRANSCRIPT
1
Sacroiliac joint(part 1)
Presented by: Abdul Rasid
2
Stabilisasi SIJTerdapat 2 aspek yang dapat memberikan
stabilitas pada SIJ, yakni:1. Force closure:: muscle, fascia, 2. Form closure:: bone, ligament, joint3. Neural
3
4
Posterior view of SIJ
5
Stabilisation of ligament on Weight transfer
6
Ligamen-ligamen pada SIJ
1. interoseus, posterior SI limit nutation and inferior shear of the sacrum
2. Long dorsal SI limit counternutation (commonly source of pain)
3. Sacrotuberous Ligament limit nutation of the sacrum). Attachment from tuber isciadicum to ILA. There’s connection between this ligament and Biceps femoris regarding the attachment on Tuber isciadicum.
7
Sacral movement on inominate
8
Muscular function for optimal force closure
1. INNER MUSCLE/LOCAL MUSCLE
Provide stability trough increasing spinal segmental stiffness
Postural Tonic activity 10%
MCV (maximum mucle contraction)
2. OUTER MUSCLE/GLOBAL MUSCLE
Control spinal orientation
PhasicAnatomically more
superficial
9
Core muscle
10
Transversus abdominisDeepest of the abdominal musclesFibers are horizontally orientedContraction increases intra-abdominal
pressureStiffens the lumbar spineTrA muscles active before movement on
upper and lower extremityHow to palpate this muscles?? seated with
finger 1’ inferior and medial ASIS
11
12
Posterior oblique sling
13
Resultan gaya muscle sling
14
Relationship between pelvic anterior tilt and lordosis lumbal
15
assessmentSubjective assessmentObjective assessmentObservation, palpationAROM LxStanding flexionSeated flexionStork testSquish testSLR
16
Anterior rotation of inominate ASIS more anterior and inferiorShorten and strong rectus femoris Lumbal segment on side more deeperHamstring in stretch posistion (may be weak
because it’s position)
17
Posterior rotation of inominateASIS more superiorTight hamstringLong dorsal SI in tension?Lumbal segment more deeper on
contralateral side
18
management
19
TERIMAKASIH…
BERSAMBUNG