2ILIACBONE中英文汇总.ppt

Structural Osteopathy  Iliac bone TakeCare Osteopathic Academy Milano - Italy ELONGATION TEST: - Iliac Anterior Conversion (extends lower limb) is possible through the tension of the Bertin ligament (ilio-femoral lig.) - Make the test after positive Stork test Execution: - Hip adduction to stretch superiorbeam of the iliofemoral lig. - Hip External Rotation to stetch lower beam of iliofemoral lig.- Hold for 10 seconds- Return the leg in the neutral position and re-evaluate if there was elongation. EVALUATE MALLEOLOUS: If Longer: iliac free If Equal: posterior iliac dysfunction - Adduction needs to pass over the knee of lower limb to be tested and this causes little flexion. - Osteopath grabs ankle with caudal hand while the cranial drives knee in Extrarotation. 31 伸长测试： - 通过Bertin韧带（髂骨-股骨韧带）的张力，可能发生前髂转换（下肢伸长） - Stork测试为阳性，进行该测试 操作： - 髋关节内收，拉伸髂股韧带的上部 - 髋关节外旋，拉伸髂股韧带的下部 - 保持10秒 - 下肢回到中立位，检查是否变长 评估脚踝： 变长:髂骨游离 相同: 后髂功能障碍 - 内收测试需将下肢越过对侧膝关节，这将造成一定的屈曲 - 治疗师用靠近足部的手握住踝关节，靠近头部的手使得膝关节外旋 32 Closing key 关闭关键点 Before starting with the corrective techniques, we must be able to perform the “closing key”. 矫正技术开始前，必须能够关闭关键点 The purpose is to create two blocks (levers), upper and lower, from each side of the joint to be normalized. 目的是产生两个一上一下阻滞点（杠杆），来自要调整的关节 33 Closing key of the lower block The patient is in the lateral decubitus position. The dysfunctional segment is positioned above. The osteopath place two fingers on horseback of sacroiliac joint: - Index on sacrum - Thumb on PSIS Osteopath drives a passive hip and knee flexion until feeling the iliac movement with respect the sacrum. 患者处侧卧位 存在功能障碍的部位朝上 治疗师将两个手指放在骶髂关节的弯点： - 食指位于骶骨 - 拇指位于髂后上棘 治疗师驱动患者被动地屈伸髋关节和膝关节，直至感觉到髂骨相对于骶骨运动。 34 35 Closing key of the upper block 上肢障碍的关闭关键点 After closing the lower lever, with the cephalic hand through the contralateral upper limb traction, drives a de-rotation of the spine. 在关闭上点后，靠近头部的手通过对上肢的 ，防止脊柱的旋转 The drive must reach out and drag the sacrum without dragging the hipbone. 这样的引导必