Pelvic Torsion: Anatomic Considerations, Construct Validity, and Chiropractic Examination Procedures

Cooperstein R, Lisi ATopics in Clinical ChiropracticSep 2000; 7(3): 38-49

Abstract: Purpose: An overview of assessment strategies for “pelvic torsion” is presented. Various theories of dysfunction and misalignment are reviewed. Information from published literature regarding low back syndromes linked to sacroiliac dysfunction is examined. Anatomy and mechanics of pelvic structures are considered. Finally, approaches for examination of pelvic torsion are synthesized and appraised.

Method: A qualitative literature review was conducted and supplemented by the clinical experience of the authors.

Summary: Although pelvic torsion is an identifiable entity, its clinical significance requires further research and consideration. For example, studies have been contradictory regarding the relationship of findings of pelvic torsion to pain. It is reasonable for clinical approaches to take a biomechanical perspective to counter pelvic torsion states, however, definitive models remain to be developed.

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