Sacroiliac joint dysfunction에 관한 검사 및 치료법

모든 치료법은 정확한 진단에서 출발함. <a href='javascript:fileFilterViewer("http://cfile273.uf.daum.net/attach/111C383D4EBCAF891907EA", "/cfile273/11/1C383D4EBCAF891907EA", "Treatment of Sacroiliac Joint Dysfunction.pdf", "grpid%3Dz4ZG%26fldid%3DRUBK%26dataid%3D5%26fileid%3D7%26regdt%3D20111111143157&url=http%3A%2F%2Fcfile273.uf.daum.net%2Fattach%2F111C383D4EBCAF891907EA")'><img src="https://t1.daumcdn.net/daumtop_deco/icon/icon.hanmail.net/editor/p_pdf_s.gif" border="0" alt="첨부파일" class="vam"/> Treatment of Sacroiliac Joint Dysfunction.pdf</a> <a href='javascript:fileFilterViewer("http://cfile254.uf.daum.net/attach/180DA4374EBCB1A62FAAAD", "/cfile254/18/0DA4374EBCB1A62FAAAD", "predictability lowback pelvic hip injuries.pdf", "grpid%3Dz4ZG%26fldid%3DRUBK%26dataid%3D5%26fileid%3D8%26regdt%3D20111111143157&url=http%3A%2F%2Fcfile254.uf.daum.net%2Fattach%2F180DA4374EBCB1A62FAAAD")'><img src="https://t1.daumcdn.net/daumtop_deco/icon/icon.hanmail.net/editor/p_pdf_s.gif" border="0" alt="첨부파일" class="vam"/> predictability lowback pelvic hip injuries.pdf</a> <img src="https://t1.daumcdn.net/cfile/cafe/194293504EBCB2762D" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_194293504EBCB2762D4A82"/> <img src="https://t1.daumcdn.net/cfile/cafe/1748C9504EBCB27626" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_1748C9504EBCB27626FF86"/> <img src="https://t1.daumcdn.net/cfile/cafe/195D0A504EBCB2770A" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_195D0A504EBCB2770A9EA6"/> <img src="https://t1.daumcdn.net/cfile/cafe/19534A504EBCB2771C" class="txc-image" actualwidth="930" hspace="1" vspace="1" border="0" width="930" style="clear:none;float:none;" id="A_19534A504EBCB2771C856E"/> <img src="https://t1.daumcdn.net/cfile/cafe/1252C5504EBCB27819" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_1252C5504EBCB27819AD56"/> <img src="https://t1.daumcdn.net/cfile/cafe/186B42444EBCB3432C" class="txc-image" actualwidth="486" hspace="1" vspace="1" border="0" width="486" style="clear:none;float:none;" id="A_186B42444EBCB3432CD12D"/> 천장관절 검사법 <img src="https://t1.daumcdn.net/cfile/cafe/21252C4F54A5046336" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="467" width="467" exif="{}" data-filename="스크린샷 2015-01-01 오후 5.24.46.png" style="clear:none;float:none;" id="A_21252C4F54A50463366872"/>1) Positional test - 촉진으로 천장관절의 위치가 제대로 인지 검사 - ASIS, PSIS, sacral sulcus, L5, pubic tubercle- 선자세, 굴곡자세, 신전 자세에서 측정 <img src="https://t1.daumcdn.net/cfile/cafe/263ED63B54A504A91E" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="765" width="765" exif="{}" data-filename="스크린샷 2015-01-01 오후 5.25.55.png" style="clear:none;float:none;" id="A_263ED63B54A504A91EE190"/> 2) active motion test# standing flexion test# strok test - Gillet's test# seated flexion test  <img src="https://t1.daumcdn.net/cfile/cafe/2330DE4754A5055733" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="743" width="743" exif="{}" data-filename="스크린샷 2015-01-01 오후 5.28.48.png" style="clear:none;float:none;" id="A_2330DE4754A50557335EB7"/> 3) passive mobility testing# osterokinematic test  - nutation and counternutation# arthrokinematic test # lumbar spring test <img src="https://t1.daumcdn.net/cfile/cafe/2728283D54A506042D" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="714" width="714" exif="{}" data-filename="스크린샷 2015-01-01 오후 5.31.43.png" style="clear:none;float:none;" id="A_2728283D54A506042D9B57"/>4) 촉진 palpation- 인대의 tension, 근육의 muscle tone, tenderness <img src="https://t1.daumcdn.net/cfile/cafe/24763A4054A5063A1F" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="702" width="702" exif="{}" data-filename="스크린샷 2015-01-01 오후 5.32.38.png" style="clear:none;float:none;" id="A_24763A4054A5063A1F5238"/> 5) 통증악화검사(pain provocation test) <img src="https://t1.daumcdn.net/cfile/cafe/220FE03454A506B406" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="774" width="774" exif="{}" data-filename="스크린샷 2015-01-01 오후 5.34.36.png" style="clear:none;float:none;" id="A_220FE03454A506B4069F0A"/> 치료 테크닉 <img src="https://t1.daumcdn.net/cfile/cafe/2649B04354A5079D0E" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="751" width="751" exif="{}" data-filename="스크린샷 2015-01-01 오후 5.37.58.png" style="clear:none;float:none;" id="A_2649B04354A5079D0E1A6C"/>1)  forward sacral torsion 교정법 - 치료사가 발뒤꿈치를 천장을 향해 들어올리는 것을 저항 <img src="https://t1.daumcdn.net/cfile/cafe/27179F3454A5080905" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="730" width="730" exif="{}" data-filename="스크린샷 2015-01-01 오후 5.40.17.png" style="clear:none;float:none;" id="A_27179F3454A50809050C08"/>2) backward sacral torsion- 윗다리를 천장으로 들러올리는 것을 저항 <img src="https://t1.daumcdn.net/cfile/cafe/2346EA3654A5085C2F" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="724" width="724" exif="{}" data-filename="스크린샷 2015-01-01 오후 5.41.44.png" style="clear:none;float:none;" id="A_2346EA3654A5085C2FA458"/> 3) anterior nutated sacrum의 교정-  천골 끝 압박을 유지하고 호흡을 내뱉은 상태에서 몸통 신전에 저항주기 <img src="https://t1.daumcdn.net/cfile/cafe/267C543754A508E12B" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="728" width="728" exif="{}" data-filename="스크린샷 2015-01-01 오후 5.43.56.png" style="clear:none;float:none;" id="A_267C543754A508E12BBAA1"/> 4) posterior nutated sacrum의 교정- 천골 기저부압박을 유지하고 호흡을 들이킨 상태에서 몸통굴곡에 저항주기 <img src="https://t1.daumcdn.net/cfile/cafe/276C8B3C54A5099336" class="txc-image" hspace="1" vspace="1" border="0" actualwidth="780" width="780" exif="{}" data-filename="스크린샷 2015-01-01 오후 5.46.48.png" style="clear:none;float:none;" id="A_276C8B3C54A50993362DA5"/>5) unilateral anterior sacral nutation- 좌측- 좌측하지를 15도 외전, 약간 내회전- 천골의 베이스에 압박을 주고 호흡을 시킴.