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Chiropractic Research Review

Chiropractic Perspectives on Pelvic Torsion

Several specific pelvic disorders explain a minority of pelvic complaints, such as diastases of the symphysis pubis and sacroiliac joints; fractures; relaxin-induced pelvic hypermobility in the pregnant and postpartum woman; and inflammatory arthritides.

Various hypotheses have been proposed on the origin of lumbopelvic complaints, specifically as they relate to subluxation of the joints in the pelvis, although no specific type of pelvic misalignment or movement restriction has been established as a primary causative factor.

This article explores pelvic torsion, defined as the innominate bones engaging in rotation around a fixed axis in mutually opposing directions, and focuses particularly on the chiropractic perspective regarding this clinical phenomenon. The authors draw upon their own clinical experience and data gathered from a qualitative review of the literature. Included is a discussion of:

* anatomic/mechanical considerations;

* pelvic joint movement/dysfunction;

* specific examination methods; and

* orthopedic testing procedures.

Conclusion: The authors state that although pelvic torsion seems to be a clear clinical entity, its clinical significance requires further research and consideration. They recommend the establishment of a "gold standard" for identification purposes (radiography or inclinometry) and correlation of this standard with established clinical measurements (e.g., leg checks). Investigation into the effect of chiropractic adjustments on subjective and structural improvements in the condition is also suggested.

Cooperstein R, Lisi A. Pelvic torsion: anatomic considerations, construct validity, and chiropractic examination procedures. Topics in Clinical Chiropractic: 2000:7(3), pp38-49.
Reprints: (800) 638-8437

Chiropractic Research Review

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