Re: Re: anterior pelvic tilt

[Guest guest]

At 07:58 PM 7/16/04 +0000, you wrote:

>Thus by increasing the neural drive to the interal rotators and stretching

>the external ones won't I be on my way in

>correcting the LPH imbalance?

Persistently contracting your internal rotators will, without exception,

strain the associated nervous tissue. Internal rotation of the hip

increases neural tension in the sacral plexus and well beyond. The vast

majority of people I see with painful problems lie supine with one or more

hips held in internal rotation and adduction. Their toes point directly to

the ceiling and I want them to point toward the wall in this position since

this is what gravity and normal range would promote and allow. The

symptomatic position (often maintained because it is " correct " ) makes as

much sense as holding your head up off the pillow. Resolving this is not as

easy as you might think, but I'm convinced it will reduce neural tension

throughout the side and that's always a good idea.

Oh yes, and the stretching and strengthening won't have any effect on the

APT anyway, not that it was the problem.

Barrett L. Dorko, P.T.

Cuyahoga Falls, Ohio.

<http://barrettdorko.com>

And <http://rehabedge.com>

[Guest guest]

Mr. Dorko,

How do you make this diagnosis without examining or even having a picture or

history of the patient? Why do you suggest that stretching and strengthening

won't have any effect, which is in direct conflict with the experiences of

many PT's and health practitioners? There is this paper which showed exercise

and stretching decreased the anterior pelvic tilt.

http://w3.uni-wuppertal.de/www/FB3/sport/bewegungslehre/wiemann/correl.PDF

I also saw paper/posting from you regarding this topic. I agree with you that

there is little research on this issue, that leads me to say that the

research is inconclusive and more should be done. I do not agree that because

the theory of muscle balance and " correct posture " hasn't been empirically

proven therefore it is false and should be rejected. Or perhaps I should say,

reject it or embrace it cautiously. I also think articles like the following

support the theory, although it doesn't directly address anterior pelvic tilt

it does address posterior pelvic tilt.

http://www.orthobluejournal.com/0302/3wat.asp

The gist of this is as researchers/students/practitioners/seekers of the holy

grail of truth, question but don't be too quick to dismiss, and when there is

doubt let that be known.

Randy Dixon

Harlingen, Texas

[Guest guest]

Chip Conrad wrote:

> Egoscue actually recommends the Pidgeon Toes Response (standing

> pidgeon toed as they call it) to INCREASE anterior pelvic tilt, while

> believing that an exagerated tilt is very rare.

Are you sure on that? A) Everyone in what he calls Condition 1 has an

exaggerated anterior pelvic tilt and in Condition 3 an exaggerated posterior

tilt.

Perhaps I am misunderstanding your use of the word " exaggerated "

Randy Dixon

Harlingen, TX

[Guest guest]

Mr. Dixon,

You ask: How do you make this diagnosis without examining or even having a

picture or history of the patient?

**I didn't make a diagnosis. I simply responded to a description. The guy

with the APT offered it, so I figured it was acurate.

And then you ask: Why do you suggest that stretching and strengthening

won't have any effect, which is in direct conflict with the experiences of

many PT's and health practitioners?

**They've never been shown to have an effect aside from anecdotally in

" studies " done by people with a financial stake in our believing they will.

I've been around a while and I've spoken to thousands of therapists about

affecting change in this way. They agree with me - you can't actually do it.

You say: I do not agree that because the theory of muscle balance and

" correct posture " hasn't been empirically proven therefore it is false and

should be rejected.

**We shouldn't give up on something just because its never been shown to be

true or actually exist? Is this religion or science you're talking about?

What's so attractive about this idea anyway?

You say:...don't be too quick to dismiss, and when there is doubt let that

be known.

** Nothing " quick " about it - 32 years of study. I don't doubt I'm right, if

that's what you're getting at.

Barrett L. Dorko, P.T.

Cuyahoga Falls Ohio

<http://barrettdorko.com>

And <http://rehabedge.com>