Pelvis

Publication Title: 
Journal of developmental and behavioral pediatrics: JDBP

A first pelvic examination in a teenage woman is often an anxiety-producing and/or a terrifying event. The anxiety of this first examination, coupled with the inherent stresses of adolescence, creates important crucial expectations for future examinations. Self-hypnosis, i.e., relaxation/mental imagery has been extremely useful as an adjunct in achieving comfort and relaxation for the adolescent during the examination. In addition, it assists in developing an increased sense of self-control.

Author(s): 
Kohen, D. P.
Publication Title: 
The Journal of the American Osteopathic Association

The objective of this review is to establish the current state of knowledge on the reliability of clinical assessment of asymmetry in the lumbar spine and pelvis. To search the literature, the authors consulted the databases of MEDLINE, CINAHL, AMED, MANTIS, Academic Search Complete, and Web of Knowledge using different combinations of the following keywords: palpation, asymmetry, inter or intraexaminer reliability, tissue texture, assessment, and anatomic landmark. Of the 23 studies identified, 14 did not meet the inclusion criteria and were excluded.

Author(s): 
Stovall, Bradley A.
Kumar, Shrawan
Publication Title: 
Trials

BACKGROUND: Low back pain (LBP) is a recognized public health problem, impacting up to 80% of US adults at some point in their lives. Patients with LBP are utilizing integrative health care such as spinal manipulation (SM). SM is the therapeutic application of a load to specific body tissues or structures and can be divided into two broad categories: SM with a high-velocity low-amplitude load, or an impulse "thrust", (HVLA-SM) and SM with a low-velocity variable-amplitude load (LVVA-SM). There is evidence that sensorimotor function in people with LBP is altered.

Author(s): 
Wilder, David G.
Vining, Robert D.
Pohlman, Katherine A.
Meeker, William C.
Xia, Ting
DeVocht, James W.
Gudavalli, R. Maruti
Long, Cynthia R.
Owens, Edward F.
Goertz, Christine M.
Publication Title: 
The Journal of the American Osteopathic Association

CONTEXT: Somatic dysfunction is diagnosed by the presence of any of 4 TART criteria: tissue texture abnormality, asymmetry, restriction of motion, or tenderness. OBJECTIVE: To measure the prevalence of somatic dysfunction in patients with chronic low back pain (LBP) and to study the associations of somatic dysfunction with LBP severity, back-specific functioning, and general health. DESIGN: Cross-sectional study nested within a randomized controlled trial. SETTING: University-based study in Dallas-Fort Worth, Texas.

Author(s): 
Licciardone, John C.
Kearns, Cathleen M.
Publication Title: 
Physical Medicine and Rehabilitation Clinics of North America

Rolfing, or structural integration, is one of many types of manipulative therapy. This article describes the principles and history of Rolfing and reviews current research. Only a few clinical trials specifically have looked at Rolfing. Related research on deep tissue massage and myofascial release also is reviewed. Rolfing has a physiologic impact on the peripheral nervous system and on myofascial structures. Important clinical outcome measures, such as pain levels and function, have not been looked at specifically, however,in clinical trials.

Author(s): 
Jones, Tracey A.
Publication Title: 
TheScientificWorldJournal

Many gynecological and sexological problems (like urine incontinence, chronic pelvic pains, vulvodynia, and lack of lust, excitement, and orgasm) are resistant to standard medical treatment. In our work at the Research Clinic for Holistic Medicine in Copenhagen, we have found that vaginal acupressure, or Hippocratic pelvic massage, can help some of these problems.

Author(s): 
Ventegodt, Søren
Clausen, Birgitte
Omar, Hatim A.
Merrick, Joav
Publication Title: 
TheScientificWorldJournal

This is a pilot study of 20 female patients with a long history of sexual problems (mean is 8.92 years) who received vaginal acupressure (VA) with a quantitative and qualitative evaluation: 56% experienced help and none reported setbacks, 89% rated the treatment to be of high quality, and 89% rated it as valuable. After the treatment, most reported their problems to be less serious and their general quality of life improved. Only 17% reported minor or temporary side effects.

Author(s): 
Ventegodt, Søren
Clausen, Birgitte
Merrick, Joav
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Based on statistical analysis of 97 chronic low back patients, a pelvic list model has been proposed explaining the correlation between leg length discrepancies (LLD) and sciatica. This model suggests that asymmetrical pronation patterns (one pedal arch dropping more than the contralateral pedal arch) initiates a forward downward rotation within the sacroiliac joint. Entrapment of the sciatic nerve between the piriformis muscle and sacrospinous ligament occurs. Clinically, paresis is observed: numbness, weakness and eventually paralysis of the affected limb.

Author(s): 
Rothbart, B. A.
Estabrook, L.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

Chiropractic theory postulates that organic dysfunction could be the result of neurological disorganization secondary to mechanical disorders of the spine. Few studies have documented the efficacy of chiropractic manipulative therapy in treating mechanically induced organic dysfunction. Lower sacral nerve root compression (LSNRC) as the result of lumbar disc lesion has been identified as a cause of pelvic pain and organic dysfunction (PPOD).

Author(s): 
Browning, J. E.
Publication Title: 
Journal of Manipulative and Physiological Therapeutics

No data are available on the incidence of pelvic pain and organic dysfunction (PPOD) in patients suffering from low back pain. PPOD is not an uncommon finding in the low back pain patient. Women appear to be more frequently involved than men. The results of recent electrophysiologic investigations indicate that many patients with urological, bowel or anorectal dysfunction demonstrate evidence of denervation neuropathy in muscles innervated by the branches of the pudendal nerve.

Author(s): 
Browning, J. E.

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