Lab 6: Sacrum and Innominate BLT

Question 1

Bilateral Sacral Extension BLT

Answer 1

1. Supine patient
2. Use caudal palms to lift both ILAs anteriorly and cephalad hand on SI joint
3. Air hunger (x3 and readjust after each)
4. Reassess

Question 2

Bilateral Sacral Flexion BLT

Answer 2

1. Supine patient
2. Use caudal caudal palms to lift both ILAs anteriorly and cephalad hand to extend L5 (thus flexing the sacrum)
3. Air hunger (x3 and readjust after each)
4. Reassess

Question 3

Forward Sacral Torsion BLT

Answer 3

1. Supine patient
2. Caudal hand on deep sacral base to BLT point and cephalad hand either on sacral base, ASIS or L5
3. Caudal hand applies anterior force while cephalad hand assists sacral base flexion, L5 extension or bridging ASIS, depending on where you place your hand
4. Air hunger (x3 and readjust after each)
5. Reassess

Question 4

Backward Sacral Torsion BLT

Answer 4

1. Supine patient
2. Caudal hand on anterior ILA to BLT point and cephalad either on ASIS or L5
3. Caudal hand applies anterior force while cephalad hand assists L5 flexion or bridging ASIS, depending on where it is
4. Air hunger (x3 and readjust after each)

Question 5

Posterior Innominate Rotation BLT

Answer 5

1. Patient seated and sit in front patient by the feet and hold distal legs.
2. Push lat. side up (posteriorly) and pull opposite leg down (anteriorly)
3. Tell patient to rotate toward lateralized side until leg goes up, realign the legs as patient holds position.
4. Patient inhales and holds for 5-10 s
5. Release and reassess

Question 6

Anterior innominate rotation BLT

Answer 6

1. Patient seated, and sit in front of patient by the foot and hold distal legs.
2. Pull lat. leg down (anteriorly) and push opposite leg up (posteriorly)
3. Tell patient to rotate to opposite of lat. side, until opposite leg goes up. Realign the legs as patient holds position.
4. Patient inhales and holds for 5-10 s
5. Release and reassess