Sacral BLT

Question 1

Bilateral Sacral Extension BLT

Answer 1

Patient is supine and doc is on the side of the table. You want to push extend their sacrum. Thus, push the apex (located between both ILAs) anterior.

1. Lift the sacral apex up to ligamentous balance
2. Tell pt to take a deep breath and hold it as long as possible.
3. Press anterior.
4. Repeat average of 3 times until best motion is achieved.

Question 2

Bilateral Sacral Flexion BLT

Answer 2

Patient is supine and doc is on the side of the table. You want to push flex their sacrum. Thus, push the base anterior.

• 1. Lift the sacral base up to ligamentous balance
• 2. Tell pt to breathe in and out and hold in the one that gives the best balance.
• 3. Press anterior.
• 4. Repeat average of 3 times until best motion is achieved.

Question 3

Forward Sacral Torsion BLT

Supine

Answer 3

1. Patient is supine while the doc is on the same side as the rotation.
2. Push up on the sacral sulcus that is deep.

• If L on L; push up on the R sacral sulcus
• If R on R; push up on the L sacral sulcus

3. Test breathing and hold in the phase that provides the best balance
4. Tell patient to hold for as long as they can
5. Repeat until best motion is obtained.

Question 4

Forward Sacral Torsion BLT

L on L or R on R

Seated

Answer 4

• 1. Monitor sacral sulcus while having the pt sit up. YOU induce extension.
• 2. Rotate them towards the side they’re rotated to until you feel BLT.
• 3. SB them to the opposite side they’re rotated to.
• 4. Have patient hold exhalation for as long as they can.
• 5. Recheck and repeat until TART is reduced.

Question 5

Backward sacral torision

Supine

Answer 5

1. Patient is supine while the doc is on the same side as the rotation.
2. Push up on the ILA that is deep.

• If L on R; push up on the R ILA
• If R on L; push up on the L ILA

3. Test breathing and hold in the phase that provides the best balance
4. Tell patient to hold for as long as they can
5. Repeat until best motion is obtained.

Question 6

Backwards Sacral Torsion BLT

Seated

Answer 6

1. Put hand of the same axis on your neck
   * (R hand on neck if R axis dysfunction)
2. Monitor sacral sulcus while having the pt sit up. YOU induce flexion.
3. Rotate them towards the side they’re rotated to until you feel BLT
4. Have patient hold inhalation for as long as they can.
5. Recheck and repeat until TART is reduced.

Question 7

Posterior inominate rotation BLT

Can be L or R posterior inominate rotation

Answer 7

1. Push up on the affected leg while pulling down on the other leg and attain balance point
2. Rotate to side of the affected leg and get new balance point
3. Tell pt to inhale for as long as you can.
4. Release and reassess (have them lay down and check ASISs)

Question 8

Anterior inominate rotation BLT

Can be L or R Anterior inominate rotation

Answer 8

• 1. Pull down on the affected leg while pushing up on the other leg and attain balance point
• 2. Rotate to opposite side to get new balance point
• 3. Tell pt to inhale for as long as you can.
• 4. Release and reassess (have them lay on their back and check ASIS’s)

R anterior IR

• pull down on right leg and push up on L leg
• have them rotate to the L side