AOCPMR 2024 Mid-Year Meeting-Osteopathic Approaches to the Pelvis

Video Transcription

Video Summary

The video is an educational workshop focused on osteopathic manipulative treatment (OMT) approaches for sacral and pelvic somatic dysfunction, covering direct, indirect, and mixed models of treatment. Starting with direct techniques, the presenter explains muscle energy and articulatory methods to mobilize the SI joint and pelvis by assessing restricted motion and applying specific forces to restore movement. A detailed palpation approach is demonstrated to differentiate dysfunctions of the sacrum, pubic bone, and innominate, emphasizing efficient diagnosis without turning the patient. Muscle energy is shown both in traditional and modified forms using co-contraction strategies addressing rotational or shearing dysfunctions of the pelvis.<br /><br />Indirect approaches focus on balanced ligamentous tension (BLT), illustrating how to identify and alleviate strain patterns in pelvic ligaments by finding a position that neutralizes ligamentous tension and holding it to allow relaxation. Hands-on exercises with clothing simulate ligament strain and help participants experience balanced tension. The presenter demonstrates BLT on the iliolumbar ligaments, sacroiliac ligaments, and sacrotuberous ligaments, highlighting rapid symptom relief with precise positioning.<br /><br />Mixed model approaches include myofascial release techniques targeting the pelvic diaphragm to improve lymphatic drainage and reduce pelvic pain. Two methods are shown: an external approach using hands placed on the pelvis to mobilize fascia via direction of favored motion and a more direct approach, contacting the ischial tuberosities to release tension by following breathing cycles.<br /><br />Throughout, the session encourages adjunctive use of different techniques depending on patient comfort and clinical scenario, emphasizes patient participation, and prioritizes gentle, efficient methods adaptable for elderly or sensitive patients. The presenter integrates practical demonstrations with clinical reasoning and invites interactive practice among participants.

Keywords

osteopathic manipulative treatment

OMT

sacral dysfunction

pelvic somatic dysfunction

direct techniques

muscle energy

articulatory methods

balanced ligamentous tension

BLT

myofascial release

pelvic diaphragm

lymphatic drainage

sacroiliac ligaments

patient participation