How to correct a Sacroiliac R-on-R sacral torsion using the Sims position

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www.johngibbons...
John Gibbons is a registered Osteopath, Lecturer and Author and is demonstrating how to correct a sacroiliac R-on-R sacral torsion using a muscle energy technique (MET) of the piriformis from the Sims position. This technique and more is taught on the Vital Pelvis Master-Class at the University of Oxford.
John is also the Author of the highly successful book and Amazon No 1 best seller called 'Muscle Energy Techniques, a practical guide for physical therapists'. John has also written 2 more books, one is called 'A Practical Guide to Kinesiology Taping' and comes with a complimentary DVD and the other book is called; 'Vital Glutes, connecting the gait cycle to pain and dysfunction'.
All his books are available to buy now through my website www.johngibbons... or from Amazon www.amazon.co.uk
John now offers Advanced Training in all aspects of Sports Medicine to already qualified therapists in manual therapy to 'Diploma' Level. You need to have attended all of his Physical Therapy Courses before the diploma is awarded. His venue is based at the idylic venue of Oxford University, home of the first four-minute mile by Roger Bannister.

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1 окт 2024

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Комментарии : 64

@Nh8d 6 лет назад

I am so confused after buying your book called functional anatomy of the pelvis and the sacroiliac joint I still cannot understand whether iliosacral and sacroiliac dysfunctions are separate dysfunctions or can co exist . For example an R on L iliosacral dysfunction brings drastically different findings compared with a R on L sacroiliac dysfunction. On page 231 it states that the most common rotational alignment is a right anterior and left posterior rotation (iliosacral). Which in turn leads to a L on L sacroiliac dysfunction. So if this was the opposite im guessing this would lead to a R on R sacroiliac dysfunction. So how do L on R and R on L sacroiliac dysfunctions exist without a iliosacral dysfunction. Thank you as you can see im really confused despite me reading the book for hours and hours.

@lilbahadurchetri4361 Год назад

Thank you so much these techniques are wonderful for hip pains.

@JohnGibbons Год назад

You're so welcome! Regards JG

@allanhewick168 6 лет назад

At 2:25...."piriformis pulls sacrum posteriorly"Doesn't the piriformis pull the sacrum ANTERIORLY since it attached to the anterior sacral surface at the level of the ILA?

@JohnGibbons 6 лет назад

Hi Allan, i guess one could debate this matter all day as there is probably not much research to back this up, however, i use the technique to try to encourage the sacrum to counternutate if it is in a position of nutation. It is considered that the piriformis can hold the sacrum in a position of posterior counter nutation like a R-on-L or a L-on-R and the innominate can be maintained anteriorly by the iliac. Hope that helps a little...Regards JG

@allanhewick168 6 лет назад

Hi John, in reviewing the sacral axes, I have found that nutation / counternutation occurs around the middle transverse axis. The piriformis insertion on the anterior sacrum is mostly inferior to this axis, thus causing your counternutation movement when it is contracted. Thanks for your reply.

@AdamAdz4772 4 года назад

How does the piriformis pull the sacrum posteriorly when it attaches to the anterior sacrum? Wouldn't it pull the left sacrum more anteriorly?

@nickroxsox11 3 года назад

It attaches to the inferior anterior portion of the sacrum. So when piriformis contracts, the anterior/inferior boarder of the sacrum gets pulled inferior and anterior. Since the sacrum is curved, the base (superior portion) therefore moves posteriorly. If you have a model on hand it helps to visualize this particular movement.

@AdamAdz4772 3 года назад

@@nickroxsox11 Actually, your explanation helped. Thank you.

@OP-qy6yn 3 года назад

So to clarify, the technique works on the basis that the piriformis is the problem - does doing any other piriformis MET do the same thing? what would the point in semi sim position be? cheers :)

@JohnGibbons 3 года назад

Piriformis is not the problem as it the position of the sacrum and the SIMS helps to correct this with the little assistance of the pirifromis, regards JG

@longce-imingti9014 3 года назад

Hello Dr John. Hope you're having a good month. Could you inform me if for a R on R or L on L, the Sims technique you perform is a more efficient way or the ' sacral rocking' method as coined by the American Osteopathy Association? Hoping for a reply. Thank you for considering.

@JohnGibbons 3 года назад

I think both methods are good, regards JG

@longce-imingti9014 3 года назад

@@JohnGibbons may i please have your personal opinion as to why you only demonstrate SIMS and not sacral rocking technique for L on L or R on R torsion? You feel it is more reliable from your vast experience? Hoping you would be able to find time to provide me with your genuine opinion. Thank you.

@bronteb8762 7 лет назад

Hi John, Do you have or know of a book that goes through was muscles that need to be strengthened/stretch to go with particular MET's?

@JohnGibbons 7 лет назад

I wrote a book called Muscle Energy Techniques and you can buy from my website or Amazon. Regards JG

@tishmfey 7 лет назад

can you put everything in reverse for the same effect? Left side lying with right trunk rotation and have them press downward with the legs instead of upwards?

@JohnGibbons 7 лет назад

Potentially yes as that was the way it was originally shown to me...JG

@NN-rs1ny 7 лет назад

Hi jhon my question is should i go to a physical therapist or to chiropractor in order for me to get this kind of treatment . I was going to a Chiro. But he was focusing a lot in" compressed Fisk " but I felt that wasn't my problem then I found sacral torsion and I figured I should visit some one like you ,could you please recommend me some thing and maybe someone in Miami that would be amazing thanks

@longce-imingti9014 3 года назад

Visit an osteopath who practices Osteopathic Manipulative Treatment (OMT). Contact the american association of osteopathy (AOA). Good luck!

@marwanmimo6164 4 года назад

i feel like the sacrum moves to the Lift Side i can touch a bone There, it makes feel the pain my back calf and my back knee! which Side should i Press Now to correct it to the Middle ?

@JohnGibbons 4 года назад

Try and see someone like me if you can as sure they can help, regards JG

@longce-imingti9014 4 года назад

Mr John sorry but with your hand in your heart, did the sacrum come back to its natural position from the torsion and normalcy restored or was the lady just taken in as a model? Also, could you resolve sacral torsions completely and after your treatment how long does the correction last? Ps: i am an aspiring professional footballer. Really would appreciate your honest and genuine opinion Mr John. Thank you for considering.

@JohnGibbons 4 года назад

The patient was only a model and every patient is different so hard to comment on how many treatments are necessary. regards JG

@longce-imingti9014 4 года назад

Thank you Dr John your response

@tanvipatole596 7 лет назад

Hi If patient is having spondylolysis, have sacral torsion and if we want to find out if that is forward/ backward torsion... is it OK if I assess it with sphinx test?

@JohnGibbons 7 лет назад

That should be fine even though extension might cause some irritation - they can simply tilt the pelvis anteriorly if it does cause increased pain. Good luck, Regards JG

@minhvule8525 Год назад

❤

@asmrpaper6689 5 лет назад

Hi John... is the procedure remains same for ROR despite nutated or counternutated sacrum?

@JohnGibbons 5 лет назад

Hi, this technique (SIMS) is designed to correct only sacral NUTATIONS as I have other videos for treatment of Sacral Counter-nutations, hope that helps regards JG

@asmrpaper6689 5 лет назад

@@JohnGibbons Thanks so much...

@JohnGibbons 5 лет назад

No problem. regards JG

@yippopindian 3 года назад

Super information

@JohnGibbons 3 года назад

So nice of you, regards JG

@wajdi1977 7 лет назад

you shouldnt go that low with the feet( to much rotation), because doing this you will go over the barrier !

@jamescannon1161 4 года назад

Thanks for the great content John. Is there a con-ed I can attend to learn these techniques?

@JohnGibbons 4 года назад

Thanks for the message and you can attend my courses if you are already a therapist, regards JG

@jamescannon1161 4 года назад

@@JohnGibbons Any courses available in the US? Or similar courses you can reccomend

@westleytravis6538 3 года назад

I realize it is quite off topic but do anybody know a good site to watch new tv shows online ?

@judsonlayton9942 3 года назад

@Westley Travis flixportal =)

@westleytravis6538 3 года назад

@Judson Layton Thank you, signed up and it seems like they got a lot of movies there :D Appreciate it!!

@helloppay7518 Год назад

Thank you

@JohnGibbons Год назад

Thank you, regards JG

@bharathich5038 3 года назад

it dint wok

@JohnGibbons 3 года назад

It wont work for everybody and it depends who is performing the technique, regards JG

@baoluo1 5 лет назад

Hi John, nice and clear. Thanks so much for posting.

@JohnGibbons 5 лет назад

Thanks for the comments, regards JG

@rotorudage 3 года назад

Excellent video

@JohnGibbons 3 года назад

Thank you very much! JG

@AdamAdz4772 3 года назад

A bit confused as to how the piriformis can pull the sacrum "posterior" when it attaches to the anterior sacrum.

@bettinaguillemot6346 3 года назад

When the piriformis is hypotonic. Here, we trying to strengten it

@AdamAdz4772 3 года назад

@@bettinaguillemot6346 That didn't answer my question.

@william1964castillo 6 лет назад

Doesn't that internal rotation while in that sidelyng position activate the Gluteals and TFL? not the Piriformis

@JohnGibbons 6 лет назад

Thanks for the message and there are approx 11 muscles that externally rotate the hip and Gluteals mainly activate in external rotation (Gmax and posterior Gmed) and anterior fibres of Gmed and TFL will activate in Internal rotation. To be honest we cannot isolate 'one' muscle specifically as muscles work synergistically together and it is the position of the 'Simms' is utilised to help correct the sacral torsion rather than the just using the 'piriformis' muscle. Hope that helps, regards JG

@JohnGibbons 6 лет назад

Hi, the piriformis changes role after 60 degrees of hip flexion so in this position the piriformis is now an internal rotator rather than being an external rotator - then again and in reality we cannot isolate a muscle so it is the 'position' that mainly helps the sacrum rather than the muscle contraction. Regards JG

@carboncrank2250 Год назад

Hi John, do you happen to have tutorials on fixing a sacrum with the right dorsal sacrum sticking out? Ex. Right pelvis is pulled/ rotated backward if the individual is facing forward.