Motion Stability's Blog


US Image: Hypotonic Pelvic Floor – SI Pain? by Motion Stability
May 10, 2008, 6:25 am
Filed under: Movement Dysfunction

In the adjacent picture is a real-time ultraound image of the pelvic floor. It is a transverse view, meaning the black area is the bladder, and the white layer below is the pelvic floor musculature. Looking at the image, as you can tell, the left side drops down more, like a tear drop, compared to the right side of the picture…which essentially means that the left pelvic floor is ‘hypotonic’. This could mean the muscle is inhibited or de-innervated. Either way..the patient whom I saw this with, has a 5 year history of SI pain on the same side…unable to sit. She has had multiple interventions from physicians and other PTs attempting to improve myofascial trigger points and other things…where in actuality much of the SI pain is due to instability of the SI joint due to lack of muscle support, or what we call ‘force closure’. This image is great, as this demonstrates the opposite of what typically happens in pelvic floor dysfunction, in which musculature usually is ‘hypertonic’ or spasms. This further demonstrates our need to use rehabilitative ultrasound imaging to make clear assessments of the type of muscule tone we are working with and treating.

Advertisements


PT Research Fundraiser – UQ Integration Course by Motion Stability
May 7, 2008, 8:53 pm
Filed under: Courses, Motion Stability News

The Marquette Challenge Conference, “Evidence-Based Examination and Treatment of the Upper Quadrant: An Integrated Approach,” was held on March 14-16, 2008 at Georgia State University. It was put together to raise support for the Physical Therapy Research Foundation. Thank you to guest instructors Josh Cleland, PT, PhD, OCS, FAAOMPT, and Georgia State Faculty members, Joe Donnelly, PT, DHS, OCS, Deborah Michael, PT, DPT, CPed, Philip Fabrizio, PT, MS, CEAS, and Brian Yee, PT, MPT, Mphty, OCS for coordinating and sharing their clinical specialties. Thank you as well to the Georgia State University students for helping organize this course. We hope to do this again next year!