Bill Hartman

Tag: posterior pelvic tilt

  • Q & A for The 16% – Range of Motion Interpretation Mistakes

    Q & A for The 16% – Range of Motion Interpretation Mistakes

    I get a lot of questions as to how I interpret table tests, and how I relate the results of them to representations of the archetypes, symmetry or asymmetry, and what interventions are best.

    Your chessboard (the compilation of all your table measures) produces a 4D representation of your client in space. This guides your thinking and your process. A common mistake or misbelief is that you’re measuring from some imaginary zero point based on dead guy anatomy. While some zero point can be a representative model in certain circumstances, it also promotes misinterpretation of many table tests.

    Here’s an example of how you can have symmetrical measures on the table that are not truly symmetrical.

    #straightlegraise #physicaltherapy #billhartmanpt

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  • Q & A for The 16% – Determining Sacral movement vs. Pelvic Orientation (aka pelvic tilt)

    Q & A for The 16% – Determining Sacral movement vs. Pelvic Orientation (aka pelvic tilt)

    Grab your @neurocoffee and get ready for today’s Q & A!

    How are you dissociating sacral movements to pelvic orientations, and how do they show up in testing? What are your key indicators and where do you see common compensations around expected limitations based on their initial ISA/IPA presentations?

    My second question is based on when you refer to being in an inhalation vs exhalation state. Where do you commonly refer to when you say someone is in exhalation vs inhalation?

    In this video:

    I explain the difference between relative motion within the pelvis and absolute position change via orientation.

    I then explain what I mean by those with an exhalation bias or an inhalation bias based on physical structure of the body such as the infrasternal angle and helical orientations.

    #pelvictilt #breathingexercises #billhartmanpt

     

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  • Q & A for The 16% – Axial Iterations and Treating with Biomechanics vs. The Biopsychosocial Model

    Q & A for The 16% – Axial Iterations and Treating with Biomechanics vs. The Biopsychosocial Model

    Q & A for Today…

    From Zhang:
    You’ve talked about iterations in previous videos.  Does the posterior sacral area behave the same as the dorsal rostral area? Does the lower thorax behave the same as the posterior outlet, and, the anterior pubic area behaves the same as the sternum?

    From Johnny:
    as clinicians, what are some ways to reconcile the biopsychosocial aspects of the pain experience with all the fun physics applications regarding patient encounters, assessment and treatment decisions? It seems like the rehab industry is divided and it has to be one style of treatment or the other.

    In this video:
    I answer the question as to whether there is any benefit to looking at the pelvis like we look at the thorax. I also clear up the battle between the biomechanical model vs. the biopsychosocial model. ‘Nuff said!

    #biopsychosocial #infrasternalangle #billhartmanpt

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  • Q & A for The 16% – What do you do with a “normal” ISA? A right pelvic anterior tilt?

    Q & A for The 16% – What do you do with a “normal” ISA? A right pelvic anterior tilt?

    I have two great questions for today’s Q & A.

    Jason’s question:

    I recently saw a client with a 90 degree ISA that did not move at all. Additionally, he had: – Limited shoulder and hip and IR and ER – Limited shoulder and hip flexion – No true hip hyperextension – Lordotic posture Given these measures, I found it difficult to decide whether I should treat him as someone compressed or expanded, as these measures seem conflicting.

    Matt’s question:

    I’m wondering what your thought process would be for recapturing normal conditions for someone with a pelvis which is anteriorly tipped on one side only? (Wide ISA presentation also) The right hand Ilium seems to be pulled forward by the illiacus, and the lower rib cage on the same side looks to have an Oblique that’s not pulling the ribcage down fully during exhalation.

    In this video:

    I explain you can get the ISA to start moving and what you need to do after that. I give Matt a list of exercises to address a pelvis tilted on an oblique axis.

    #pelvictilt #infrasternalangle #billhartmanpt

     

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  • Q & A for The 16% – Hip Mechanics that Increase Hip External Rotation

    Q & A for The 16% – Hip Mechanics that Increase Hip External Rotation

    Talking about possible influences on hip internal and external rotation.

    There are plenty of clues in the anatomy. Anatomy texts rarely talk about real, living humans and try to apply dead guy anatomy to movement. It doesn’t work and often creates a limiting, confusing model.

    Naming muscles external rotators is wrong because as we move, the way many of these muscles influence movement change and they can become internal rotators. Don’t let the name confuse you and limit your thinking.

    [quick note: early in the video, I misspoke and said that the muscles below the line at the trochanters limits ER. That’s incorrect. They limit IR. Chalk that one up to not enough Neuro Coffee, doing creative work before the Neutein kicks in, and shooting video in the wee hours of the morning]

    Have a great Friday and post your questions for the Q & A. askbillhartman@gmail.com subject line ask Bill Hartman questions.

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