by phoebe birks
(sydney)
Dear Sarah,
A few questions have come to my mind that I did not get the opportunity to ask you when I was there as you were so busy looking after your patients.
* What is the optimal sacral Angle To maintain on the back block while decompressing the lumbar area? Anterior tilt ? Flat? Or a posterior tilt?
* Should one make any effort with the lower abs to position the sacrum effectively? Or just let go?
*what role, if any, does the transversus abdominus play in spinal segment stability?
* If one has a very tight hip flexors that yank on the spine and pelvis during lumbar decompression can one keep the knees slightly flexed and still have a good result?
* Is the main aim to decompress the facet joints or the lumbar discs when doing the supine decompression of the pelvic area on the back block?
* After one has spent one minute of decompression on the back block in the lumbar area. I and others have experienced a momentary pain when we first elevate our pelvises off the block, which then disappears. As this is a common experience in my anecdotal observation. Could you please explain why this pain occurs.
* when lifting heavy loads with the spine (25kg or so) Do you recommend a neutral spine?or lumbar flexion? My understanding is that with heavy loads one has to make a stiff kinetic chain in neutral for these circumstances and move effectively from the hip and knees. Is this right?
Kind regards :-) and thanks again your guidance is invaluable.
Phoebe Birks
Comments for sacral angle? 7 questions
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