Published October 11, 2022 | Version v1

TREATMENT EFFECTS WITH GONSTEAD'S TECHNIQUE ON COLLEGE LONG DISTANCE RUNNERS WITH PELVIC TILT OR DEFICIENCY

  • 1. Department of Chiropractic, State University of the Valley of Ecatepec (UNEVE), Ecatepec de Morelos, Estado de México, México
  • 2. Department of Chiropractic, State University of the Valley of Ecatepec (UNEVE), Ecatepec de Morelos, Estado de México, México; Department of Neuroscience, National Institute of Rehabilitation "Luis Guillermo Ibarra" (INR), CDMX, Mexico
  • 3. Department of Chiropractic, Pablo de Olavide University (UPO), Sevilla, España.

Description

Objective: Evaluate the effect of Gonstead Technique over the biomechanics of long-distance runners from theUNEVE Student Clinic, who has a pelvic deficiency or tilt. Design: Longitudinal, prospective, self-controlled, andexperimental. Methods: A group of 21 long distance runners were diagnosed with pelvic deficiency using Gonstead Technique (5:2 rule) radiograph line drawing analysis. Manipulation of the spine, pelvic area, and lowerextremities were made twice per week for 2 months. At the end of the treatment changes were determined usingradiograph line drawing analysis. Results: Significant statistical changes (P<0.005) were observed in someradiograph analysis, was an increment on inferior posterior ilium (213.5 to 234.4) anterior superior ilium (210.9 to233.1), internal rotation ilium (111.5 to 119.6). Also, the lumbosacral angle was increased (15.4 to 34.2). There was areduction on the length of: external rotation ilium (121.6 to 113.7) and the deficiency length (5.6 to 2.8). Also, thelumbar angle (3.6 to 1.3) and Ferguson line (34.1 to 17.3) were both decrease. Evaluating genders, the line of theinferior posterior ilium on males rises 18.2% while on females increase 6.4% (p=0.0001). Conclusions: After thetreatment with Gonstead’s Technique we observed significant changes on radiograph line drawing analysis for pelvictilt or deficiency and biomechanics alterations on college long distance runners.

Files

RCU-01-2022-01.pdf

Files (288.9 kB)

Name Size
md5:1b350c20ddbdff0be180c7df7c9e1208
288.9 kB Preview Download

Additional details

Related works

References

  • Eriksen K, Rochester RP. Orthospinology procedures: an evidence-based approach to spinal care. Lippincott Williams & Wilkins. Eds; 2007.
  • Alviso DJ, Dong GT, Lentell GL. Intertester reliability for measuring pelvic tilt in standing. Physical therapy 1988;68(9):1347-1351.
  • White A, Panjabi M. Clinical Biomechanics of the Spine. Philadelphia: J.B. Lippincott 1987:96-352.
  • Gossman MR, Sahrmann SA, Rose SJ. Review of length-associated changes in muscle. Physical Therapy 1982; 62:1799–1807.
  • Maratt JD, Esposito CI, McLawhorn AS, Jerabek SA, Padgett DE, Mayman DJ. Pelvic tilt in patients undergoing total hip arthroplasty: when does it matter?. The Journal of arthroplasty 2015; 30(3), 387-391.
  • Saltychev M, Pernaa K, Seppänen M, Mäkelä K, Laimi K. Pelvic incidence and hip disorders: A systematic review and quantitative analysis. Acta orthopaedica 2018; 89(1),66-70.
  • Yun HH, Murphy WS, Ward DM, Zheng G, Hayden B, Murphy SB. Effect of pelvic tilt and rotation on cup orientation in standing anteroposterior radiographs. HIP International 2019;1120700019831665.
  • Woodfield HC, Gerstman BB, Olaisen RH, Johnson DF. Interexaminer reliability of supine leg checks for discriminating leg-length inequality. Journal of manipulative and physiological therapeutics 2011; 34(4), 239-246.
  • Knutson GA. Incidence of foot rotation, pelvic crest unleveling, and supine leg length alignment asymmetry and their relationship to self-reported back pain. Journal of manipulative and physiological therapeutics 2002; 25(2), 1-7.
  • Giles LGF, Taylor JR. Lumbar spine structural changes associated with leg length inequality. Spine 1982; 7:159–162.
  • Mannello DM. Leg Length Inequality. J Manipulative Physiol Ther 1992; 15:576–590.
  • Gurney B. Leg length discrepancy. Gait Posture 2002;15:195-206.
  • Knutson Gary A. Anatomic and functional leg-length inequality: A review and recommendation for clinical decision-making. Part I, anatomic leg-length inequality: prevalence, magnitude, effects and clinical significance. Chiropractic & Osteopathy. 2005;13:11.
  • Cooperstein R, Lisi A. Pelvic torsion: anatomic considerations, construct validity, and chiropractic examination procedures. Top Clin Chiro 2000;7(3):38-49.
  • Cooperstein R, Morschhauser E, Lisi A, Nick TG. Validity of compressive leg checking in measuring artificial leg-length inequality. J Manipulative Physiol Ther 2003; 26:557–66.
  • Cooperstein R, Lew M. The relationship between pelvic torsion and anatomical leg length inequality: A review of the literature. J Chiropr Med 2009; 8(3):107-118.
  • Cooperstein R, Holzworth M, O'Brien A. INTRA-AND INTEREXAMINER RELIABILITY OF COMPRESSIVE LEG CHECKING AND CORRELATION WITH THE SIT-STAND TEST FOR ANATOMIC LEG LENGTH INEQUALITY. Chiropractic Journal of Australia 2017; 45(2).
  • Cooperstein R, Lucente M. Comparison of Supine and Prone Methods of Leg Length Inequality Assessment.Journal of chiropractic medicine 2017; 16(2), 103-110.
  • Young RS, Andrew PD, Cummings GS. Effect of simulating leg length inequality on pelvic torsion and trunk mobility. Gait Posture 2000; 11:217–23.
  • Specht DL, DeBoer KF. Anatomical Leg Length Inequality, Scoliosis and Lordotic Curve in Unselected Clinical Patients. J Manipulative Phisiol Ther 1991;14:368-375.
  • Miller C, Major N, Toth A. Pelvic stress injuries in the athlete. Sports medicine. 2003;33(13):1003-1012.
  • Van Gent RN, Siem D, van Middelkoop M, Van Os AG, Bierma-Zeinstra SMA, Koes BW. Incidence and determinants of lower extremity running injuries in long distance runners: a systematic review. Br. J. Sports Med 2007;41(8):469-480.