Dr. Dirnberger’s lecture went verbatim from the powerpoints. Refer to the images for
better detail
I. The Pelvis
•The pelvis functionally consists of three bones:
–the left innominate
–the right innominate
–the sacrum
•The Male Pelvis is narrower, Female wider
•The left and right innominate connect at the pubic symphysis.
•The sacrum is suspended between the innominates posteriorly at the
sacroiliac (SI) joints
II. Sacrum
SACRAL ANATOMICAL AXIS
• Superior: the cranial primary respiratory mechanism creates
motion around this axis
• Middle: sacral base anterior and posterior (FB/BB) occur around
this axis
• Inferior: the innominates rotate around this axis
• Oblique: both left and right oblique axes are named for the
superior pole
OMM #25
Thu, 02/27/03, 11am
Dr. Dirnberger, D.O.
Robert Abbate
Page 2 of 4
• Sagittal: includes both mid-sagittal and an infinite number of
parasagittal axes
• Horizontal: functional axis of sacral flexion/extension occur
around this axis (analogous to the middle transverse axis above)
Sacral Margins
• Sacral margins run the length of the Sacro-Iliac Articulation.
• They will rotate about a vertical midline or parasagittal axis
SACRAL MECHANICS
Patient Standing
Patient Supine
-ASIS
-Pubic symphysis
-Pubic tubercles
-Medial malleoli
Patient Prone
-PSIS
-Sacral sulcus
-Sacral base
-Inferior lateral angle
-Sacortuberous ligament
-Ischial tuberosity
-Iliac crest
-Piriformis muscle
-Iliolumbar ligament
III. Gait
• Efficient locomotion entails translation of the body’s center of gravity through
space along a path requiring the lowest expenditure of energy.
• The center of gravity is constantly displaced beyond the body’s base of support..
• Loss of balance is corrected by moving one lower extremity forward to change
the base of support.
• Repetition of this pattern creates the walking cycle.
• Stance Phase
– Limb contacting ground
– 60% of walking cycle
– Of 60%, 20% is spent in double stance.
OMM #25
Thu, 02/27/03, 11am
Dr. Dirnberger, D.O.
Robert Abbate
Page 4 of 4
• Swing Phase
– Limb advancing
– 40% of walking cycle
• Double stance phase shortens with increased walking speed, disappears at the
onset of running