Reflection Week 3

Term 2PCP 2 Thur 31/7/2019

Graham Healy

1) problem / central concern

The concern was determining the pelvis adjustments listed on week 3 of the technique
schedule and further the lumbar adjustments .
The assumption that everybody remembers or know these techniques by now I found to not
to be the case when I ask peers to either demonstrate or describe exactly how to do it 9with
the exception of a rare few) normally its back to cross referencing to the lecturer , and as I
am a methodical learner that could be 1,000 times to get everything absolutely crystal clear
in my mind.

2)Find information?
so what I did was a complete re-read and and careful re-examination of lumbopelvic kinematics and
pelvis position and leg length and lumbar adjustment revisions this took some tome to pull the
details written in Bergmann and Vizniak (see references)

3)do I need a team approach

In part yes , and I practice weekly with my small team , outside of the uni environment , but
basically I need to get a crystal clear clarity in my mind in exactly what I am doing to the
point where I could teach and demonstrate to others (is my Goal)

4)central concert addressed

yes in part , at least some further clarity (the muddy waters are clearing)

5) apply/solution
foundational to the (muddy waters clearing ) I find that I must have a clear descriptive map
of what the adjustments we are asked to perform including and what I find critical are the
INDICATIONS because if you don’t know the indications you are simply guessing .
and secondly the ‘mapping of the lesion’ in the mind before adjustments takes place.

As an example I have copied and pasted the practice the following adjustments from week
3 , but what I have added into the list is the actual full descriptions of the indications .
I Find this gives me a mental outline of the lesion and a mental bearing on what to do to
treat the problem by adjustment and set up procedures .

Pelvis hypothenar ilium push PI

Indications:
Restricted sacroiliac Extension/Flexion malposition of the illum
(PI)
5-282 (P.275)
 Pelvis hypothenar sacral base push PS sacrum
Indications:
Restricted sacroiliac Flexion/unilateral (PS) malposition of the
5-283A,B (P275) sacrum
Pelvis hypothenar ischium push AS
Indications:
Restricted sacroiliac FLEXION /Extension malposition of the ilium
5-284A,B (P276) (AS)
Pelvis hypothenar sacral apex push AI
Indications:
Restricted sacroiliac EXTENSION/or unilateral antero-inferior
5-285A,B (p277) malposition of the sacrum
Pelvis Hyothenar/Ilium Sacral Apex Push (PI ilium or AI sacrum)
Indications:
Restricted Sacroiliac EXTENSION/Postero-inferior malposition of
the Ilium or unilateral Antero-inferior malposition of the sacrum
5-286A,B (p277)

Lumbar hypothenar mammillary push

Indications:
Restricted Rotation or lateral flexion, L1-L5 .
5-249A,B,C,D,E(P254) Rotation or lateral Flexion malposition , L1-L5
Lumbar hypothenar spinous push
Indications :
Restricted Flexion, extension, Rotation, and Lateral flexion L1-S1
5-250A,B,C,D,E (P.255) Rotation,flexion,extension and lateral Flexion malpositions L1-S1
Lumbar Bonyun digit spinous push-pull
Indications:
Restricted Rotation or combined restrictions in rotation and
opposite-side lateral flexion,L1-l5
Rotation or Combined rotation and ipsilateral lateral flexion
malpositions
5-252A,B. (P258)
Lumbar hypothenar spinous pull
Indications :
Restricted Rotation or Combined restrictions in rotation and
opposite –side lateral Flexion, L1-5
Rotation or Combined Rotation and Ipsilateral flexion malpositions
5-251A,B (P257) L1-L5