Exercises | Physiotherapy for an ISG blockage

Exercises

In addition to the strengthening exercises mentioned above, the patient should also perform mobilization and stretching exercises. Supine position: alternately push the legs out so that movement is felt in the pelvis. Stand at the stairs: Push the affected leg to the underlying step so that the movement in the pelvis can be felt Supine position on the floor and feet against the wall: Place 2 tennis balls on the pelvic shovels on the right and left below the spine, minimally perform the exercise of sliding ham Stand: Turn with the pelvis in circles or write eight (similar to belly dancing) Sit on Pezzi ball: Slide with the pelvis forward and backward, make circles (similar to pregnancy gymnastics)

  • Sitting on the edge of the bed or chair: Slide with your buttocks towards the end of the bed or chair (ham-sliding) but make sure that the movement is out of the pelvis.
  • Supine position: alternately push out the legs so that movement is felt in the pelvis.
  • Standing at the stairs: Push the affected leg to the step below so that the movement can be felt in the pelvis
  • Lie supine on the floor and place your feet against the wall: place 2 tennis balls on the pelvic shovels right and left below the spine, minimally perform the exercise of sliding the ham
  • Stand: turn the pelvis in circles or write eight (similar to belly dance)
  • Seat on Pezzi ball: slide with the pelvis forward and backward, make circles (similar to pregnancy gymnastics)

If – then …

With an ISG problem, certain muscles are either stretched or shortened. If the os. ilium (ilium bone) is blocked to the front, there is hypertonus of the front thigh and overstretching of the rear thigh.

It is important that only the hypertonic muscle is stretched. The M. Quadriceps femoris can be stretched either passively over the prone position, in which the therapist presses the heel towards the buttocks, or by active stretching in a standing position, in which the patient pulls the heel towards the buttocks. In addition to the M. Quadriceps femoris, the M. Iliopsoas, which runs through the groin, also belongs to the front musculature.

The patient can actively stretch this muscle in the supine position by pulling the other leg towards the body and deliberately stretching the other leg and pressing it onto the support (Thomarsche handle). A passive stretching exercise is not so easy to perform on the muscle. If the position of the ilium is blocked to the back, the ischiocrural muscles are shortened and the front part of the muscles is too long.

The rear muscles (sciocrural muscles) should be stretched. In passive stretching, the patient lies in a supine position and the therapist pushes the stretched leg close to the trunk until the patient feels a significant stretch. In active stretching, the patient places the leg on a chair or similar and approaches the leg with the upper body.

If the patient has hypertonus of Piriformis disease, he should sit in a long seat and place the affected leg on the other side next to the stretched leg. In addition to active and passive stretching, stretching can also be achieved by tensing and relaxing the muscle. Thereby therapist and patient work together. The muscle is adjusted to the maximum approach and the therapist gives resistance in the position to be stretched, the patient presses against it. Thus the range of movement can be slowly extended after a short period of tension and subsequent relaxation.