Pelvic girdle pain and relevance of ASLR testing: A ... - Cindy Verheul

pain above the lumbar region. However this might be a result of pelvic instability, because
the pelvis supports the spine.
A change in the pelvis results in a change in the position of the sacrum. These changes are
a result of adjustments from the legs, as for example as a result of an uneven surface.
Compensations in the pelvis occur within the limits of the joint. However during pelvic
instability there is increased mobility or asymmetric laxity of the SI joints. (Jan MA Mens &
Annelies Pool Goudzwaard 2009) This may result in an enlarged position change of the
sacrum and probably beyond the normal limits of the joint. As a result there will be an
increased adaptation of the sacral spine. During pregnancy a woman’s body goes through
many adjustments and compensations.. When the body of the mother is recovering from its
compensation during pregnancy did, and also must adapt to the increased mobility of the
pelvis, it is expected that this causes problems. Where these symptoms will manifest itself is
different for each individual. It is however to be expected that the entire spine needs to
compensate. The regions of the compensation do not need to create complaints. However, if
there is in these regions an osteopathic dysfunction, this will create complaints because this
dysfunction will hinder the compensation behavior of the spine and any other structures.
According to the results of this hypothesis there is a relative high percentage of women
suffering from pelvic instability. One reason for the onset of instability is that it is a
consequence of the permanent changes that occur in the SI joints and the pubic symphysis.
The formation of gas bubbles in the pubic symphysis and the SI joints and the increase of
synovial fluid are normal consequences of a vaginal delivery. (Garagiola et al 1989) The
body of the woman will react to this "normal" instability, by building up stability. The pattern
that can occur to “capture” this instability may result in excessive contraction of muscles and
by pressing. (Man January 2009) It is also possible that these women start immediately to
build up stability. Anyway the body of a woman needs time to build this compensation. This
makes it possible that in a survey performed three months postnatal or later it shows that the
complaints of pelvic instability have been improved . This is probably due to the "natural"
change in muscle tension around the pelvis. When a "wrong" contraction pattern is created,
pelvic instability is to be expected because a wrong coordination pattern does not support
the stability in the pelvis.
Osteopathie Schule Deutschland
Dresden International University Page 80