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Can back pain caused by symptom-giving sacroiliac joint relaxation ...

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contribute to this locking mechanism as they increase the pressure on the <strong>joint</strong> when<br />

contracted:<br />

o the transverse abdominal muscle<br />

o the middle part of the internal oblique abdominal muscle<br />

o the piriformis muscle<br />

o the coccygeal muscular structures and the pelvic floor<br />

1.2.3. The pelvic shear<br />

according to Klein and Sommerfeld [24]<br />

The pelvic shear is a model which represents the pelvis as a buffer system in a<br />

sagittal plane. This model presumes certain mobility in the SIJ.<br />

In the upright standing position, the two levers sacrum and innominate bone<br />

introduce a nutational motion in the SIJ. This nutation is slowed down <strong>by</strong> the<br />

sacrotuberous and the sacrospinal ligament. As they have a favourable leverage,<br />

they are the most effective dampers of the nutational motion, even though they act<br />

only passively. The following muscles are able to<br />

function as active nutation dampers:<br />

o iliac muscle<br />

o straight muscle of the femor, tensor<br />

fasciae latae muscle, sartorius muscle<br />

o piriformis muscle<br />

o muscles of the pelvic floor<br />

During pregnancy the relation between the<br />

different levers changes and the stabilising Fig. 1F: The pelvic shear [24]<br />

ligaments get softer. Therefore the model of the pelvic shear can slightly deviate from<br />

its normal scheme.<br />

Master’s Thesis Wolfgang Aspalter 19

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