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

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3.2.3. Therapy<br />

In each of the three therapy sessions the patient handed in seven questionnaires<br />

from the previous week.<br />

In this study the osteopathic therapy served as a black box and was adapted<br />

completely to the individual needs of the patients. My choice of technique was based<br />

on strict consideration of the previously created “osteopathic diagnostic findings“. The<br />

therapy was conducted according to the doctrine of the Vienna School of<br />

Osteopathy. I considered it to be very important to see the pregnant patient as an<br />

entity and thus I took into account that causes may originate from all parts of the<br />

body.<br />

Contents of the therapy:<br />

o Tips and advice for daily life<br />

o Mobilisation of the iliopsoas muscle, the thoracolumbar fascia, the obturator<br />

membrane, the adductor muscles of the hip, the coccyx etc.<br />

o Mobilisation and thrust techniques in the thoracic spine and thoracolumbar<br />

junction, upper and lower ribs, and partly also in the cervical spine<br />

o Fascial techniques in the areas of the iliotibial tract, thoracolumbar fascia,<br />

thoracic spine, obturator membrane etc.<br />

o Mobilisation in the visceral area: very frequently at the diaphragm including the<br />

crura, at the stomach, liver, kidneys and bladder, ligaments of the uterus etc.<br />

o Intraosseous techniques at the sacrum, coccyx, occiput, temporal bone,<br />

sternum, …<br />

o Craniosacral techniques: SSB techniques, CSF techniques, techniques on the<br />

reciprocal tension membrane, synchronisation of the sacrum and the occiput<br />

o Compensatory movements and exercises for stabilisation of the pelvis<br />

3.2.4. Post diagnosis<br />

The patient handed in the last seven questionnaires.<br />

The <strong>pain</strong>ful SIJ instability was checked a second time <strong>by</strong> means of the test sheet and<br />

the additional tests were made for evaluation.<br />

Master’s Thesis Wolfgang Aspalter 37

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