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Soccer Syndrome – 3: Common Sacral Malalignments and Its Manual Diagnostic Techniques

Received: 11 February 2016    Accepted: 25 February 2016    Published: 7 March 2016
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Abstract

The present study was primarily focused to determine the common presentations and manual diagnostic procedures for sacral malalignments. Forty football players (n = 40), from National Football Club (NFC) were selected for the study. Subjects were constrained to males with no history of orthopedic or neurological issues, and also include the subjects only with normal muscle power and Range of movement (ROM) of the back and extremities. The mean age of the studied population was 22.2 ± 3.9 years, height 175.8 ± 6.6 cms, and weight 87.5 ± 7.1 kgs. The important bony landmarks like Sacral Sulci and Base, Infero-Lateral Angles (ILA) of sacrum, position of L5 vertebra and Sacrotuberous ligament were located manually. These landmarks were considered as an extremely basic and vital for the manual assessment of sacral malalignments. In this study, we observed, 50% i.e., majority of the soccer's were suffered with oblique axis malalignments, includes Right On Right - ROR and Left On Left - LOL of sacral dysfunctions. The players suffered with AP and Transverse axis of sacral malalignments were encountered up to 17.5% and soccer's who had the vertical axis malalignments was observed only in 7.5%. However, this method of assessing the sacral malalignments until then not documented. In this sense, the current study was mainly focused on the assessment and documentation of the different common presentations in sacral malalignments, which are most common in soccer players. This simple method of evaluation is the literature state of the art. The present study may provide the useful informations to analyze the common presentations of sacral malalignments in different sports.

Published in American Journal of Sports Science (Volume 4, Issue 2)
DOI 10.11648/j.ajss.20160402.12
Page(s) 25-37
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Sacral Dysfunction, SI Joint Dysfunction, Low Back Pain, Pelvic Malalignments

References
[1] Abdolhamid Daneshjoo et al., Bilateral and Unilateral Asymmetries of Isokinetic strength and Flexibility in Male Young Professional Soccer Players. Journal of Human Kinetics.36, 45-53. 2013.
[2] Bradeley.http://www.biomechanicsacademy.com/wpcontent/uploads/2015/07/Acritical-Review-of-the preece-Sj-2008-Paper.pdf.
[3] Broadhurst NA, Bond MJ. Pain provocation test used for assessment of sacroiliac joint dysfunction. J Spinal Disorder 1998; 11: 341-345.
[4] Dreyfuss P, Dreyer S, Griffi n J et al. Positive sacroiliac screening tests in asymptomatic adults. Spine 1994; 19: 1138-1143.
[5] F.P.Wedel, D. O., Evaluation and Treatment of Sacral Somatic Dysfunction. Instruction manuals published by Michel Bakker. 2013.
[6] Fernando Idoate et al., Soccer attenuates the Asymmetry of Rectus abdominis Muscle observed in Non- Athletes. PLOS ONE. 6(4), 1-7. 2011.
[7] Fortin JD, Falco FJ. The Fortin fi nger test: An indicator of sacroiliac pain. Am J Orthop 1997; 26: 477-480.
[8] Ganesh Elumalai, Malarvani Thangamani, Nirmala Palayathan, Ajit Kumar, Manish Kr Singh. Soccer Syndrome - Common Presentations and Manual Diagnostic Techniques for Pelvic Malalignment Syndrome. American Journal of Sports Science. Vol. 2, No. 6, 2014, pp. 141-154.
[9] Ganesh Elumalai, Maria Declaro, Sanjoy Sanyal, Melchor Bench Bareng, Aminuddin Mohammad. Soccer Syndrome - 2: Common Innominate Malalignments and Its Manual Diagnostic Techniques in Pelvic Malalignments Syndrome. American Journal of Sports Science. Vol. 3, No. 6, 2015, pp. 120-127.
[10] Janda V. Treatment of chronic back pain. Journal of Manual Medicine 1992; 6: 166-8.
[11] Julie H & Warren S., Muscle imbalance among Elite Australian Rules Football Players, A longitudinal study of changes in trunk muscle size. Journal of Athletic training.47 (3), 314-319. 2012.
[12] Kamali, F., Shokri, E., The effect of two manipulative therapy techniques and their outcome in patients with sacroiliac joint syndrome. Journal of Bodywork & Movement Therapies, 2011.
[13] Liz Gaggini, M. A.., The asymmetric pelvis. International Association of Structural Integrators. 1-7. 2010.
[14] Maigne JY, Aivakiklis A, Pfefer F: Results of sacroiliac joint double block and value of sacroiliac pain provocation test in 54 patients with low back pain. Spine 1996; 21: 1889-1892.
[15] marchellerdc.com/pro_resources/Articles/DC_18_SI1_Shears. pdf.
[16] members.nata.org/virtuallibrary/sacroiliac/pdfs/PowerPoint_Presentations/Ilial_Pathology.pdf.
[17] Mitchell F. An Evaluation and Treatment Manual of Osteopathic Muscle Energy Techniques. Institute for Continuing Education in Osteopathic Principles, 1979.
[18] Parisien RC, Ball PA. William Jason Mixter (1880-1958). Ushering in the "dynasty of the disc." Spine Nov. 1998; 23(21): 2363-6.
[19] Pelvic Evaluation. www.waltfritz seminars.com/myofascial resource/wp content/uploads/2010/09.
[20] Slipman W.C. Sacroiliac Joint Syndrome. Pain Physician. Vol. 4(2), p 143-152, 2001.
[21] stoneathleticmedicine.com/2014/05/pelvic-upslip-androtation-evaluation-and-treatment/.
[22] Warmerdam A. "Arthrokinetic Therapy: Improving Muscle Performance through Joint Mobilization." Class notes from International Federation of Orthopaedic Manipulative Therapists, Vail, Colo., 1992.
[23] White AA. Introduction. White AA, Gordon SL (eds): American Academy of Orthopaedic Surgeons Symposium on Idiopathic Low Back Pain. St. Louis, MO, CV Mosby Co. 1982, p 2.
Cite This Article
  • APA Style

    Ganesh Elumalai, Ameet Kumar Jha, Palani Kanagarajan, Sanjoy Sanyal. (2016). Soccer Syndrome – 3: Common Sacral Malalignments and Its Manual Diagnostic Techniques. American Journal of Sports Science, 4(2), 25-37. https://doi.org/10.11648/j.ajss.20160402.12

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    ACS Style

    Ganesh Elumalai; Ameet Kumar Jha; Palani Kanagarajan; Sanjoy Sanyal. Soccer Syndrome – 3: Common Sacral Malalignments and Its Manual Diagnostic Techniques. Am. J. Sports Sci. 2016, 4(2), 25-37. doi: 10.11648/j.ajss.20160402.12

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    AMA Style

    Ganesh Elumalai, Ameet Kumar Jha, Palani Kanagarajan, Sanjoy Sanyal. Soccer Syndrome – 3: Common Sacral Malalignments and Its Manual Diagnostic Techniques. Am J Sports Sci. 2016;4(2):25-37. doi: 10.11648/j.ajss.20160402.12

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  • @article{10.11648/j.ajss.20160402.12,
      author = {Ganesh Elumalai and Ameet Kumar Jha and Palani Kanagarajan and Sanjoy Sanyal},
      title = {Soccer Syndrome – 3: Common Sacral Malalignments and Its Manual Diagnostic Techniques},
      journal = {American Journal of Sports Science},
      volume = {4},
      number = {2},
      pages = {25-37},
      doi = {10.11648/j.ajss.20160402.12},
      url = {https://doi.org/10.11648/j.ajss.20160402.12},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.ajss.20160402.12},
      abstract = {The present study was primarily focused to determine the common presentations and manual diagnostic procedures for sacral malalignments. Forty football players (n = 40), from National Football Club (NFC) were selected for the study. Subjects were constrained to males with no history of orthopedic or neurological issues, and also include the subjects only with normal muscle power and Range of movement (ROM) of the back and extremities. The mean age of the studied population was 22.2 ± 3.9 years, height 175.8 ± 6.6 cms, and weight 87.5 ± 7.1 kgs. The important bony landmarks like Sacral Sulci and Base, Infero-Lateral Angles (ILA) of sacrum, position of L5 vertebra and Sacrotuberous ligament were located manually. These landmarks were considered as an extremely basic and vital for the manual assessment of sacral malalignments. In this study, we observed, 50% i.e., majority of the soccer's were suffered with oblique axis malalignments, includes Right On Right - ROR and Left On Left - LOL of sacral dysfunctions. The players suffered with AP and Transverse axis of sacral malalignments were encountered up to 17.5% and soccer's who had the vertical axis malalignments was observed only in 7.5%. However, this method of assessing the sacral malalignments until then not documented. In this sense, the current study was mainly focused on the assessment and documentation of the different common presentations in sacral malalignments, which are most common in soccer players. This simple method of evaluation is the literature state of the art. The present study may provide the useful informations to analyze the common presentations of sacral malalignments in different sports.},
     year = {2016}
    }
    

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  • TY  - JOUR
    T1  - Soccer Syndrome – 3: Common Sacral Malalignments and Its Manual Diagnostic Techniques
    AU  - Ganesh Elumalai
    AU  - Ameet Kumar Jha
    AU  - Palani Kanagarajan
    AU  - Sanjoy Sanyal
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    DO  - 10.11648/j.ajss.20160402.12
    T2  - American Journal of Sports Science
    JF  - American Journal of Sports Science
    JO  - American Journal of Sports Science
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    PB  - Science Publishing Group
    SN  - 2330-8540
    UR  - https://doi.org/10.11648/j.ajss.20160402.12
    AB  - The present study was primarily focused to determine the common presentations and manual diagnostic procedures for sacral malalignments. Forty football players (n = 40), from National Football Club (NFC) were selected for the study. Subjects were constrained to males with no history of orthopedic or neurological issues, and also include the subjects only with normal muscle power and Range of movement (ROM) of the back and extremities. The mean age of the studied population was 22.2 ± 3.9 years, height 175.8 ± 6.6 cms, and weight 87.5 ± 7.1 kgs. The important bony landmarks like Sacral Sulci and Base, Infero-Lateral Angles (ILA) of sacrum, position of L5 vertebra and Sacrotuberous ligament were located manually. These landmarks were considered as an extremely basic and vital for the manual assessment of sacral malalignments. In this study, we observed, 50% i.e., majority of the soccer's were suffered with oblique axis malalignments, includes Right On Right - ROR and Left On Left - LOL of sacral dysfunctions. The players suffered with AP and Transverse axis of sacral malalignments were encountered up to 17.5% and soccer's who had the vertical axis malalignments was observed only in 7.5%. However, this method of assessing the sacral malalignments until then not documented. In this sense, the current study was mainly focused on the assessment and documentation of the different common presentations in sacral malalignments, which are most common in soccer players. This simple method of evaluation is the literature state of the art. The present study may provide the useful informations to analyze the common presentations of sacral malalignments in different sports.
    VL  - 4
    IS  - 2
    ER  - 

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Author Information
  • Department of Anatomy and Neuroscience, Texila American University, Georgetown, South America

  • Department of Anatomy, Texila American University, Georgetown, South America

  • Department of Community Medicine, Texila American University, Georgetown, South America

  • Department of Neuroscience, Texila American University, Georgetown, South America

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