POSTERIOR INFERIOR SACRUM
(PIL & PIR)

Patient Position
  • Prone
  • Headpiece down 15-20°
  • Feet up
  • Elevate pelvic piece

 


Contact Point for PIL Sacrum
Doctor's Stance
  • Involved side 
  • Pivot inferior
  • Very inferior stance
  • Exaggerated I --> S
  • Inferior hand is contact hand

 


Roll-in with tissue torque 
PIL Sacrum
SCP
  • Sacral notch (3 in. below PSS)
  • Contact Point #1 fleshy pisiform
  • Contact Hand = I.H.

 



Set-up and LOC for 
Sacrum PIL
LOC
  • P ® A

  • I ® S

  • Torque to opposite shoulder

 



Follow thru with torque
Sacrum PIL
Tissue Pull
  • I ® S

  • S.H.

 


Listings
  • PIR (Apex Left)
  • PIL (Apex Right)

 


 

Occiput
Occiput Laterality
Cervical
C1-Posteriority
C1-Laterality
C2-6-Body Contacts
C2,6,7-Spinous Contacts
C3-6 Mod. Cervical Break
Sitting Diversified
Cervicthoracic (C6,7 T1,2)
Thumb Move
Modified Thumb Move
Pisiform Move
Modified Pisiform Move

Thoracic
Double Transverse aka, Crossed Pisiform
T3-T10
ThoracoLumbar
DblThenar/Dbl Mammillary
T11-L5
L4,5 - Opt. Reverse Move
Sacrum
Base Posterior
Post Rotation, R & L
PIR, PIL
Ilium
PI
PI-IN
IN
AS
Ilium (Cont'd)
PI-EX
EX
Double PI
Double AS
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