SI Joint and Belt Usage Lecture Notes
Key Concepts
- SI Joint Problems: Predominantly related to instability.
- Purpose of SI Belt: Not to level the pelvis, but to squeeze the SI joint together for stabilization.
Importance of the SI Belt
- Extreme Cases: Necessary if the SI joint frequently clicks and pops.
- Stabilization: Critical for movements involving the pelvis.
Ligament Healing
- Time for Healing: Similar to ACL or MCL, ligaments take months to heal and require bracing.
Placement of the SI Belt
- Anatomy Reference Points:
- PSIS: Bumps on the back of the pelvis.
- ASIS: Bumps on the front of the pelvis.
- Optimal Placement:
- Belt should be over PSIS in the back and just over ASIS in the front.
- Avoid placing too high or too low to prevent further injury or movement restriction.
Considerations for Anterior Pelvic Tilt
- Adjustment: Belt should be placed over the most prominent part, slightly above ASIS.
Belt Wearing Recommendations
- Direct on Skin: For efficacy, not over clothing.
- Recommended Belt: Saunders Group SI belt.
Muscle Considerations
- Atrophy Concerns: Addressed by complementing with strengthening exercises.
Stages of SI Belt Usage
- Stage One
- Wear Time: As much as possible, except when sitting or sleeping.
- Duration: 1-2 weeks, depending on severity.
- Stage Two
- Wear During Activities: Not necessary for passive tasks.
- Duration: 1-2 months.
- Stage Three
- Wear During Exercise Only: Gradual progression to more complex exercises.
- Duration: 2-3 months or more.
Adjusting the Belt
- Personalization: Adjust the belt based on body feedback to avoid increasing pain.
- Posture Considerations: Match belt placement to current body posture.
Conclusion
- Long-term Process: Healing and stabilization of ligaments is a slow process.
- Stability Potential: With proper care, SI joints can become more stable and stronger.
Acknowledgments: Core Balance Training emphasizes the importance of health and offers continual support for stabilization efforts.