Livdans-Forret Anna
Palmer College of Chiropractic, 100 Brady Street, Davenport, Iowa 52803, Phone 563-884-5807; E-mail
J Can Chiropr Assoc. 2005 Dec;49(4):297-300.
The effect of altered gait on body mechanics presents a stress on patient's sacroiliac joints (SIJ). The gait of the patient is this case report is altered because of a transtibial amputation with prosthesis; he also has a foot drop orthotic.
A 40-year-old man had left sacroiliac pain. The pain began 3 days before visiting the clinic and has been constant since its onset. It is alleviated by resting on his side. He reported that he had been painting his mother's house for 3 days before the pain started. Past history is significant for a spinal cord injury with resultant right leg foot drop; in addition, he has a left leg prosthesis.
Adjustments to the sacroiliac joint were performed on a Zenith-Thompson Terminal Point adjusting table, utilizing only motion palpation to assess for subluxation. The adjustments consisted of contacting the left posterior superior iliac spine (PSIS) and applying 3 successive high-velocity, low-amplitude thrusts to it. Initial visit schedules were bi-weekly and progresses to bi-monthly as needed.
Patient with prosthesis can benefit greatly from chiropractic care, to assist them in maintaining proper joint motion and gait patterns that allow them to walk more freely.
步态改变对身体力学的影响会给患者的骶髂关节（SIJ）带来压力。本病例报告中的患者因胫骨截肢并佩戴假肢而步态改变；他还佩戴了垂足矫形器。
一名40岁男性出现左侧骶髂部疼痛。疼痛在就诊前3天开始，自发作以来一直持续。侧卧休息可缓解疼痛。他报告说在疼痛开始前3天一直在粉刷他母亲的房子。既往史中有脊髓损伤导致右腿垂足；此外，他有一个左腿假肢。
在Zenith - Thompson终点调整台上对骶髂关节进行调整，仅通过运动触诊来评估半脱位情况。调整包括接触左后上棘（PSIS）并对其连续施加3次高速低振幅推力。初次就诊安排为每两周一次，根据需要逐渐进展为每两个月一次。
佩戴假肢的患者可从整脊治疗中获益良多，有助于他们保持适当的关节活动和步态模式，从而更自由地行走。
