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Ilial Anterior Rotation Hypermobility in a Female Collegiate Tennis Player

HT Vaughn, PT, DPT, OCS, MTC, is Senior Lecturer, Physical Therapist Assistant Program, Southern Illinois University at Carbondale, 374 E Grand Ave, Mail Code 6740, Carbondale, IL 62901 (USA), and Senior Physical Therapist, Select Medical Corporation, NovaCare Rehabilitation, Benton, Illinois.
W Nitsch, PT, PhD, MTC, is Director, Doctor of Physical Therapy Program, University of St Augustine for Health Sciences, San Diego, California.

tvaughn{at}siu.edu

Background and Purpose: This case report describes the examination, evaluation, and intervention by a physical therapist for a female collegiate tennis player with a right ilial anterior rotation hypermobility.

Case Description: The patient was a 21-year-old, female collegiate tennis player who developed a right anterior ilial rotation hypermobility as a result of her tennis stroke. Functional limitations were related to sitting, squatting, gait, and playing tennis. Treatment interventions consisted of massage, joint manipulation, stretching, stabilization exercises, sport-specific exercises and modification of tennis stroke, proprioceptive taping, and the use of a sacroiliac belt.

Outcomes: After 26 weeks (33 treatments), tissue tenderness of the sacroiliac joint region was normalized, pelvic/trunk and lower-extremity mobility and flexibility were restored, sacroiliac symmetry and stability were regained, and the patient achieved her goal of returning to competitive tennis at the collegiate level.

Discussion: The patient's right ilial anterior rotation hypermobility was directly related to the mechanics of her tennis stroke. Her outcomes suggest that rehabilitation should focus on the entire abdomino-sacro-pelvic-hip complex, addressing articular, neural, and muscular inhibitions and deficiencies.

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This article has been cited by other articles:

				D. C Poulter On "Ilial anterior rotation..." Vaughn HT, Nitsch W. Phys Ther. 2008;88:1578-1590. Physical Therapy, May 1, 2009; 89(5): 507 - 508. [Full Text] [PDF]

				M. T Cibulka On "Ilial anterior rotation..." Vaughn HT, Nitsch W. Phys Ther. 2008;88:1578-1590. Physical Therapy, May 1, 2009; 89(5): 508 - 509. [Full Text] [PDF]

				J. Hesch On "Ilial anterior rotation..." Vaughn HT, Nitsch W. Phys Ther. 2008;88:1578-1590. Physical Therapy, May 1, 2009; 89(5): 509 - 511. [Full Text] [PDF]

				H T. Vaughn Author Response Physical Therapy, May 1, 2009; 89(5): 511 - 512. [Full Text] [PDF]