Ilial Anterior Rotation Hypermobility in a Female Collegiate Tennis Player

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. The patient was a 21-year-old, female collegiate tennis player who developed a right anterior ilial rotation hype...

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Bibliographic Details
Published in:Physical therapy 2008-12, Vol.88 (12), p.1578-1590
Main Authors: Vaughn, H Todd, Nitsch, Wanda
Format: Article
Language:English
Subjects:
Adult
Back pain
Care and treatment
Cryotherapy
Data collection
Female
Hip Injuries - complications
Hip Injuries - diagnosis
Hip Injuries - rehabilitation
Hip Joint - physiopathology
Humans
Hypermobility
Ilium
Injuries
Joint instability
Joint Instability - complications
Joint Instability - diagnosis
Joint Instability - rehabilitation
Joints
Low Back Pain - etiology
Low Back Pain - rehabilitation
Medical diagnosis
Muscle, Skeletal - pathology
Patients
Physical therapists
Physical therapy
Physical Therapy Modalities
Posture
Practice
Prognosis
Range of Motion, Articular
Tennis - injuries
Transcutaneous Electric Nerve Stimulation
Women tennis players
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Summary: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. 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. 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. 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.
ISSN:0031-9023
1538-6724
DOI:10.2522/ptj.20070238