♪ Bob and Brad, the two most famous ♪
physical therapists on the internet. ♪
- Hi, I'm Bob Schrupp, physical therapist.
- Brad Heineck, physical therapist
- Together, we are the most famous physical therapists
on the internet.
- In our opinion, of course, Bob.
- Hey Brad, you want to talk about lateral pelvic tilt?
You know, what is it?
And um some of the causes or-
I guess that's gonna be another video.
- Yeah. It's gonna be the next here.
But yeah. We're gonna-
What is a pelvic tilt? What is a pelvis?
I had some viewers comment that they're interested
on a video that like this, so we're gonna satisfy
- We're gonna put on our teacher hats.
- You bet.
- So let's get, let's bring in
you want to call him Leopold, It's Napoleon Bone-a-part.
- Okay. Right. Whatever we call him,
this is he's wonderful for us.
We're gonna look at the pelvis, Bob.
What is the pelvis?
- Sure.
- Go ahead, face that way, Bob.
Show them your pelvis.
Yeah, be good about it.
Be nice, this is a family show.
(Bob giggles)
- [Brad] There we go.
So the bones right here are the pelvis.
- Mhmm
- Okay? And the hips are actually down here
and the hip joint is- it's separate from the pelvis,
but I think some people get things mixed up
between the hips and the pelvis.
So, we're gonna really show the difference.
These are the hip joints.
This is the pelvis, which is part of the hip joint.
Okay? So let's look at one side
of the pelvis here and
let's look at that bone and talk about it just a little bit.
So what were you gonna do with that stick, Bob?
- [Bob] Well, I was gonna show-
this is a normal pelvis that's level.
- That's a good, yeah.
- [Bob] You know, and a lot of pelvic tilt. I don't know
Do you wanna jump in and do that?
- Sure. You bet.
- [Bob] Yeah. Would be, is if one pelvis would be higher or
one of the innominate bones.
- Right.
- [Bob] One would be a little higher.
- Exactly. So..
- [Bob] So, this would be level on a normal person.
A lot of pelvic tilt, one side would be higher
- Right there- there's posterior and anterior pelvic tilt
which happens from the different angle.
- [Bob] Right? That's this and this.
- Right.
- [Bob] But this is a lateral.
- Right? Yep. That's the difference between those two.
Now let's look at this pelvis bone.
- [Bob] Okay.
- 'Cause what is it? And let's break it down.
So, if we pull that off, just like that.
- [Bob] Yeah. Take a little bit of strength.
- Alright, so here we go.
I'm gonna keep the hip joint in there just
because I can't get it out without breaking this model.
This part right here looks like a paddle.
That's called the ilium.
Okay? Now this part down here, where you sit on,
actually when you sit on a hard surface
you feel that bone that's called the, you know, the
the slang term is the 'sit bone'
but it's actually called the ischium.
Okay? And then in the front,
there's a little bone right here
and that's called the pubic bone.
And they're all fused together into one bone.
Okay? And you know what the medical term
for this bone is called?
- [Bob] I'm gonna hear it.
- Innominate.
- [Bob] That's what I just said. Innominate bone before.
- Oh, you did?
- [Bob] Yeah.
- Sorry. I missed it.
You know what that means in Latin?
- [Bob] No, I do not know what it means in Latin.
It means 'no name'.
- [Bob] Really?
- Yeah. Can you imagine, you know, the, the,
these people back in Greece or wherever they spoke Latin,
they got this bone and they can't figure out
what they call it, so they just called it: 'no name."
- [Bob] Oh, that's funny.
- So that, that's the truth.
- [Bob] We are just a fountain of knowledge.
- You better believe it.
- [Bob] Okay.
- So, the lateral pelvic tilt:
how are we gonna find this on a real person?
You can look at someone, and you know
maybe if they have their swimming suit on
you might be able to see it.
Okay?
- [Bob] Or if their belt looks uneven.
- Exactly. But you got the belt might be uneven...
- [Bob] The belt, right, exactly.
- Right. So, what we do as therapists, we use our hands
and we get in there with a visual
and a palpable or feeling sensation of what it is.
So we're gonna visualize, I'm gonna get in there
right there is his ilium bones I'm gonna push in.
Does that hurt, Bob?
- [Bob] Yep.
- I wouldn't care if it did anyway.
No, you push in it.
Usually doesn't usually tickles if anything.
I don't know if the shirt's on the way there.
Good. Now I'll let you guys be the judge.
Does Bob have a pelvic tilt?
Why don't you tilt on purpose Bob?
And you may see the difference there.
Well this is kind of fun, peek-a-booing behind you, Bob.
- [Bob] Yeah. I'll put the board down.
- [Brad] Yep.
- [Bob] So, if somebody has a leg that's longer, one leg
that's longer than the other, which is often
cause of a pelvic tilt
- [Brad] Sure. Yeah.
- Well, one of the reasons.
- [Brad] But there we go.
- Now you should be able to see this arm.
Should this hand should be higher.
- [Brad] There you go. Okay.
Now I think probably the most accurate way to do it is
if someone's in weight bearing and they take an x-ray
and you can see the bones, put it up a grid-
up against a grid and measure it a little more scientific.
It's really not.
You're not gonna do that.
- [Bob] Yeah. It's not necessary to be honest with you,
these will this'll work fine.
- [Brad] Exactly.
- [Bob] So we're gonna go ahead at the end
of this video, you know, it's gonna link to this next video
which is gonna show the causes of, of lateral pelvic tilt.
Right, if you're wondering if you have it,
why do you have it? And there's a number
of different reasons why you could have it.
So, link up to that and we'll show you, stay tuned.
- Stay tuned
- Before midnight, tonight.