Therapy Lumbar Spine Standing D and C

Have the individual stand relaxed in an upright position, with the feet one foot's width apart. The therapist holds the pelvis at the Crista Iliaca and the abductors mm. Glutei Medius et Minimus and performs a guided active rotation to the right with a shift of the pelvis dorsally.

The rotation to the right, together with an flexion, results in a conjunct lateral flexion to the left, causing the shift to the back and to the right, correlating with a C typology. If a guided active rotation to the left is performed with a shift of the pelvis ventrally, a conjunct lateral flexion will be executed to the left.
The shift of the pelvis will now be directed ventrally and to the right.

This corresponds to a D typology. Raising one side of the pelvis by placing a slight platform under the heel of the foot induces a lateral flexion to the same side. Now, a rotation will elicit either a flexion or an extension, depending on the type of rotation being executed. Similarly, a flexion or extension will elicit a rotation.

The shift of the pelvis ensures that the projection of the body's centre of gravity remains within the support base, preserving balance. Realize that the body's centre of gravity changes position when executing a shift in the body.

The opening and closing of the foramina, formed by two vertebrae, depend on the lateral flexion of the spine, and the compression/decompression of the facet joints depend on the rotation component. In the case of a D typology, the foramina on the left side are more closed than on the right side. The facet joints on the right side experience more compression than on the left side. In the case of a C typology, similarly, the foramina on the left side are more closed than on the right side. However, the facet joints on the right side experience less compression.