Mike Reinold, Physio for some US baseball team has put together a thorough blog, covering a lot of ground, particularly in relation to shoulders. Of interest to me was this article, RESEARCH UPDATE: The Effect of Hip Rotation Deficits on Low Back and SI joint Pain.

“In a case study, Cibulka describes the treatment of a patient who had signs/symptoms of a sacroiliac component of LBP. The patient described right low back pain and evaluation of this patient found excessive right hip lateral rotation and limited right hip internal rotation. Of note, the patient frequently crossed his right leg over his left leg. After restoring hip rotation and SIJ dysfunction via manual therapy techniques, the patient no longer complained of LBP. The case suggests that hip rotation asymmetry may contribute to the SI component of LBP.”

Two references supplied that you may want to review further,

Porterfield JA, DeRosa C. Mechanical low back pain: Perspectives in functional anatomy. 2nd ed. Philadelphia: WB Saunders, 1998.
Ellison JB, Rose SJ, Sahrmann SA. Patterns of hip rotation range of motion: a comparison between healthy subjects and patients with low back pain. Phys Ther. 1990; 70(9): 537-541.

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Post number two that caught my eye, The Role of the Transverse Abdominis in Low Back Pain. Written again by a Physio, this one generated quite a lot of reader comments. These included,

“I believe it was last months PT journal that discussed at length the fallability of the core stability paradigm. To reiterate, definitions remain poorly defined, theoretical components are often unvalidated (or down right unproven as another commenter implies). Controversy remains as to whether “bracing” “abdominal drawing in maneuver” or “motor control” are superior to one another (and no one has ever been able to definitively define and demonstrate the differences to me in the first place).

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