| Abstract/Notes |
Chiropractic care is commonly sought by women during pregnancy. While many motivating factors exist for seeking care, a common one is the desire to have a pregnancy that is comfortable and allows for life’s activities without pain and limitations. Of added concern is the desire to have care that is both gentle and efficacious. As such, practitioners must remain vigilant with the rapid and natural biomechanical changes that occur in the lumbopelvic and sacroiliac regions during pregnancy. This due diligence must include the awareness of the relevant neuromusculoskeletal
structures as well as the chiropractic technique approaches that best suit the individual pregnant patient. Sacro Occipital Technique (SOT®) is a low force chiropractic technique that addresses the unique biomechanical sequelae of the pregnant pelvis. Presentations like lumbar facet syndrome with iliopsoas hypertonicity, gluteus medius instability, and piriformis syndrome are common concomitant presentations that manifest during pregnancy. These clinical presentations not only warrant the need for chiropractic care, but also, the consideration of SOT® as a
methodology that is well positioned to palliate these specific concerns. The goal of this article is to present SOT in its foundational context and provide clinical relevance for its specific use during pregnancy.
Keywords: Sacro Occipital Technique, SOT, pregnancy, instability, pelvic girdle dysfunction, low back pain, facet
syndrome, piriformis syndrome, iliopsoas, gluteus medius, Category II.
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