If a patient presents with a right sided anteriorly rotated innominate, then the clinical presentation when the supine-to-sit test is administered is; the right leg would appear longer than the left (or uninvolved) leg while the patient is in supine lying and thereafter, shorter than the left leg while in a sitting position. Please note that this is not a true (or structural) limb length disparity but a functional disparity caused by the rotation of the right innominate.
Will’s video offers a more comprehensive explanation.
The general intervention guidelines for presentations of this kind are to stretch tight muscles (in this case, the hip flexors/rectus femoris muscle which is chiefly responsible for the anterior rotation) and to simultaneously strengthen weak muscles (in this case, the hip extensors/hamstring muscle group) to counteract the anterior pull on the innominate by the tight hip flexors.
0
0