The sacroiliac joint of a Patient of an Eastern Suburbs Physiotherapist has reportedly been stabilised by an imaginary guy wire. The Patient, Martha Nutationovic, 43, attended the Physiotherapy clinic to receive treatment for a complaint of pain in the lumbopelvic region.

“It had been killing me for months” explained Ms Nutationovic to our reporter, “Nothing really happened to set if off, and I’ve had scans that came back all clear. Plus, my GP ruled out stuff like rheumatoid arthritis. So I thought I’d try a Physio who deals with this kinda stuff”.

Ms Nutationovic revealed that her Physio had explained that her problem was attributable to “sub-optimal motor control strategies”.

“I was so relieved that she was able to identify the root cause of all this. And it made so much sense. As it turns out, my “form closure” is fine, but I’ve lost my ability to generate “force closure” at my sacroiliac joint, which means I can’t effectively transfer loads through my sacroiliac joint. This means I have movement in the joint when there shouldn’t be any”.

Intrigued, our reporter asked Ms Nutationovic how she tied this explanation back to her central complaint.

“Oh, well, I’m not really sure actually... Come to think of it, she didn’t really explain that part. She said the treatment is all about learning how to coordinate the action of my deep multifidus and pelvic floor muscles… doing that will restore force closure in my sacroiliac joint… So, I guess that once I learn to do that, I will feel better. It’s funny you know, I don’t really understand how or why I lost my force closure in the first place. I would have thought that deep muscle activity was kind of automatic, you know? But that just mustn’t be the case for me. But luckily, the Physio gave me these imaginary guy-wires I can use to make sure I’m transferring load effectively. I just have to remember to use them every time I need to transfer load through my sacroiliac joint for the rest of my life”.