Yesterday my patient Daniel took some photos with me to help demonstrate something very important that I see often in my practice! It is the importance of checking muscle strength and spinal alignment in different positions-not just laying but sitting, standing, even walking/gait and other active positions.
Daniel was complaining of left shoulder pain, but I was finding hardly any muscles weak (using my Applied Kinesiology neurological muscle testing) while he was laying down or standing. It was only while I muscle tested him while he was sitting that I started finding muscle weakness.
Luckily, I knew through my Applied Kinesiology courses that this meant that there was likely pelvic/hip involvement in Daniel's shoulder problem! Sure enough, I assessed his hips/pelvis and found spinal misalignments and muscles shut off.
This is so significant because oftentimes we see joint problems and pain as a local problem, meaning many doctors and patients both would only consider checking the shoulder joint and working on the upper body. However, as we can see, the lower body was greatly involved in Daniel's case. Without fixing the lower body imbalances, I would never have completely resolved the shoulder pain.
Secondly, another significant meaning of this is that I also muscle test my patients in different positions, and noting that Daniel had many shoulder muscles weak in the sitting position, I knew that this was also a lower body issue. My mentor taught me to muscle test the patient in different positions, especially the positions of the most pain. Oftentimes, we simply have our patient lay on the table and we test in that position, but it is so important to test for things in all positions of everyday life! For example, if the patient reports the most pain while driving, I literally will put them in the driving position and test for imbalances while they are in that position. We can put them also in positions of throwing, kicking, overhead lifting, running, etc. If the problem is at night, I will turn off the lights in the room, etc. Anything you can think of!
We are functional beings that operate in many different positions and conditions each day, and we must check the patient in all of these positions and conditions to really fix the problem at a deeper level!