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With joint injury, sprained ligaments initiate a complex chain reaction as the body compensates for the resulting hypermobility. To explain this better, we should consider that ligaments serve two main functions, proprioception and joint stability. Proprioception is a means of sensing the movement pattern of the joint, including direction, speed, and acceleration, and then balance the tension of the muscles to maintain even, smooth movement; this is an essential component …

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Over the past 30 years, I have researched the literature on the sacroiliac joint (SIJ) and matched it to what I found in my patients. In the early 1990s, the keystone concept of form and force closure was introduced by a group of physiotherapists in Europe[1]. They came upon an idea after finding that “A commercial device used in painting ceilings helped us to conceive the concept of the SIJ …

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