Figure 29.

A 28-year-old patient with pain (5/10) and nonspecific muscle weakness in the right hip, evaluated by active hip flexion (pain) and unipodal balance (weakness). The informed consent from the patient was obtained for publication of photos. Source: Rocabado Institute, Chile. Note the misalignments at the shoulders (most evident), and the pelvis (less evident, however, the object of our intervention). The head is presented in the side bending/rotation to the right, and forwarded. The body posture is reassessed in both planes, this time avoiding occlusal contact with a soft disposable element. Although the shoulder misalignment is maintained, soft changes at the pelvic level can be seen: hip flexion’s pain is 1-2/10 (lower), and unipodal stability improves subjectively, although weakness persists. There are no significant changes in the sagittal plane. Such clinical findings lead us to consider the management of local conditions that are not necessarily the cause, but rather the consequence of alterations in complex kinematic chains to be considered, to increase the effectiveness of interventions, combining dentistry and physiotherapy in such clinical situation’s management.