by Jerry Hesch, MHS, PT
Read this very informative chapter in its entirety in the Dynamic Body Textbook
The book is also a part of the 32 CE Lower Body Home-Study
Performing Hesch springing
In spite of any appearance to the contrary, Springing with Awareness SM is a simple, straightforward tool available to clinicians who routinely evaluate soft tissues. This method of spring/micro-motion testing is simply an enhancement of the skill set of soft tissue evaluation, so that it can be performed on denser connective tissue.
Spring/micro-motion testing is a challenging read, and the readers are encouraged to first observe video on the topic to appreciate the simplicity and the sequential manner in which it is performed. Viewing the videos should make the reading much easier, by providing a dynamic visual frame of reference.
Searching YouTube.com using the key words “Jerry Hesch,” then “sacroiliac spring test” will lead you to several video demonstrations that contrast Springing with AwarenessSM with the traditional forward-thrust method. One video addresses false-negative and false-positive tests. These concepts are quite relevant, especially if the concept of springing is novel to the reader.
For the rest of this chapter, any use of the terms spring, spring/micro-motion, springing, or Springing with AwarenessSM refers to the Hesch Springing with AwarenessSM technique, unless stated otherwise.
When preparing to do a spring test, be sure to orient the direction of force to the anatomical plane that is altered by the patient’s position, so that the direction of force is, indeed, a pure P-A directed spring/micro-motion test that is perpendicular to the posterior face of the sacrum. Initially, this method can seem challenging, but it can be easily learned with a little practice, while slowly reading the sequence with your hands on an anatomical model or volunteer. With practice, each spring/micro-motion test can be performed with three repetitions in 10 seconds or less.