What is the essential goal of the direct muscle energy technique in sacral torsion treatment?

• A. To strengthen surrounding muscles
• B. To perform HVLA
• C. To engage the restricted muscular pattern around the sacrum and then reassess
• D. To immobilize the sacrum

Answer: (C)

Direct muscle energy for sacral torsion aims to selectively engage the restricted muscular pattern around the sacrum and then reassess the improved motion. By having the patient actively contract against a gentle, self-limited counterforce, the neuromuscular system is prompted to release the hypertonic tissues guarding the torsion. This relaxation allows the sacrum to move toward a neutral position, and you recheck to determine the change in sacral motion. It’s not about strengthening, immobilizing, or performing a thrust; the goal is to reset the muscle drive around the sacrum to restore freer motion.