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  • 1. Forward torsion is a physiologic rotation of the sacrum around an oblique axis such that the side of the sacral base contralateral to the named axis glides anteriorly and produces a deep sulcus. L5 rotates in the direction opposite to the rotation of the sacral base. 2. Referred to as neutral sacral somatic dysfunctions (Archaic use). 3. A group of somatic dysfunctions described by Fred Mitchell, Sr, DO, based on the motion cycle of walking.
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