The present study was primarily focused to determine the common presentations and manual diagnostic procedures for sacral malalignments. Forty football players (n = 40), from National Football Club (NFC) were selected for the study. Subjects were constrained to males with no history of orthopedic or neurological issues, and also include the subjects only with normal muscle power and Range of movement (ROM) of the back and extremities. The mean age of the studied population was 22.2 ± 3.9 years, height 175.8 ± 6.6 cms, and weight 87.5 ± 7.1 kgs. The important bony landmarks like Sacral Sulci and Base, Infero-Lateral Angles (ILA) of sacrum, position of L5 vertebra and Sacrotuberous ligament were located manually. These landmarks were considered as an extremely basic and vital for the manual assessment of sacral malalignments. In this study, we observed, 50% i.e., majority of the soccer's were suffered with oblique axis malalignments, includes Right On Right - ROR and Left On Left - LOL of sacral dysfunctions. The players suffered with AP and Transverse axis of sacral malalignments were encountered up to 17.5% and soccer's who had the vertical axis malalignments was observed only in 7.5%. However, this method of assessing the sacral malalignments until then not documented. In this sense, the current study was mainly focused on the assessment and documentation of the different common presentations in sacral malalignments, which are most common in soccer players. This simple method of evaluation is the literature state of the art. The present study may provide the useful informations to analyze the common presentations of sacral malalignments in different sports.
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