2 Movement Tests Lower Quarter

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Anterior Hip Capsule Mobilization

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Mobilization, Pelvic Clocks

Anterior Hip Capsule Mobilization

Prone Hip Flexor Stretch Sequence: Anterior Hip Capsule Mobilization

  • Subject’s left foot is placed on the floor with lumbar spine side bent to the left and right leg in alignment with the trunk
  • Therapist flexes the right knee to assess free range and holds the knee flexed just short of end range
  • Therapist then applies a PA glide to the femur from medial to lateral to find the direction of the greatest restriction
  • The therapist then mobilizes the hip in a PA direction applying grade III to IV mobs for 1-2 minutes

Muscle Energy Technique for the Hip Adductors

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip ABD Firing Pattern, Muscle Energy, Supine Hip ABD and ER

Muscle Energy Technique for the Hip Adductors

  • To stretch right hip – left leg drawn up to chest
  • Therapist’s left hand stabilizes and monitors the right ASIS
  • Right leg taken into abduction, ER until tension felt at the right ASIS
  • Patient asked to pull the leg in
  • Upon relaxation the therapist takes the leg into further abduction and ER and repeats this effort several times

Supine Piriformis Self Stretch above 90 degrees

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Manual Therapy, Muscle Energy, Rolling, Self Stretch

Supine Piriformis Self Stretch above 90 degrees

To Stretch the Left Piriformis:

  • Have the patient reach under the left leg and grasp underneath the ankle with their right hand and under their left knee with the left hand.
  • Instruct the patient to draw the left and ankle towards their right shoulder using both hands.
  • A stretch should be felt in the left buttocks.
  • Then have the patient push their left knee and ankle into both hands for 5-7 seconds, when the patient relaxes have them draw their left leg further up towards the right shoulder.
  • Have them repeat 3-4 times progressively drawing the left leg further up towards the right shoulder upon each relaxation.
  • Then have them repeat this exercise on the right side.

Piriformis Self Stretch above 90 degrees

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Manual Therapy, Muscle Energy, Rolling, Self Stretch

Piriformis Self Stretch above 90 degrees

To Stretch the Left Piriformis:

  • Starting from the hands and knees position, the patient places the left foot across and underneath the trunk so that the arch of the foot is facing the ceiling with the left knee remaining outside of the trunk.
  • Have the patient stretch out the right leg straight behind them while keeping the pelvis straight.
  • Instruct the patient to gradually sink down until they feel a stretch in the left buttocks. You can have the patient either stay up with their elbows extended or have them come down to rest on their forearms.
  • Ask the patient to press their left leg straight down into the table or floor for 5-7 seconds, then relax and stretch further by sliding the right leg further back making sure that they keep the pelvis level.
  • Repeat a series of contract/relax efforts 3-4 times.
  • No pain should be felt in the left knee or low back during this exercise.

Piriformis Self Stretch below 90 degrees

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Manual Therapy, Muscle Energy, Rolling, Self Stretch

Piriformis Self Stretch below 90 degrees

To Stretch the Left Piriformis:

  • Have the patient place their left foot outside of their right knee and flat on the table.
  • The patient places their left hand over the left pelvis to stabilize and places the right hand over the lower left thigh, a towel or belt wrapped around the lower left thigh will also work.
  • Have the patient maintain an active contraction of the right leg to keep it straight.
  • Instruct the patient to slowly pull the left leg across until a stretch is felt in the left posterior hip area.
  • From this position a series of contract/relax efforts can be made for 5-7 seconds, progressively stretching into further adduction or the stretch can be maintained for 30 seconds and repeated 2-3 times.

Muscle Energy Technique for the L Iliopsoas

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip EXT Firing Pattern, Muscle Energy, Pelvic Clocks, Supine Curl Up

Muscle Energy Technique for the L Iliopsoas

Muscle Energy Technique for the L Iliopsoas
  • The L leg is taken to the end range of hip extension
  • Subject attempts to flex the L hip which the therapist resists at the distal femur
  • Upon relaxation the hip is taken into further extension
  • Repeat 3-4 times

Muscle Energy Technique for the L Tensor Fascia Latae

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip ABD Firing Pattern, Hip EXT Firing Pattern, Muscle Energy, Supine Heel slide

Muscle Energy Technique for the L Tensor Fascia Latae

Muscle Energy Technique for the L Tensor Fascia Latae
  • Therapist’s right hand is placed over the lateral aspect of the L knee to stabilize the patella
  • Therapist’s left hand stabilizes the left ASIS
  • Femur is extended and externally rotated by the therapist’s R hand
  • Therapist adducts the subject’s leg until resistance is felt
  • Subject attempts to abduct the leg
  • Upon relaxation the therapist adducts the leg further
  • This is repeated 3-4 times

Prone to Supine Leading with the Upper Body

in 2 Movement Tests Lower Quarter, All Lower Quarter, Rolling

Prone to Supine Leading with the Upper Body

Prone to Supine Leading with the Upper Body

Patient is lying prone with arms and legs straight and slightly abducted and head is in neutral.

Ask the patient to roll over onto her back using the right arm only.

The head and neck should extend and rotate to the right as the arm is brought back.

The lower body/legs should not contribute to the roll.

Evaluate for quality, ease of movement, respiration, synergy and ability to complete the roll without substitution by pushing off with the feet.

Repeat to the opposite side initiating the movement from the left arm and compare the two sides.

Prone to Supine Leading with the Lower Body

in 2 Movement Tests Lower Quarter, All Lower Quarter, Rolling

Prone to Supine Leading with the Lower Body

Prone to Supine Leading with the Lower Body

Patient is prone with arms and legs slightly abducted and head in neutral.

Ask patient to roll over onto her back using her right leg only.

The patient should keep the right leg straight if possible.

The upper body should not contribute to the roll.

Evaluate for quality, ease of movement, respiration, synergy and ability to complete the roll.

Repeat to the opposite side leading with the left leg

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