Hip EXT Firing Pattern

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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

Rectus Femoris/ Femoral Nerve Mobilization : On/Off Flossing

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip EXT Firing Pattern, Manual Stretching, Mobilization, Supine Heel slide

Rectus Femoris/ Femoral Nerve Mobilization : On/Off Flossing

Rectus Femoris/ Femoral Nerve Mobilization : On/off flossing

  • Therapist stabilizes the right ischial tuberosity
  • Therapist passively flexes and extends the  knee on/off 10 times to the motion barrier
  • Therapist gradually increases the amount of knee flexion as resistance diminishes
  • Goal – heel to buttocks
 

Muscle Energy Technique for the Tensor Fascia Latae

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

Muscle Energy Technique for the Tensor Fascia Latae

Muscle Energy Technique for the Tensor Fascia Latae

  • Therapist maintains firm contact on the right ischial tuberosity
  • Therapist’s right hand externally rotates the femur, extends the hip and then adducts the hip to the barrier
  • Subject is asked to abduct the hip for 5-7 seconds
  • Upon relaxation the therapist introduces
    further hip adduction to a new barrier
  • This is repeated 3-4 times
 

Muscle Energy Technique for the 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, Supine Heel slide

Muscle Energy Technique for the Iliopsoas

Muscle Energy Technique for the Iliopsoas

  • Therapist blocks subject’s left foot with his left foot
  • Therapist stabilizes the right ischial tuberosity with his left hand and IR the femur with his right
  • Therapist then applies traction and lifts the hip into extension
  • Subject attempts to flex the hip for 5-7 seconds
  • Upon relaxation the therapist lifts the leg into further hip extension to a new barrier while maintaining IR of the femur
  • This is repeated 3-4 times
 

Standing Rectus Femoris Stretch

in 2 Movement Tests Lower Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, Hip EXT Firing Pattern, Self Stretch, Supine Heel slide

Standing Rectus Femoris Stretch

Rectus Femoris Self Stretch

To Stretch the Left Rectus Femoris:

  • The patient is standing in front of a table or back of a chair/sofa.
  • The patient places the left foot behind them on the chair/sofa and attempts to sit back on their left heel to initiate knee flexion.
  • Then they are instructed to draw the belly in and attempt to point the left knee straight down toward the floor to increase hip extension.
  • The patient is instructed to bend the right knee to assist in pointing the left knee down and increasing the stretch felt in the left thigh.
  • The stretch can be held for 30 seconds and repeated 2-3 times or an on/off stretch can be applied by bending and straightening the right knee 8-10 times.

TFL Self Stretch – Standing

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Manual Therapy, Hip EXT Firing Pattern, Self Stretch, Supine Heel slide

TFL Self Stretch – Standing

TFL Self Stretch – Standing

To Stretch the Right TFL:

  • The patient is instructed to place the right leg toed in (internally rotated) while keeping the hips square. Then they step over the right leg with the left leg.
  • Keeping the right foot flat on the floor the patient is instructed to shift the hips towards the wall as far as possible and attempt to rotate the pelvis to the right to externally rotate the right hip while maintaining internal rotation of the right tibia.
  • The patient should report feeling a stretch along the outside or lateral portion of the right hip/thigh.
  • They maintain the stretch for 30 seconds and repeat 2-3 times.

TFL Self Stretch – Kneeling

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Manual Therapy, Hip EXT Firing Pattern, Self Stretch, Supine Heel slide

TFL Self Stretch – Kneeling

TFL Self Stretch – Kneeling

To Stretch the Left TFL:

  • The patient starts in half kneeling with a pillow or towel under the left knee and the hip externally rotated (foot turned in). Their right hand may be placed on a chair or against the wall for balance.
  • Have them place their left hand on their left buttocks. They are instructed to tighten the left buttocks muscle and tuck the hips under (12:00). They draw the belly button in and keep the shoulders centered over the hips so that they don’t arch the back.
  • Instruct the patient to translate their hips to the left while maintaining a strong buttocks contraction and posterior pelvic tilt.
  • The patient should report feeling a stretch on the outside or lateral portion of the left thigh.
  • They hold the stretch for 30 seconds 2-3 times or use a series of isometric contract/relax stretches repeated several times.
  • Then instruct the patient to switch sides and repeat on the right side.

Prone Press Ups

in 2 Movement Tests Lower Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, Hip EXT Firing Pattern, Pelvic Clocks, Self-mobilization

Prone Press Ups

Prone Press Ups

To mobilize an FRS dysfunction and increase lumbar extension:

The patient is lying on their stomach with their hands placed under their shoulders. The patient is instructed to attempt to press up using only their arms and not their back muscles.

They try to keep their hips resting on the table as they straighten their elbows as far as possible. Instruct them to bring their shoulders down and back as they press up.

Repeat 10 times.

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