Supine to Prone Leading with the Upper Body

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

Supine to Prone Leading with the Upper Body

Supine to Prone Leading with the Upper Body

Patient is lying supine with legs extended and slightly abducted and arms flexed overhead and slightly abducted.

Head starts in the neutral position.

Ask patient to roll onto her stomach by reaching obliquely across with her right arm.

The patient’s head should flex and turn towards the left axilla.

The lower body should not contribute to the roll, watch for assistance by the legs.

Evaluate for the quality, ease of movement, respiration, synergy and ability to complete the roll using only the right upper body.

Repeat by rolling to the right using only the left upper body and compare the two sides.

Supine to Prone Leading with Lower Body

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

Supine to Prone Leading with Lower Body

How to Perform

Supine to Prone Leading with Lower Body

Patient is lying supine with arms separated overhead and legs apart, 10 and 2 and 8 and 4 positions.

Ask the patient to roll to the prone position starting with the right leg only.

The patient should lead with right hip flexion followed by adduction of the extended leg.

The upper body should not contribute to the roll.

Evaluate for the quality, ease of movement, respiration, synergy and ability to complete the roll without substitution.

Repeat with the left leg to assess for symmetry and quality of the movement.

Pubic Symphysis Dysfunction – Self Correction

in 2 Movement Tests Lower Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, Hip ABD Firing Pattern, Self-mobilization, Supine Heel slide, Supine Hip ABD and ER

Pubic Symphysis Dysfunction – Self Correction

Pubic Symphysis Dysfunction – Self Correction

The patient is lying on their back with a ball placed between the knees.
Instruct the patient to gently squeeze the knees together.
Hold 5 to 10 seconds and repeat 3 to 5 times.

Long Adductor Stretch

in 2 Movement Tests Lower Quarter, 5 Home Exercise Strategy, All Home Exercises, Hip ABD Firing Pattern, Self Stretch, Supine Hip ABD and ER

Long Adductor Stretch

Long Adductor Stretch

Patient is lying their back with their hips up close to the wall and their knees are bent with a folded towel under the low back.
Instruct the patient to straighten their knees and slide their heels up the wall as far as they can while keeping the knees and toes facing straight towards the center of the room.
Then have the patient slowly slide their heels out along the wall until feeling a stretch in the groin.
Make sure that the patient doesn’t roll their legs outwards by keeping the toes pointing forward.
They hold the stretch for 30 seconds then bring the feet back to the midline to release the stretch
Repeat 2-3 times for 30 seconds each

Short Hip Adductor Self Stretch

in 2 Movement Tests Lower Quarter, 5 Home Exercise Strategy, All Home Exercises, Hip ABD Firing Pattern, Self Stretch, Supine Hip ABD and ER

Short Hip Adductor Self Stretch

Short Hip Adductor Self Stretch

The patient is sitting it with their back up against the wall, the soles of the feet are together and the knees are allowed drop out.
Patient places their hands on the floor behind the hips. Instruct the patient to press down on their hands to unweight the spine and roll the pelvis forward (toward 6:00). They hold this stretch position for 20 to 30 seconds.
They should feel a deep stretch in the groin when rolling the pelvis forward toward 6:00.
Then have the patient roll the pelvis back toward 12:00. Repeat this rocking of the pelvis toward 6:00 then back toward 12:00 several times.
Instruct the patient not to push the knees down towards the floor with their hands, but ask them to actively attempt to move their knees closer to the floor while rolling the pelvis toward 6:00.

PA Mobilization of the Hip in Prone Crawl

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

PA Mobilization of the Hip in Prone Crawl

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

Prone

PA Mobilization of the Hip in Prone Crawl

Patient is prone with hip flexed, abducted and ER
Therapist applies a lateral to medial glide to the hip working all along the hip to find the direction of the greatest restriction
PA glides are applied and can be graded from I to IV
This technique as pictured also
mobilizes the right obturator nerve

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

Muscle Energy Technique for the Hip Adductors:

Once the hip joint is mobilized then the therapist can stretch the hip adductors with a series of contract/relax efforts
Therapist’s left hand stabilizes the pelvis and the right hand abducts the leg to the barrier.
Patient is instructed to gently pull the R knee down towards the table for 5-7 seconds.
Upon relaxation the therapist abducts the leg further to the new barrier and repeats 3 to 4 times.

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

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

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

Lateral Recumbent

To mobilize the right hip:
Patient is left side lying with bottom leg flexed for stability. Therapist supports the patient’s right leg with his right hand and places the hypothenar eminence of the left hand on the greater trochanter of the hip. The leg is taken into abduction in various amounts of hip flexion while the therapist applies a lateral to medial glide to assess joint play. If a restriction is found, the therapist can mobilize in the direction of the greatest perceived restriction.

Janda Test – Assessment of iliopsoas, TFL, and rectus femoris tone

in 2 Movement Tests Lower Quarter, All Lower Quarter, Supine Heel slide

Janda Test – Assessment of iliopsoas, TFL, and rectus femoris tone

Janda Test – Assessment of iliopsoas, TFL, and rectus femoris tone (Jull and Janda, 1987)

Knees flexed to chest, then R leg stabilized by patient and therapist, L leg lowered towards the floor
Check for iliopsoas length – 0º of hip extension, rectus femoris length – 90º of knee flexion, TFL –no rotation of femur
Repeat assessment for the R leg

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

2 Movement Tests Lower Quarter