2 Movement Tests Lower Quarter

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Supine to Prone Leading with Lower Body

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Supine to Prone Leading with Lower Body

How to Perform

  • 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

Rolling Through the Arms

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Rolling Through the Arms

  • Patient is lying supine with the arms separated overhead and legs apart, at the 10 and 2 and 8 and 4 o’clock positions.
  • Ask the patient to roll onto her stomach by reaching obliquely across the trunk to roll onto her stomach using only her right arm.
  • Instruct the patient to lift up her head and look under her left axilla to facilitate the movement. A common dysfunctional pattern is that the patient will extend the head and neck rather than lead with head and neck flexion making this movement more difficult to perform.
  • The lower body should not contribute to the roll, but follow the rotation of the spine and pelvis. Watch to insure that the patient doesn’t push off through the right foot to assist this movement.
  • Once prone 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. A common substitution pattern is for the patient to push off with the right foot or left hand to assist this movement.
  • Ask the patient to repeat the movement 5 to 6 times as tolerated to both sides.

Rolling Through the Legs

in 2 Movement Tests Lower Quarter, 3 Movement Tests Upper Quarter, 5 Home Exercise Strategy, Active Trunk Rotation, All Home Exercises, All Lower Quarter, All Upper Quarter, Functional Integration, Hip EXT Firing Pattern

Rolling Through the Legs

  • Patient is lying supine with the arms separated overhead and legs apart, at the 10 and 2 and 8 and 4 o’clock positions.
  • Ask the patient to roll over to the prone position starting and moving by using 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, but follow segmentally the movement of the right leg and pelvis. Watch for any breath holding or substitution by pushing off the left foot.
  • If the patient has difficulty you can use verbal cues and manual contacts thru the pelvis to assist. Asking the patient to elongate along the axis of movement can be helpful. In the illustrated example above the patient would attempt to elongate thru the right arm and/or left leg as they roll to the left.
  • You can also provide compression through the bottom of the left foot or through the right arm to encourage elongation through the axis of movement.
  • Once prone you instruct the patient to roll back to supine initiating the movement through the right leg by extending the hip, adducting the hip and segmentally extending back through the spine without substituting by pushing off with either hand or the left foot. The same manual contacts can be applied to the left foot and/or right arm to assist the patient as needed.
  • Ask the patient to repeat the movement 5 to 6 times as tolerated to both sides.

Tripod Stance

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

Tripod Stance

  • The patient starts in kneeling with the right foot forward and the left foot back. The patient comes up on the toes of their left foot and positions the right knee over the right foot and ankle.
  • Ask the patient to hold the arms out in front of them as if pushing against a wall and draw the abdomen in to stabilize the lumbar spine and pelvis.
  • Instruct the patient to come straight up off the floor a couple of inches while trying to maintain the right knee positioned over the right foot.
  • Ideally the patient moves straight up and down without the right knee advancing forward over the toes and without losing a neutral lumbar spine.
  • Have the patient hold this position for 10 seconds and repeat 3 to 5 times initially, adding repetitions as their strength improves.
  • They then reverse the leg positions to repeat on the opposite side.

Half Kneeling Lifts with Resistance

in 2 Movement Tests Lower Quarter, 3 Movement Tests Upper Quarter, All Lower Quarter, All Upper Quarter, Hip EXT Firing Pattern

Half Kneeling Lifts with Resistance

  • Lifting is an upward oblique movement from a low position to a high position.
  • The patient starts in half kneeling with the left knee down and right knee flexed to 90 degrees and with the R knee centered over the right foot.
    Both arms are lowered off to the left side holding onto handles that are attached to resistance bands.
  • Ask the patient to find a neutral lumbar spine then draw the belly in to maintain it throughout the exercise.
  • Instruct the patient to keep their eyes and head facing forward as they pull obliquely up and across their body above their right shoulder extending both arms.
  • Their trunk should remain still and their spine in neutral as they perform 6-8 repetitions.
  • Then have them switch their hand positions and repeat the lifting motion in the opposite direction.
  • The patient can begin this exercise with their legs initially separated for a more stable base and then bring the legs closer together to increase the level of difficulty.

Kneeling Lifts with Resistance

in 2 Movement Tests Lower Quarter, 3 Movement Tests Upper Quarter, All Lower Quarter, All Upper Quarter, Hip EXT Firing Pattern

Kneeling Lifts with Resistance

  • Lifting is an upward oblique movement from a low position to a high position.
  • The patient starts in kneeling with both arms lowered off to the left side holding onto handles that are attached to resistance bands.
  • Ask the patient to find a neutral lumbar spine then draw the belly in to maintain it throughout the exercise.
  • Instruct the patient to keep their eyes and head facing forward as they pull obliquely up and across their body above their right shoulder extending both arms.
  • Their trunk should remain still and their spine in neutral as they perform 6-8 repetitions.
  • Then have them switch their hand positions and repeat the lifting motion in the opposite direction.
  • The patient can begin this exercise with their knees initially separated for a more stable base and then bring the knees closer together to increase the level of difficulty.

Half Kneeling Chops with Resistance

in 2 Movement Tests Lower Quarter, 3 Movement Tests Upper Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, Functional Integration, Hip EXT Firing Pattern, Scapular Stabilization, Shoulder Abduction, Supine Shoulder Flexion

Half Kneeling Chops with Resistance

  • Chopping is the downward oblique movement across the body from a high position to a low position.
  • The patient starts in half kneeling with the left knee down and right knee flexed to 90 degrees and with the R knee centered over the right foot. Both arms are raised up over the right shoulder holding onto handles that are attached to resistance bands.
  • Ask the patient to find a neutral lumbar spine then draw the belly in to maintain it throughout the exercise.
  • Instruct the patient to keep their eyes and head facing forward as they pull obliquely down and across their body towards the left knee extending both arms.
  • Their trunk should remain still and their spine in neutral as they perform 6-8 repetitions.
  • Then have them switch their hand positions and repeat the chopping motion in the opposite direction.
  • The patient can begin this exercise with their legs initially separated for a more stable base and then bring the legs closer together to increase the level of difficulty.

Kneeling Chops with Resistance

in 2 Movement Tests Lower Quarter, 3 Movement Tests Upper Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Upper Quarter, Functional Integration, Hip EXT Firing Pattern, Scapular Stabilization, Shoulder Abduction, Supine Shoulder Flexion

Kneeling Chops with Resistance

  • Chopping is the downward oblique movement across the body from a high position to a low position.
  • The patient starts in kneeling with both arms raised up over the right shoulder holding onto handles that are attached to resistance bands.
  • Ask the patient to find a neutral lumbar spine then draw the belly in to maintain it throughout the exercise.
  • Instruct the patient to keep their eyes and head facing forward as they pull obliquely down and across their body towards the left knee extending both arms.
  • Their trunk should remain still and their spine in neutral as they perform 6-8 repetitions.
  • Then have them switch their hand positions and repeat the chopping motion in the opposite direction.
  • The patient can begin this exercise with their knees initially separated for a more stable base and then bring the knees closer together to increase the level of difficulty.

Half Kneeling Chops and Lifts

in 2 Movement Tests Lower Quarter, 3 Movement Tests Upper Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Upper Quarter, Functional Integration, Hip ABD Firing Pattern, Hip EXT Firing Pattern, Scapular Stabilization, Shoulder Abduction, Supine Heel slide, Supine Hip ABD and ER, Supine Shoulder Flexion

Half Kneeling Chops and Lifts

  • The patient starts in half kneeling with the left knee down and right knee up, with their right knee bent to a right angle so that their right knee is position over the right ankle.
  • The patient grasps a dowel in both hands with the palm of the right hand facing upwards (supinated) and the palm of the left hand facing down (pronated).
  • The patient is instructed to raise the dowel upwards to the right (lift). Then bring the dowel downwards towards the left (chop) so that they always lift towards the upside knee and always chop toward the downside knee.
  • Ask the patient to keep their head and eyes facing forward as they raise (lift) and lower (chop) the dowel in front of their body, keeping their trunk tall.
  • The trunk should remain still and the patient should try to maintain a neutral lumbar spine during the movement
  • Instruct the patient to repeat the movements 6-8 times then reverse their leg and hand positions to repeat the chop and lift to the left side.
  • The patient can begin this exercise with their knees initially separated for a more stable base and then bring the knees close together to increase the level of difficulty.

Tall Kneeling Chops and Lifts

in 2 Movement Tests Lower Quarter, 3 Movement Tests Upper Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Upper Quarter, Functional Integration, Hip ABD Firing Pattern, Hip EXT Firing Pattern, Scapular Stabilization, Shoulder Abduction, Supine Heel slide, Supine Hip ABD and ER, Supine Shoulder Flexion

Tall Kneeling Chops and Lifts

  • Chopping is the downward movement across the body from a high position to a low position and lifting is the upward movement from a low position to a high position.
  • The patient starts in kneeling with a dowel in both hands with the palm of the top hand facing upwards (supinated) and the palm of the lower hand facing down (pronated).
  • Ask the patient to keep their eyes and head facing forward as they raise and lower the dowel in front of their body with both arms.
  • Their trunk should remain still and their spine in neutral as they perform 6-8 repetitions.
  • Then have them switch their hand positions and repeat the chop and lifting motions in the opposite direction.
  • The patient can begin this exercise with their knees initially separated for a more stable base and then bring the knees close together to increase the level of difficulty.
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