Pelvic Clocks

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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 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 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
 

Unilateral Prone Press Up

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

Unilateral Prone Press Up

Unilateral Prone Press Up

To mobilize the left sacral base for anterior nutation:

The patient is lying on their stomach with their right leg off the side placing their right foot flat on the floor.

Their left leg is turned out (externally rotated) so that the inside of their left foot is resting on the table.

With their hands placed under the shoulders they try to straighten their elbows and press up as far as possible.

Instruct them to hold this position momentarily and repeat 8 to 10 times.

For Restricted Anterior Nutation of the R Sacral Base limiting Pelvic Rotation towards 3 o’clock the patient performs the above exercise with the L foot on the floor and the R leg on the table and externally rotated.

For Restricted Anterior Nutation of the L Sacral Base limiting Pelvic Rotation towards 9 o’clock

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.

Side Gliding in Standing Facing the Wall

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

Side Gliding in Standing Facing the Wall

Side Gliding in Standing Facing the Wall

For treatment of an FRS Right:

The patient is standing facing the wall with the feet approximately three feet away from the wall. Instruct the patient to shift their hips to the right and hold this shift as they drop their hips straight forward towards the wall on and off 10 times.

Make sure that the patient introduces the side shift first before extending their spine and that they maintain this shift throughout the exercise.

Side Gliding in Standing Against the Wall

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

Side Gliding in Standing Against the Wall

Side Gliding in Standing Against the Wall

For treatment of an FRS Right:

Have the patient place their feet 2 to 3 feet away from the wall with their right shoulder and forearm resting against the wall. Make sure that their forearm blocks the rib cage.

Instruct them to place their left hand on their left hip and push their hips towards the wall as far as they can. Have them hold for 5 seconds then release.

Repeat 8 to 10 times.

Standing Pelvic Clocks

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

Standing Pelvic Clocks

Standing Pelvic Clocks

The patient is standing facing a wall with their hands on the wall at about shoulder height and their feet hip width apart. Instruct the patient to imagine that they are standing on a clock on the floor such that when dropping the hips towards the wall they are moving towards 12 o’clock. Moving the hips forward and to the right is movement towards 1-2 o’clock and moving the hips forward and to the left is movement towards 10-11 o’clock.

They are instructed to drop their hips toward the wall then circle around from 12 to 3 and from 12 to 9.

They move in both a clockwise and counterclockwise direction, maintaining extension of their spine. They can focus on movement towards 1-2 o’clock to self mobilize for an FRS R or towards 10-11 o’clock to self mobilize for an FRS L.

They repeat the prescribed movement 10 times.

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