Supine Quadratus Lumborum Self Stretch

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Supine Quadratus Lumborum Self Stretch

To Stretch the Left Quadratus Lumborum

The patient is lying supine and crosses the right leg over the left.
Instruct the patient to drop both legs to the right.
Have the patient push their knees together for 5 to 7 seconds and then relax. Upon relaxation the right leg pulls the left leg further over to the right to increase the stretch.
Repeat 3-4 times progressively.
Goal – try to touch the inside of the left knee to the floor without raising the left shoulder off the floor.
Repeat on the opposite side.

Piriformis Stretch Above 90 Degrees of Hip Flexion

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Piriformis Stretch Above 90 Degrees of Hip Flexion

Therapist externally rotates the leg, then adducts the leg towards the opposite shoulder
Patient is instructed to push out with both the knee and ankle; if external rotation is more limited, push out with the ankle only
Upon relaxation the therapist adds further adduction and/or ER to the new barrier
Repeat 3 to 4 times

Piriformis Stretch Below 90 Degrees of Hip Flexion

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, Active Trunk Rotation, All Lower Quarter, All Manual Therapy, Manual Stretching, Muscle Energy, Rolling

Piriformis Stretch Below 90 Degrees of Hip Flexion

Therapist stands on the opposite side of the table and places the left hand on the L ASIS to stabilize
Patient’s left foot is placed outside of the right knee
Therapist adducts the leg to the barrier
Patient attempts to abduct the leg for 5 -7 seconds then relaxes
Repeat 3 to 4 times

Soft Tissue Mobilization of the Posterior Hip Capsule

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Soft Tissue Mobilization of the Posterior Hip Capsule

Patient is positioned with the right hip off the table, but the PSIS is still on the table.
The therapist uses both arms to laterally distract the hip.
A strap can also be placed around the hip to apply lateral distraction.
Therapist slightly adducts and IR the hip then applies a posterior glide thru the femur.
If painful in the groin or SI, abduct the hip slightly.

Soft Tissue Mobilization of the Posterior Hip Capsule

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

Soft Tissue Mobilization of the Posterior Hip Capsule

Patient is side lying with the treatment side up. The therapist uses the elbow to scour around the posterior aspect of the hip capsule feeling for areas of tension. The therapist can also work from the posterior aspect of the greater trochanter back across the gluteal area to the sacrum and address any tension in the external rotators of the hip with deep friction massage.

Muscle Energy Technique for a FRS Right in R Side Lying

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, Active Trunk Rotation, All Lower Quarter, All Manual Therapy, Hip ABD Firing Pattern, Hip EXT Firing Pattern, Muscle Energy, Pelvic Clocks, Rolling

Muscle Energy Technique for a FRS Right in R Side Lying

Extension is introduced from above down and from below up to the barrier
Rotation is then introduced from above down to the feather edge of the barrier
The segment to be treated must remain perpendicular to the table
Using the R forearm the therapist introduces L side bending thru the pelvis by pushing up in an anterior and superior direction
Patient is instructed to push the pelvis caudally to activate the R side benders
Upon relaxation the therapist takes up the slack thru the pelvis
Repeat 3 to 4 times
To finish the patient is asked to extend the top leg (L) back while the therapist maintains the correction

Muscle Energy Technique: ERS Dysfunction in the Lower Thoracic Spine

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, Active Trunk Rotation, All Lower Quarter, All Manual Therapy, Hip ABD Firing Pattern, Muscle Energy, Rolling, Supine Curl Up, Supine Heel slide, Supine Hip ABD and ER

Muscle Energy Technique: ERS Dysfunction in the Lower Thoracic Spine

The therapist places their L index and middle fingers on the L side of the spinous processes and translates the spine towards him looking for any restriction in L to R translation (L side bending). If the restriction is worse in flexion and improves in extension the diagnosis is an ERS R.
To treat the ERS R the therapist has the patient sit up tall initially, then introduces flexion from above down and below up creating an apex for flexion at the palpated segment. L side bending is then introduced by translating the patient’s shoulders from L to R to the feather edge of the L side bending barrier.
The patient is instructed to gently side bend to the R for 5-7 seconds and then relax.
The therapist takes up the slack by further translating the shoulders to the R. This is repeated 3-4 times.