Supine Heel slide

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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

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.

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
 

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
 

Anterior Hip Capsule Mobilization

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

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

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.
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