Supine Heel slide

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Diaphragmatic Breathing

in 2 Movement Tests Lower Quarter, 5 Home Exercise Strategy, All Lower Quarter, Retraining, Supine Heel slide, Supine Hip ABD and ER

Diaphragmatic Breathing

  • The patient is lying on their back with the hips and knees flexed and feet flat on the table.
  • Have the patient place their hands on both sides of the lower rib cage.
  • Instruct the patient to slowly inhale through the nose allowing their lungs to fill with air as the rib cage expands out to the sides as they draw the navel in. Their chest and shoulders should remain relaxed and they should not feel that their belly pushes out or that the lower ribs are pulled down and medially by the obliques which can often substitute for transversus dysfunction.
  • The patient exhales through pursed lips and allows the ribs to fall down and in. Their upper chest should continue to remain relaxed.
  • Have them repeat up to 10 times holding for 10 seconds each time.

Transversus Abdominis Retraining – Advanced

in 2 Movement Tests Lower Quarter, 5 Home Exercise Strategy, All Lower Quarter, Retraining, Supine Heel slide, Supine Hip ABD and ER

Transversus Abdominis Retraining – Advanced

  • Starting in hands and knees with the hips positioned directly over the knees and the shoulders positioned directly over the hands, the patient is instructed to bend their elbows so that the shoulders are the same height as the hips.
  • The patient is instructed to find a neutral lumbar spine by rocking the pelvis from 12:00 to 6:00 and finding the midrange position.
  • The therapist monitors the PSISs to insure that they are level in the frontal plane before starting and during the performance of this exercise.
  • Instruct the patient to draw the belly up and in towards the spine without changing the lumbar neutral position. The therapist monitors the PSISs to insure that they remain stable and provides verbal feedback to the patient if any deviation should occur. The therapist should watch for any loss of the neutral lumbar spine position during the exercise.
  • Ask the patient to lift the left hand off the table and maintain a level pelvis and shoulder girdles.
  • Make sure the patient keeps their right elbow bent, shoulders level and they don’t drop their head when they lift their left hand.
  • Then have the patient switch sides lifting up the right hand.
  • The patient is instructed to hold for 10 seconds on each side as one repetition and repeat 3-5 times, gradually working up to 10 reps.

Transversus Abdominis Retraining

in 2 Movement Tests Lower Quarter, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, Retraining, Supine Heel slide, Supine Hip ABD and ER

Transversus Abdominis Retraining

  • Starting in hands and knees with the hips positioned directly over the knees and the shoulders positioned directly over the hands, the patient is instructed to bend their elbows so that the shoulders are the same height as the hips.
  • The patient is instructed to find a neutral lumbar spine by rocking the pelvis from 12:00 to 6:00 and finding the midrange position.
  • The therapist monitors the PSISs to insure that they are level in the frontal plane before starting and during the performance of this exercise.
  • Instruct the patient to draw the belly up and in towards the spine without changing the lumbar neutral position. The therapist monitors the PSISs to insure that they remain stable and provides verbal feedback to the patient if any deviation should occur. The therapist should watch for any loss of the neutral lumbar spine position during the exercise.
  • The patient is instructed to hold for 10 seconds and repeat 3-5 times.

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.

Anterior Innominate Self Correction: Home Self-Mobilizing Exercise

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

Anterior Innominate Self Correction: Home Self-Mobilizing Exercise

Anterior Innominate Self Correction

To correct an Anterior Innominate on the right:

  • The patient is lying on their back keeping the left leg out straight. Using both hands they bring their R knee up towards their chest then out towards their right shoulder.
  • Instruct the patient to hold the right leg firmly and do not allow the leg to move as they attempt to straighten the right hip. They hold the contraction for 4-5 seconds.
  • When they relax instruct the patient to bring the right leg further up and out towards the R shoulder and repeat 3 to 4 times.

Supine Heel Slide Test

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

Supine Heel Slide Test

How to Perform

Patient holds 12 O’Clock and examiner monitor ASISs

The patient starts in the same position and is asked to roll the pelvis up towards 12 o’clock. The examiner monitors the ASISs for symmetry at the 12 o’clock position. The ASISs must start level before asking for the test movement. While the patient is holding symmetry at 12 o’clock they are asked to slide one heel down along the table as far as possible without losing the 12 o’clock positon. The examiner monitors the ASISs making sure that neither ASIS moves caudally as the leg is extended.

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