Piriformis Self Stretch above 90 degrees

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Manual Therapy, Muscle Energy, Rolling, Self Stretch

Piriformis Self Stretch above 90 degrees

To Stretch the Left Piriformis:

Starting from the hands and knees position, the patient places the left foot across and underneath the trunk so that the arch of the foot is facing the ceiling with the left knee remaining outside of the trunk.
Have the patient stretch out the right leg straight behind them while keeping the pelvis straight.
Instruct the patient to gradually sink down until they feel a stretch in the left buttocks. You can have the patient either stay up with their elbows extended or have them come down to rest on their forearms.
Ask the patient to press their left leg straight down into the table or floor for 5-7 seconds, then relax and stretch further by sliding the right leg further back making sure that they keep the pelvis level.
Repeat a series of contract/relax efforts 3-4 times.
No pain should be felt in the left knee or low back during this exercise.

Piriformis Self Stretch below 90 degrees

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, 5 Home Exercise Strategy, All Home Exercises, All Lower Quarter, All Manual Therapy, Muscle Energy, Rolling, Self Stretch

Piriformis Self Stretch below 90 degrees

To Stretch the Left Piriformis:

Have the patient place their left foot outside of their right knee and flat on the table.
The patient places their left hand over the left pelvis to stabilize and places the right hand over the lower left thigh, a towel or belt wrapped around the lower left thigh will also work.
Have the patient maintain an active contraction of the right leg to keep it straight.
Instruct the patient to slowly pull the left leg across until a stretch is felt in the left posterior hip area.
From this position a series of contract/relax efforts can be made for 5-7 seconds, progressively stretching into further adduction or the stretch can be maintained for 30 seconds and repeated 2-3 times.

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

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 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

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

Prone to Supine Leading with the Upper Body

in 2 Movement Tests Lower Quarter, All Lower Quarter, Rolling

Prone to Supine Leading with the Upper Body

Prone to Supine Leading with the Upper Body

Patient is lying prone with arms and legs straight and slightly abducted and head is in neutral.

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.

Evaluate for quality, ease of movement, respiration, synergy and ability to complete the roll without substitution by pushing off with the feet.

Repeat to the opposite side initiating the movement from the left arm and compare the two sides.

Prone to Supine Leading with the Lower Body

in 2 Movement Tests Lower Quarter, All Lower Quarter, Rolling

Prone to Supine Leading with the Lower Body

Prone to Supine Leading with the Lower Body

Patient is prone with arms and legs slightly abducted and head in neutral.

Ask patient to roll over onto her back using her right leg only.

The patient should keep the right leg straight if possible.

The upper body should not contribute to the roll.

Evaluate for quality, ease of movement, respiration, synergy and ability to complete the roll.

Repeat to the opposite side leading with the left leg

Supine to Prone Leading with the Upper Body

in 2 Movement Tests Lower Quarter, All Lower Quarter, Rolling

Supine to Prone Leading with the Upper Body

Supine to Prone Leading with the Upper Body

Patient is lying supine with legs extended and slightly abducted and arms flexed overhead and slightly abducted.

Head starts in the neutral position.

Ask patient to roll onto her stomach by reaching obliquely across with her right arm.

The patient’s head should flex and turn towards the left axilla.

The lower body should not contribute to the roll, watch for assistance by the legs.

Evaluate for the quality, ease of movement, respiration, synergy and ability to complete the roll using only the right upper body.

Repeat by rolling to the right using only the left upper body and compare the two sides.

Supine to Prone Leading with Lower Body

in 2 Movement Tests Lower Quarter, All Lower Quarter, Rolling

Supine to Prone Leading with Lower Body

How to Perform

Supine to Prone Leading with Lower Body

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.

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.

Long Adductor Stretch

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

Long Adductor Stretch

Long Adductor Stretch

Patient is lying their back with their hips up close to the wall and their knees are bent with a folded towel under the low back.
Instruct the patient to straighten their knees and slide their heels up the wall as far as they can while keeping the knees and toes facing straight towards the center of the room.
Then have the patient slowly slide their heels out along the wall until feeling a stretch in the groin.
Make sure that the patient doesn’t roll their legs outwards by keeping the toes pointing forward.
They hold the stretch for 30 seconds then bring the feet back to the midline to release the stretch
Repeat 2-3 times for 30 seconds each

Exercise Library