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Short Hip Adductor Self 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

Short Hip Adductor Self Stretch

Short Hip Adductor Self Stretch

  • The patient is sitting it with their back up against the wall, the soles of the feet are together and the knees are allowed drop out.
  • Patient places their hands on the floor behind the hips. Instruct the patient to press down on their hands to unweight the spine and roll the pelvis forward (toward 6:00). They hold this stretch position for 20 to 30 seconds.
  • They should feel a deep stretch in the groin when rolling the pelvis forward toward 6:00.
  • Then have the patient roll the pelvis back toward 12:00. Repeat this rocking of the pelvis toward 6:00 then back toward 12:00 several times.
  • Instruct the patient not to push the knees down towards the floor with their hands, but ask them to actively attempt to move their knees closer to the floor while rolling the pelvis toward 6:00.

PA Mobilization of the Hip in Prone Crawl

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip ABD Firing Pattern, Mobilization, Supine Hip ABD and ER

PA Mobilization of the Hip in Prone Crawl

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

Prone

PA Mobilization of the Hip in Prone Crawl

  • Patient is prone with hip flexed, abducted and ER
  • Therapist applies a lateral to medial glide to the hip working all along the hip to find the direction of the greatest restriction
  • PA glides are applied and can be graded from I to IV
  • This technique as pictured also
    mobilizes the right obturator nerve

Muscle Energy Technique for the Hip Adductors

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip ABD Firing Pattern, Muscle Energy, Supine Hip ABD and ER

Muscle Energy Technique for the Hip Adductors

Muscle Energy Technique for the Hip Adductors:

  • Once the hip joint is mobilized then the therapist can stretch the hip adductors with a series of contract/relax efforts
  • Therapist’s left hand stabilizes the pelvis and the right hand abducts the leg to the barrier.
  • Patient is instructed to gently pull the R knee down towards the table for 5-7 seconds.
  • Upon relaxation the therapist abducts the leg further to the new barrier and repeats 3 to 4 times.

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip ABD Firing Pattern, Mobilization, Supine Hip ABD and ER

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

Mobilization of Medial and Inferior Hip Capsule Prior to Hip Adductor Stretching

Lateral Recumbent

To mobilize the right hip:
Patient is left side lying with bottom leg flexed for stability. Therapist supports the patient’s right leg with his right hand and places the hypothenar eminence of the left hand on the greater trochanter of the hip. The leg is taken into abduction in various amounts of hip flexion while the therapist applies a lateral to medial glide to assess joint play. If a restriction is found, the therapist can mobilize in the direction of the greatest perceived restriction.

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 Tensor Fascia Latae

in 2 Movement Tests Lower Quarter, 4 Manual Therapy Strategies, All Lower Quarter, All Manual Therapy, Hip EXT Firing Pattern, Muscle Energy

Muscle Energy Technique for the Tensor Fascia Latae

Muscle Energy Technique for the Tensor Fascia Latae

  • Therapist maintains firm contact on the right ischial tuberosity
  • Therapist’s right hand externally rotates the femur, extends the hip and then adducts the hip to the barrier
  • Subject is asked to abduct the hip for 5-7 seconds
  • Upon relaxation the therapist introduces
    further hip adduction to a new barrier
  • This is repeated 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
 

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
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