Supine Heel Slides

  • The patient is lying supine with their hips and knees flexed and the feet flat on the table.
  • Instruct the patient to find a neutral lumbar spine position, midway between 12:00 and 6:00, monitoring the ASISs with their thumbs.
  • Have the patient draw their belly in without flattening the low back (the ASISs should not move when they draw the belly in).
  • Instruct the patient to slowly slide their right heel along the table while monitoring the ASISs. The right ASIS should remain stable as the right leg is extended. If the ASIS moves inferiorly, the patient should stop, and bring the leg back up to the starting position.
  • Goal – the patient should be able to fully straighten either leg without the ASISs moving while maintaining a neutral lumbar spine.
  • They repeat the exercise 3-5 times initially and increase repetitions as their performance improves.
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