Major Adductors of Hip • Adductor Longus (red) –O: Pubis –I: Posterior shaft of Femur • Adductor Brevis (yellow) –O: Pubis –I: Posterior shaft of Femur • Adductor Magnus (brown) –O: Pubis/ Ischium/ ischial Tuberosity –I: Posterior shaft of Femur
–Minor : gracilis,gluteus maximus,pectineus Diagnosis of Tight/ Short Adductors -AB duction Restriction = Adduction Somatic Dysfunction •Pt. Supine •Dr. Stabilize Contralateral Limb •Lift and ABduct Ipsilateral Limb •Take to Resilient Barrier •Compare to Other Side • Optimal abduction: • 55º (Foundations) Treatment of Tight/ Short Adductors -Supine, Direct: ME (4613.11B) •Pt Supine •Grasp Lower Leg and ABduct •Stand Between Pt Leg and Table •Reinforce Knee •Place Pt Knee Against Doctor Thigh •Have Pt Attempt Adduction Against Operator Thigh 3 sec •Rest 3 Seconds •Increase ABduction •Repeat 2 Times •Optimal abduction: • 55º (Foundations) Major Flexors of Hip • Iliopsoas (red) –Strongest flexor of the hip –O: T12-L5 –I: Lesser Trochanter of Femur • Rectus Femoris (blue) –Crosses both Hip and Knee –O: ASIS/ Ilium –I: Patellar Tendon •Minor Flexors: Sartorius, Pectineus, Thigh Adductors, Tensor Fascia Lata Diagnosis of Tight/ Short Iliopsoas Extension Restriction = Flexion Somatic Dysfunction (S/D) •Pt Clasps Fingers Behind Knee of Contralateral Lower Limb •Have Pt Pull Thigh Toward Chest •Dr. Assists Pt Flexion •Dr. Monitors Gap Under Knee of Tested Lower Limb •Increased Distance Between Knee and Table Is Positive Iliopsoas Restriction ( Thomas Test )
Treatment of Tight/ Short Iliopsoas Supine, Direct: ME (4613.11G) •Have Pt Move Toward Edge of Table On Side of Positive Thomas Test •Treated Limb is Lowered off Table •Stabilize Contra lateral ASIS •Apply Gentle Posterior Traction to Treated Limb •Have Pt Attempt Flexion Against Your Resistance 3 Second •Rest 3 Seconds •Gently Increase Traction •Repeat 2 times •Optimal Extension: • 35º (Foundations) Diagnosis of Tight/ Short Quadriceps -Flexion Restriction = Extension Somatic Dysfunction (S/D) •Pt Prone •Dr. at Foot of Table •Grasp Pt Distal Tibia Bilaterally •Flex at Knee And attempt Approximation of Heel To Gluteus Maximus •The Lower Limb That Resists Approximation is Positive Treatment of Tight/ Short Quadriceps Prone, Direct: ME (4613.11F) •Pt Prone •Flex Leg at Knee •Distal Tibia Contacts Dr Shoulder •Dr. Applies Flexion Force To Resilient Barrier •Pt Attempts Extension of Leg 3 Seconds •Rest 3 Seconds •Increase Flexion Traction •Repeat 2 More Times Major Extensors of Hip • Gluteus Maximus (brown) –O:Outer surface Ilium, Sacrum, Coccyx, Sacrotuberous Ligament –I: Lesser Trochanter of Femur • Hamstrings (yellow) –Biceps Femoris/ Semitendinosus/Semimembranosus –O: Ischial Tuberosity –I: Fibula/ Tibia/ Tibia • Adductor Magnus (blue) –O: Ischial Tuberosity –I: Adductor Tubercle of Femur Diagnosis of Tight/ Short Hamstrings
- Flexion Restriction = Extension Somatic Dysfunction (S/D) •Pt Supine •Doctor Places Extended Lower Limb on Shoulder •Clasp Hands On Pt Thigh Above Patella •Slowly Increase Flexion to Point of Resilient Barrier •Estimate Degree of Flexion (Optimal is 150 °)
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- Fall '14
- Deborah Heath
- Test, Lumbar vertebrae, Cervical vertebrae, pubic symphysis