Jour urney ney to to Hea ealth lth Kate e Peck ck CMT, T, - PowerPoint PPT Presentation

Jour urney ney to to Hea ealth lth Kate e Peck ck CMT, T, ATC TC 1113 Washi shington gton Stree eet Newto wton, n, MA 02146 (5 (508) 245-2922 22

Soft Tissue Approaches For the Hip Kate Peck CMT, ATC

Anatomy * All Anatomy Images courtesy of Visible Body (www.visiblebody.com)

Anatomy • Gluteus Maximus • Gluteus Medius • Gluteus Minimus Image courtesy of Visible Body (www.visiblebody.com)

Anatomy • Gluteus Maximus • Tensor Fascia Lata • Iliotibial Band Image courtesy of Visible Body (www.visiblebody.com)

Anatomy • Piriformis – balances the spine from left to right – balances the spine from front to back with the help of the psoas. • Having a balanced pelvis requires having a balanced tension between the piriformis & the psoas Images courtesy of Visible Body (www.visiblebody.com)

Anatomy • Hamstrings – Biceps Femoris – Semimembranosus – Semitendinosus Image courtesy of Visible Body (www.visiblebody.com)

Anatomy • Iliacus • Psoas Major & Minor Image courtesy of Visible Body (www.visiblebody.com)

Psoas (lateral view) • Is Psoas a lumbar flexor or extensor? – Upper fibers, which are also the outer fibers, pull T12 forward into lumbar flexion – Lower fibers, which are also the inner fibers, pull L5 forward into hyperextension. increasing lumbar lordosis. Image courtesy of Visible Body (www.visiblebody.com)

Anatomy • Quadriceps – Rectus Femoris – Vastus Lateralis – Vastus Medialis – Vastus Intermedius Image courtesy of Visible Body (www.visiblebody.com)

Anatomy • Adductors – Adductor Magnus – Adductor Longus – Adductor Brevis – Pectineus – Gracilis Image courtesy of Visible Body (www.visiblebody.com)

Soft Tissue Techniques

Side-lying Techniques • TFL & Glutes – Fist, fingers, elbow & forearm around greater trochanter • Iliotibial Band – Myofascial stripping with palm, fist & forearm – Braced thumbs (with or without movement)

Prone Techniques • Gluteus Maximus & Piriformis – Fist Compression – Compression while internally & externally rotating leg – Finger tips along sacral border – Finger tips along posterior greater trochanter – Elbow through posterior hip – MFR along attachment into ITB

Prone Techniques • Hamstrings – MFR - pin & stretch – Forearm & elbow up hamstring – Elbow & origin of hamstrings @ ischial tuberosity

Supine Techniques • Iliacus & Psoas – Palpate & treat trigger points – Pin & lengthen psoas – Stretch off side of table

Supine Techniques • Rectus Femoris & Vastus Lateralis – MFR Stripping with palm & fist – MFR Thigh Twist • Myofascial Unwinding / Leg Pull

Jour urney ney to to Hea ealth lth Kate e Peck ck CMT, T, ATC TC 1113 Washi shington gton Stree eet Newto wton, n, MA 02146 (5 (508) 245-2922 22