Anatomy Journey to Journ y to Healt Health Gluteus Maximus - - PDF document

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Kat Kate P Peck CMT, ATC CMT, ATC

1113 Washi 1113 Washingt gton Stre Street Newton wton, MA MA 0214 02146 (508) 508) 245-29 245-2922

Journ Journey to y to Healt Health

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)

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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

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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

Kat Kate P Peck CMT, ATC CMT, ATC

1113 Washi 1113 Washingt gton Stre Street Newton wton, MA MA 0214 02146 (508) 508) 245-29 245-2922

Journ Journey to y to Healt Health