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

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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


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SLIDE 1

Kate e Peck ck CMT, T, ATC TC

1113 Washi shington gton Stree eet Newto wton, n, MA 02146 (5 (508) 245-2922 22

Jour urney ney to to Hea ealth lth

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SLIDE 2

Soft Tissue Approaches For the Hip

Kate Peck CMT, ATC

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SLIDE 3

Anatomy

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

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SLIDE 4

Anatomy

  • Gluteus Maximus
  • Gluteus Medius
  • Gluteus Minimus

Image courtesy of Visible Body (www.visiblebody.com)

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SLIDE 5

Anatomy

  • Gluteus Maximus
  • Tensor Fascia Lata
  • Iliotibial Band

Image courtesy of Visible Body (www.visiblebody.com)

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SLIDE 6

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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SLIDE 7

Anatomy

  • Hamstrings

–Biceps Femoris –Semimembranosus –Semitendinosus

Image courtesy of Visible Body (www.visiblebody.com)

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SLIDE 8

Anatomy

  • Iliacus
  • Psoas Major

& Minor

Image courtesy of Visible Body (www.visiblebody.com)

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SLIDE 9

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)

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SLIDE 10

Anatomy

  • Quadriceps

–Rectus Femoris –Vastus Lateralis –Vastus Medialis –Vastus Intermedius

Image courtesy of Visible Body (www.visiblebody.com)

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SLIDE 11

Anatomy

  • Adductors

–Adductor Magnus –Adductor Longus –Adductor Brevis –Pectineus

– Gracilis

Image courtesy of Visible Body (www.visiblebody.com)

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SLIDE 12

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)

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SLIDE 14

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

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Prone Techniques

  • Hamstrings

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

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Supine Techniques

  • Iliacus & Psoas

– Palpate & treat trigger points – Pin & lengthen psoas – Stretch off side of table

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SLIDE 17

Supine Techniques

  • Rectus Femoris & Vastus Lateralis

– MFR Stripping with palm & fist – MFR Thigh Twist

  • Myofascial Unwinding / Leg Pull
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SLIDE 18

Kate e Peck ck CMT, T, ATC TC

1113 Washi shington gton Stree eet Newto wton, n, MA 02146 (5 (508) 245-2922 22

Jour urney ney to to Hea ealth lth