Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position...

11
Treatment Techniques

Transcript of Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position...

Page 1: Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position Prone, arm holding onto bed above head, leg off side of bed Patient foot resting on therapist

Treatment Techniques

Page 2: Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position Prone, arm holding onto bed above head, leg off side of bed Patient foot resting on therapist

ASIS PSIS Pubic Crest

Ischial

Tuberosity

Sacrotub. lig

ASIS to umbilicus

upslip Up Up Up Up Loose -------downslip Down Dow

n Down Down Tight -------

Anterior rot

Down Up Down? down? Loose -------

Posterior rot

Up Down

Up? Up? Tight -------

Outflare ------- ------ --------- -------- -------- increased

Inflare ------- ------ --------- -------- -------- decreased

Elevated/decend pubes

------- ------ Up/down --------- -------- --------

Interpretation of Findings

Page 3: Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position Prone, arm holding onto bed above head, leg off side of bed Patient foot resting on therapist

Upslip

Patient position

Supine

Therapist

Holding on to leg around ankle

Movt

Traction on leg. 3 x deep breaths. On inspiration take up slack on traction.

After last inspiration ask pt to cough. On cough thrust leg caudally

Page 4: Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position Prone, arm holding onto bed above head, leg off side of bed Patient foot resting on therapist

Downslip Patient position

Prone, arm holding onto bed above head, leg off side of bed

Patient foot resting on therapist thigh, hip/knee in 90deg

Therapist Therapist facing cephlad, with pt foot resting on thigh. Hand

on ishium

Movt 3 x deep breaths. Cephalic glide on ishium maintained.

On last expiration ask pt to pull down with hand while pushing foot into therapist thigh. Max contraction.

Forcefull cephalic glide on ischium is maintained.

Page 5: Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position Prone, arm holding onto bed above head, leg off side of bed Patient foot resting on therapist

Anterior Rotation Patient position

Supine, hip at 90deg

Therapist Facing cehplad, one hand under ilium gripping onto PSIS

Other hand on posterior thigh

Movt Resist hip extension on thigh while pulling on PSIS, trying to

rotate ilium posteriorly

Page 6: Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position Prone, arm holding onto bed above head, leg off side of bed Patient foot resting on therapist

Posterior Rotation

Patient position

Prone, knee at 90 deg

Therapist One hand over PSIS

Other hand under on front of pt thigh

Movt Move pt thigh into extension monitoring Lx spine ext

Feel for barrier of hip extension movt

Ask pt to resist hip flexion with one hand, while other hand applies superior force on PSIS

40%MVC, 6sec contraction

Move further into ext till next barrier

Repeat x3

Can do in sidelyeing

Page 7: Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position Prone, arm holding onto bed above head, leg off side of bed Patient foot resting on therapist

Outflare Patient position

Supine hip in flexion

Therapist Side on. Hand located over lateral aspect of knee

Movt Move leg into add/IR to feel for barrier

Pt pushes into lateral hand

40%MVC, 6 sec contraction

Move further into barrier

Repeat x3

if ilium stuck, therapist can apply lateral force to PSIS with other hand simultaneous to contraction

Page 8: Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position Prone, arm holding onto bed above head, leg off side of bed Patient foot resting on therapist

Inflare Patient position

Supine hip in flexion

Therapist Side on. Hand located over medial aspect of knee

Movt Move leg into abd/ER to feel for barrier at ASIS

Pt pushes into medial hand

40%MVC, 6 sec contraction

Move further into barrier

Repeat x3

Page 9: Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position Prone, arm holding onto bed above head, leg off side of bed Patient foot resting on therapist

Elevated Pubes

Patient position

Supine, leg over edge of bed

Therapist

Side on. Hand under posteromedial knee to control hip extension over edge of bed

Movt

Move leg into ext over edge of bed to feel for barrier of RA

Pt lifts and resists into flex/add

40%MVC, 6 sec contraction

Move further into ext barrier

Repeat x3

Page 10: Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position Prone, arm holding onto bed above head, leg off side of bed Patient foot resting on therapist

Descended Pubes Patient position

Supine, hip in 90deg

Therapist Side on. Hand palpate ASIS, hand on lateral knee

Movt Move leg into flex/add/IR barrier

Pt resists hip extension

40%MVC, 6 sec contraction

Move further into barrier

Repeat x3

Page 11: Muscle Energy Techniques - Australian Physiotherapy · PDF fileDownslip Patient position Prone, arm holding onto bed above head, leg off side of bed Patient foot resting on therapist

Don’t forget…

Muscle tightnesses

Muscle weaknesses

Imbalances

Core stability

Taping techs

Bracing

Rehab++


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