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Patient Position: The Patient Is in The Supine Position With The Hip Flexed and Adducted

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14 views1 page

Patient Position: The Patient Is in The Supine Position With The Hip Flexed and Adducted

Uploaded by

kieumyquynhon77
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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the low back and the hip in forward bending.

To accomplish greater movement balance, the periarticular structures of the hip must be mobilized before movement
reeducation can begin.
The technique of choice to prepare the tissue for this procedure is the paratrochanteric technique described above. Paratrochanteric mobilization will prepare the tissue
for aggressive stretching.
Patient position: The patient is in the supine position with the hip flexed and adducted.
Therapist position: The therapist stands over the patient, facing the patient. The patient's leg is placed so it is in contact with the therapist's chest. The knee should
approximate the therapist's axillary or pectoral area.
Hands: Both hands are grasping the treatment table 011 either side of the table, "strapping" the patient to the table, or one hand can grasp the patient's leg for added
stability.
Execution: With the patient in the therapist's firm grasp, the patient is asked to push the leg into the therapist's chest. The patient is then asked to release the
contraction and the therapist "takes up the slack," moving the hip into further flexion-adduction. Occasionally, the patient will complain of anterior hip pain while the
technique is being executed. A possible explanation is that the anterior capsule may be pinching with the extreme amount of flexion being applied to the hip. An
alternate execution of the technique is to bring the hip out of extreme flexion and to emphasize the technique's adduction component. The therapist stabilizes the pelvis
at the ASJS with the top hand. The leg is grasped with the bottom arm, and adducted with a slight externaI rotation component. The addition of external rotation and
the increase in adduction will compensate for the loss of flexion and regain the tissue tension lost with the loss of hip flexion.
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