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THER EX PRACTICAL 1 (Stretch and flexibility)
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Terms in this set (24)
Infraspinatus & teres minor (side lying internal rotation)
PP: side lying (on shoulder to be stretched) to stabilize scapula
SH: anterior shoulder @ GH joint
MH: posterior distal forearm
D: internal rotation of shoulder
Subscapularis (supine external rotation)
PP: supine with shoulder in external rotation
SH: anterior shoulder @ GH joint
MH: anterior distal forearm
D: Into external Rotation
Triceps
PP: seater, shoulder in full flexion, elbow in flexion
SH: top of shoulder being stretched
MH: elbow
D: into shoulder flexion
Upper Traps:
PP: seated, neck in neutral position
SH: any shoulder or middle of upper back
MH: on back of head
D: into neck flexion
Lateral Flexors
PP: seated, neck in neutral position
SH: opposite shoulder to direction of stretch
MH: on side of head
D: into lateral flexion
Rhomboids
PP: prone, hand on low back
SH: N/A
MH: Both hands on medial border of scapula, fingers "dig in" to underside of scapula
D: cause winging in scapula
Lumbar Extensors ( supine low back stretch)
PP: supine with hips and knees in full flexion
SH: N/A
MH: both hands on lower legs/ankles
D: into hip and trunk flexion
Lumbar Extensors and Obliques (seated trunk rotation)
PP: seated, either knees off table edge or straight knees on table
SH: N/A
MH: Both hands on shoulders so as to rotate trunk
D: into trunk rotation
Lumbar Extensors and Obliques (Yumi Stretch)
PP: Supine on table
SH: on ASIS/Pelvis away from AT
MH: Reach across patient and grasp opposite scapula; let patients arm rest across your shoulder
D: Pull upper torso into rotation (towards AT) and flexion
Pectoralis Major and Minor
PP: Seater with shoulders horizontally extended/abducted
SH: N/A
MH: Both hands on distal forearm
D: into horizontal extension/abduction
Iliopsoas (patient self-stretch)
PP: in lunge position w/ 1 knee on floor; focusing on keeping upper body/torso straight upright in good lumbar spine posture
SH: N/A
MH:N/A
D: lean forward to move trailing leg into hip extension
Iliopsoas (supine)
PP: supine holding opposite leg to chest with other leg off table; pt. maintains "flat" or slight lumbar lordosis during stretch
SH: N/A
MH: both hands on distal femur
D: into hip extension
Iliopsoas (prone)
PP: prone with knee flexed: AT up on table with pt.
SH: on gluteus maximus
MH: anterior aspect of distal femur
D: Into hip extension
Piriformis (self-stretch)
PP: on all fours; leg being stretched is externally rotated to foot crosses in front of opposite knee
SH: N/A
MH: N/A
D: Lean whole body forward to move involved hip into external rotation
Piriformis
PP: Supine in figure-4 position @ 90 degrees hip flexion
SH: On foot of leg not being stretched
MH: Medial aspect of knee of leg being stretched
D: Pull knee (of stretched leg) towards AT to place involved hip into external rotation
Gluteus Maximus
PP: Supine
SH: on opposite side lower torso
MH: lateral distal thigh
D: Pull leg across body into hip adduction/ slight hip flexion
Hamstring
PP: Supine
SH: opposite leg at distal thigh
MH: on call of stretching leg
D: into hip flexion
Quadricep
PP: Prone with knee flexed
SH: low back/gluteus maximus
MH: distal tibia
D: into knee flexion, magnify stretch by slightly extending hip
Adductors
PP: supine
SH: opposite leg
MH: distal tibia
D: into hip abduction- keep stretched leg in neutral position (toes pointing up)
IT Band:
PP: supine
SH: on opposite side lower torso
MH: on lateral lower leg
D: Into hip adduction with slight flexion; keep knee straight
IT band variation
Roll on form roll on involved side
Gastrocnemius
PP: supine with feet off edge of table
SH: middle of tibia
MH: plantar aspect of foot
D: into ankle dorsiflexion
Soleus
PP: prone, knee flexed to 90 degrees
SH: distal femur
MH: plantar aspect of foot
D: into ankle dorsiflexion
Gastroc and soleus variations
- use pro stretch perform with knees straight (gastroc) and knees slightly flexed (soleus)
- Stand with feet flat on ground and lean into wall. Perform with both knees straight (gastroc) and slight flexed (soleus). also perform on slant board
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