Hip Extensor Mechanics and the Evolution of Walking and Climbing Capabilities in Humans, Apes, and Fossil Hominins
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Total HIP Replacement Exercise Program 1. Ankle Pumps 2. Quad
3 sets of 10 reps (30 ea) 2 times a day Total HIP Replacement Exercise Program 5. Heel slides 1. Ankle Pumps Bend knee and pull heel toward buttocks. DO NOT GO Gently point toes up towards your nose and down PAST 90* HIP FLEXION towards the surface. Do both ankles at the same time or alternating feet. Perform slowly. 2. Quad Sets Slowly tighten thigh muscles of legs, pushing knees down into the surface. Hold for 10 count. 6. Short Arc Quads Place a large can or rolled towel (about 8”diameter) under the leg. Straighten knee and leg. Hold straight for 5 count. 3. Gluteal Sets Squeeze the buttocks together as tightly as possible. Hold for a 10 count. 7. Knee extension - Long Arc Quads Slowly straighten operated leg and try to hold it for 5 sec. Bend knee, taking foot under the chair. 4. Abduction and Adduction Slide leg out to the side. Keep kneecap pointing toward ceiling. Gently bring leg back to pillow. May do both legs at the same time. Copywriter VHI Corp 3 sets of 10 reps (30 ea) 2 times a day Total HIP Replacement Exercise Program 8. Standing Stair/Step Training: Heel/Toe Raises: 1. The “good” (non-operated) leg goes Holding on to an immovable surface. UP first. Rise up on toes slowly 2. The “bad” (operated) leg goes for a 5 count. Come back to foot flat and lift DOWN first. toes from floor. 3. The cane stays on the level of the operated leg. Resting positions: To Stretch your hip to neutral position: 1. -
Arthroscopic and Open Anatomy of the Hip 11
CHAPTER Arthroscopic and o'pen Anatomy of the Hip Michael B. Gerhardt, Kartik Logishetty, Morteza lV1eftah, and Anil S. Ranawat INTRODUCTION movements that they induce at the joint: 1) flexors; 2) extensors; 3) abductors; 4) adductors; 5) external rotators; and 6) interI12 I The hip joint is defined by the articulation between the head rotators. Although some muscles have dual roles, their primary of the femur and the aeetahulum of the pelvis. It is covered by functions define their group placem(:)nt, and they all have ullique :l large soft-tissue envelope and a complex array of neurovascu- neurovascular supplies (TIt ble 2-1). lar and musculotendinous structures. The joint's morphology The vascular supply of tbe hip stems from the external and anu orientation are complex, and there are wide anatomi c varia- internal iLiac ancries. An understanding of the course of these tions seen among individuals. The joint's deep location makes vessels is critical fo r ,lVo iding catasu"ophic vascular injury. fn both arthroscopic and open access challenging. To avoid iatro- addition, the blood supply to the fel11()ra l head is vulnerahle to genic injury while establishing functional and efficient access, both traumatic and iatrogenic injury; the disruption of this sup- the hip surgeon should possess a sound ana tomic knowledge of ply can result in avascular necrosis (Figure 2-2). the hip. T he human "hip" can be subdivided into three categories: I) the superficial surface anatomy; 2) the deep femoroacetabu- la r Joint and capsule; and 3) the associated structures, including the muscles, nerves, and vasculature, all of which directly affeet HIP MUSCULATURE its function. -
FLOOR EXERCISES for Strengthening Your Hip and Knee INTERMEDIATE LEVEL THIGH STRENGTHENING 3
FLOOR EXERCISES for strengthening your hip and knee INTERMEDIATE LEVEL THIGH STRENGTHENING 3 HIP STRENGTHENING ON YOUR SIDE 5 HIP STRENGTHENING ON YOUR BACK 8 ALL 4’S WITH LEG LIFT 10 hen you have pain or an injury to your knee or lower extremity, Wit’s necessary to strengthen muscles in your whole lower body to have the best recovery possible, even if your injury is just in one area. The hip and trunk muscles support your knee, ankle and foot, and they all work together when you move. The exercises in this booklet will help you strengthen these muscles to help you recover. Please read the instructions carefully and follow the advice of your physical therapist or doctor when starting or progressing an exer- cise program such as this. If your symptoms get worse while doing these exercises, please read the instructions again to be sure you are doing the exercises exactly as described. If your symptoms con- tinue to worsen, talk to your health care provider. Equipment needed: • exercise ball • pillow • foam • towel(s) • exercise band ________ (color) or resistance band 2 THIGH (QUADRICEPS) STRENGTHENING q Quadriceps set: Place a small towel roll under your knee. Straighten your knee by tightening your thigh muscles. Press the back of your knee into the floor or towel and hold for 5-10 seconds. This may also be done sitting. FREQUENCY_____________ q Straight leg raise: Lie on your back with your affected leg straight and your other leg bent. Tighten your thigh muscle then lift your straight leg no higher than the other knee without allow- ing your knee to bend. -
Medial Collateral Ligament (MCL) Sprain
INFORMATION FOR PATIENTS Medial collateral ligament (MCL) sprain This leaflet intends to educate you on Knee ligament sprains are graded in the immediate management of your severity from one to three: knee injury. It also contains exercises to prevent stiffening of your knee, Grade one: Mild sprain with ligaments whilst your ligament heals. stretched but not torn. Grade two: Moderate sprain with some What is an MCL injury? ligaments torn. Grade three: Severe sprain with There are two collateral ligaments, one complete tear of ligaments. either side of the knee, which act to stop side to side movement of the knee. The Symptoms you may experience medial collateral ligament (MCL) is most commonly injured. It lies on the inner side Pain in the knee, especially on the of your knee joint, connecting your thigh inside, particularly with twisting bone (femur) to your shin bone (tibia) and movements. provides stability to the knee. Tenderness along the ligament on the inside. Injuries to this ligament tend to occur Stiffness. when a person is bearing weight and the Swelling and some bruising. knee is forced inwards, such as slipping depending on the grade of the injury. on ice or playing sports, e.g. skiing, You may have the feeling the knee will football and rugby. In older people, this give way or some unstable feeling can be injured during a fall. An MCL injury can be a partial or complete tear, or overstretching of the ligament. Knee ligament injuries are also referred to as sprains. It’s common to injure one of your cruciate ligaments (the two ligaments that cross in the middle of your knee which help to stabilise), or your meniscus (cartilage discs that help provide a cushion between your thigh and shin bone), at the same time as your MCL. -
Hip Acetabular Labral Repair with Juggerknot Long
Hip Acetabular Labral Repair with the JuggerKnot® Long Soft Anchor Surgical Technique by Dean Matsuda, M.D. and Jason Hurst, M.D. Table of Contents Introduction .............................................................................................................. 3 Patient Preparation ................................................................................................... 3 Portal Placement ...................................................................................................... 4 Labral Repair Preparation......................................................................................... 5 Drill Guide and Hole Placement ................................................................................ 5 Curved Guide with Optional Centering Sleeve ........................................................ 6 Insert the Anchor ...................................................................................................... 8 Deploy the Anchor .................................................................................................... 9 Repair the Labrum .................................................................................................. 10 Ordering Information ............................................................................................. 12 Indications For Use ................................................................................................. 13 Contraindications .................................................................................................. -
Rehabilitation of Soft Tissue Injuries of the Hip and Pelvis T
Donald and Barbara Zucker School of Medicine Journal Articles Academic Works 2014 Rehabilitation of soft tissue injuries of the hip and pelvis T. F. Tyler Northwell Health T. Fukunaga Hofstra Northwell School of Medicine J. Gellert Follow this and additional works at: https://academicworks.medicine.hofstra.edu/articles Recommended Citation Tyler TF, Fukunaga T, Gellert J. Rehabilitation of soft tissue injuries of the hip and pelvis. 2014 Jan 01; 9(6):Article 1396 [ p.]. Available from: https://academicworks.medicine.hofstra.edu/articles/1396. Free full text article. This Article is brought to you for free and open access by Donald and Barbara Zucker School of Medicine Academic Works. It has been accepted for inclusion in Journal Articles by an authorized administrator of Donald and Barbara Zucker School of Medicine Academic Works. INVITED CLINICAL COMMENTARY REHABILITATION OF SOFT TISSUE INJURIES OF THE HIP AND PELVIS Timothy F. Tyler MS, PT, ATC1 Takumi Fukunaga DPT, ATC, CSCS1 Joshua Gellert DPT IJSPT ABSTRACT Soft tissue injuries of the hip and pelvis are common among athletes and can result in significant time loss from sports participation. Rehabilitation of athletes with injuries such as adductor strain, iliopsoas syn- drome, and gluteal tendinopathy starts with identification of known risk factors for injury and comprehen- sive evaluation of the entire kinetic chain. Complex anatomy and overlapping pathologies often make it difficult to determine the primary cause of the pain and dysfunction. The purpose of this clinical commen- tary is to present an impairment-based, stepwise progression in evaluation and treatment of several com- mon soft tissue injuries of the hip and pelvis. -
Hip Conditioning Program
Our knowledge of orthopaedics. Your best health. Prepared for: Prepared by: Hip Conditioning Program Purpose of Program _________________________________________________________________ After an injury or surgery, an exercise conditioning program will help you return to daily activities and enjoy a more active, healthy lifestyle. Following a well-structured conditioning program will also help you return to sports and other recreational activities. This is a general conditioning program that provides a wide range of exercises. To ensure that the program is safe and effective for you, it should be performed under your doctor’s supervision. Talk to your doctor or physical therapist about which exercises will best help you meet your rehabilitation goals. Strength: Strengthening the muscles that support your hip will help keep your hip joint stable. Keeping these muscles strong can relieve pain and prevent further injury. Flexibility: Stretching the muscles that you strengthen is important for restoring range of motion and preventing injury. Gently stretching after strengthening exercises can help reduce muscle soreness and keep your muscles long and flexible. Target Muscles: The muscle groups targeted in this conditioning program include: • Gluteus maximus (buttocks) • Adductors (inner thigh) • Gluteus medius (buttocks) • Abductors (outer thigh) • Hamstrings (back of thigh) • Tensor Fascia (outer thigh) • Piriformis (buttocks) Length of program: This hip conditioning program should be continued for 4 to 6 weeks, unless otherwise specified by your doctor or physical therapist. After your recovery, these exercises can be continued as a maintenance program for lifelong protection and health of your hips and thighs. Performing the exercises two to three days a week will maintain strength and range of motion in your hips and thighs. -
All About Glutes 1 Table of Contents
All About Glutes 1 Table of Contents Are You Training Your Glutes the Wrong Way? 3 • Anatomy of the Glutes 4 • Functions of the Glutes at the Hip 4 • The Shortcoming of Most Training Programs 5 • Progression and Preventing Knee Valgus 6 • Simple Solution 6 How to Identify and Correct Tight Hip Flexors 8 • What Exactly Are Tight Hip Flexors? 9 • The Hip Flexor Muscle Group 9 • Signs You Have Tight Hip Flexors 10 • What Causes Hip Tightness 10 • Stretches to Loosen up Tight Hip Flexors 10 • Exercises to Strengthen Hip Flexors 11 Pain in the Buttocks When Sitting? Tips to Prevent and Manage 12 Piriformis Syndrome • What is Piriformis Syndrome? 13 • How Does Piriformis Syndrome Happen? 13 • Special Considerations with Clients 14 • Prevention and Pain Management 14 How Do I Build the Perfect Glutes? 16 • Can’t I Just Squat and Lunge? 17 • Your Best Bets to Target the Glutes 18 • Don’t Forget the Legs 18 • Train the Glutes SPECIFICALLY 19 TABLE OF CONTENTS 800.545.4772 WWW.ISSAONLINE.EDU 2 Are You Training Your Glutes the Wrong Way? 800.545.4772 WWW.ISSAONLINE.EDU 3 UNIT ONE These days, the glutes get a lot of attention, and it’s well deserved. When you build and strengthen your glutes in the right way, they not only make your body look better, but they also increase your performance and can diminish knee pain. The problem is most people aren’t taking the best approach to training for the highest level of glute development. Anatomy of the Glutes Let’s start with a little anatomy. -
Importance of Iliopsoas and Erector Spinae Muscles in Predicting The
International Journal of Physiotherapy and Research, Int J Physiother Res 2014, Vol 2(5):681-88. ISSN 2321-1822 Original Article IMPORTANCE OF ILIOPSOAS AND ERECTOR SPINAE MUSCLES IN PREDICTING THE FUNCTIONAL COMPETENCE OF TRANSFEMORAL AMPUTEES Lajja K Rishi 1, Suraj Kumar *2, Sangeeta Lahiri 3, V.P. Sharma 4. 1 Master of Physiotherapy (student), National Institute for the Orthopaedically Handicapped, Kolkata, West Bengal, India. *2 HOD and Associate Professor, Department of Physiotherapy, UPRIMS&R, Saifai, Etawah, UP, India. 3 Physical Therapist (cardio-respiratory disorders & intensive care), India. 4 Professor, KGM Medical University, Lucknow, India. ABSTRACT Purpose: Muscle imbalance in transfemoral amputees impair physical mobility and activities of daily living. Aim of this study was to correlate the muscle imbalance with functional competence in transfemoral amputees. Methods: Thirty amputees were evaluated under inclusion criteria and randomly allocated into 2 groups. Group A received stretching(1 week) followed by strengthening(3 weeks) and in group B strengthening(3 weeks) were followed by stretching(1 week) . Phase I includes values after 1 week stretching program in group A and 3 weeks strengthening program in group B. Data were recorded at baseline, after phase I completion and end of treatment. Physical mobility was assessed by “Timed up and go” test. Results: Muscle imbalance and physical mobility improved significantly in both groups at the end of treatment. The correlation values of “Timed up and go” test with Iliopsoas and Erector spinae muscle showed significant improvement in both groups. Conclusion: Baseline measurements showed that Iliopsoas and Erector spinae muscles were tight whereas Gluteus maximus and Abdominal muscles were weak in transfemoral amputees. -
Effects of a Gluteal Muscles Specific Exercise Program on the Vertical
International Journal of Environmental Research and Public Health Article Effects of a Gluteal Muscles Specific Exercise Program on the Vertical Jump Tomás Gallego-Izquierdo 1, Gerardo Vidal-Aragón 2, Pedro Calderón-Corrales 2, Álvaro Acuña 2, Alexander Achalandabaso-Ochoa 3,* , Agustín Aibar-Almazán 3 , Antonio Martínez-Amat 3 and Daniel Pecos-Martín 1 1 Physiotherapy and Pain Group, Department of Physical Therapy, University of Alcala, 28801 Madrid, Spain; [email protected] (T.G.-I.); [email protected] (D.P.-M.) 2 Physical Therapist, Department of Physical Therapy, University of Alcala, 28801 Madrid, Spain; [email protected] (G.V.-A.); pedrocalderon.fi[email protected] (P.C.-C.); [email protected] (Á.A.) 3 Department of Health Sciences, Faculty of Health Sciences, University of Jaén, 23071 Jaén, Spain.; [email protected] (A.A.-A.); [email protected] (A.M.-A.) * Correspondence: [email protected]; Tel.: +34-953213651 Received: 9 June 2020; Accepted: 23 July 2020; Published: 27 July 2020 Abstract: The vertical jump is a complex movement where many factors are involved in the final result. Currently, how a specific exercise program for gluteal muscles can affect the vertical jump is unknown. So, the aim of this study was to examine the effect of a specific exercise program for the gluteal muscles on a vertical jump. Forty-nine amateur athletes completed an 8-week program. The experimental group received a specific gluteal muscle training program in addition to their regular training routine, whereas the control group received their regular training routine. Jump height, flight time, speed and power were assessed (baseline, postintervention, and 4-week follow-up). -
Muscle Length of the Hamstrings Using Ultrasonography Versus Musculoskeletal Modelling
Journal of Functional Morphology and Kinesiology Article Muscle Length of the Hamstrings Using Ultrasonography Versus Musculoskeletal Modelling Eleftherios Kellis * , Athina Konstantinidou and Athanasios Ellinoudis Laboratory of Neuromechanics, Department of Physical Education and Sport Sciences at Serres, Aristotle University of Thessaloniki, 62100 Serres, Greece; [email protected] (A.K.); [email protected] (A.E.) * Correspondence: [email protected] Abstract: Muscle morphology is an important contributor to hamstring muscle injury and malfunc- tion. The aim of this study was to examine if hamstring muscle-tendon lengths differ between various measurement methods as well as if passive length changes differ between individual hamstrings. The lengths of biceps femoris long head (BFlh), semimembranosus (SM), and semitendinosus (ST) of 12 healthy males were determined using three methods: Firstly, by identifying the muscle attach- ments using ultrasound (US) and then measuring the distance on the skin using a flexible ultrasound tape (TAPE-US). Secondly, by scanning each muscle using extended-field-of view US (EFOV-US) and, thirdly, by estimating length using modelling equations (MODEL). Measurements were performed with the participant relaxed at six combinations of hip (0◦, 90◦) and knee (0◦, 45◦, and 90◦) flexion angles. The MODEL method showed greater BFlh and SM lengths as well as changes in length than US methods. EFOV-US showed greater ST and SM lengths than TAPE-US (p < 0.05). SM length change across all joint positions was greater than BFlh and ST (p < 0.05). Hamstring length predicted using regression equations is greater compared with those measured using US-based methods. The EFOV-US method yielded greater ST and SM length than the TAPE-US method. -
Fundamentals of Biomechanics Duane Knudson
Fundamentals of Biomechanics Duane Knudson Fundamentals of Biomechanics Second Edition Duane Knudson Department of Kinesiology California State University at Chico First & Normal Street Chico, CA 95929-0330 USA [email protected] Library of Congress Control Number: 2007925371 ISBN 978-0-387-49311-4 e-ISBN 978-0-387-49312-1 Printed on acid-free paper. © 2007 Springer Science+Business Media, LLC All rights reserved. This work may not be translated or copied in whole or in part without the written permission of the publisher (Springer Science+Business Media, LLC, 233 Spring Street, New York, NY 10013, USA), except for brief excerpts in connection with reviews or scholarly analysis. Use in connection with any form of information storage and retrieval, electronic adaptation, computer software, or by similar or dissimilar methodology now known or hereafter developed is forbidden. The use in this publication of trade names, trademarks, service marks and similar terms, even if they are not identified as such, is not to be taken as an expression of opinion as to whether or not they are subject to proprietary rights. 987654321 springer.com Contents Preface ix NINE FUNDAMENTALS OF BIOMECHANICS 29 Principles and Laws 29 Acknowledgments xi Nine Principles for Application of Biomechanics 30 QUALITATIVE ANALYSIS 35 PART I SUMMARY 36 INTRODUCTION REVIEW QUESTIONS 36 CHAPTER 1 KEY TERMS 37 INTRODUCTION TO BIOMECHANICS SUGGESTED READING 37 OF UMAN OVEMENT H M WEB LINKS 37 WHAT IS BIOMECHANICS?3 PART II WHY STUDY BIOMECHANICS?5 BIOLOGICAL/STRUCTURAL BASES