Technique Of The Week | ||
Seated Alternating Reciprocal Quad Sets with IR
What? A seated PRI isolation or integration technique, depending on what purpose you are using it for, to isolate the anterior fibers of the gluteus medius/minimus during femoral acetabular (FA) internal rotation (IR). As an integration technique, it reinforces the need to isolate the ischiocondylar adductor and the medial hamstrings prior to FA IR, so that the anterior fiber of these glute muscles can be felt in association with active femoral adduction and extension. As this isolation and integration takes place, inhibition of the tensor fasciae latae (TFL) is strongly encouraged. Why? The left TFL attachment to the anterior iliac crest or the notch between the anterior superior and anterior inferior iliac spine moves forward with anterior rotation of the ilium. This is a strong component of the typical Left Anterior Interior Chain (Left AIC) human pattern. Orientation of the TFL in this pattern, positions it to become a strong FA internal rotator during hip flexion. After repositioning the pelvis and ilium, inhibition of the TFL is warranted during flexion (sidelying left glute med #2, #3, #4, #7, #8 and seated left glute med #5), and during extension (sidelying left glute med #5, #7, #9, #10 and #11). As this ability to move the femur internally in the acetabulum improves, the demands on the commingled bicep femoris and vastus lateralis (iliotibial tract) as an anchor for the tensor fasciae latae is reduced. Consequentially, lumbo-pelvic-femoral stability is enhanced from the properly positioned adductor, extensor and abductor during AF and FA IR. Additionally, femoral-tibial or tibial-femoral torque also is decreased. When? A good PRI technique to use for individuals whom have difficulty with: 1) TFL inhibition and left hip flexor overuse and symptoms, 2) hamstring cramping or tightness, because of increased medial hamstring FA IR demands and, 3) maintaining acetabular position because of increased FA ER during hip adduction and abduction, usually seen on the left side, 4) maintaining upper right brachial chain position. Where? This non-manual PRI technique follows the Right Sidelying Left Glute Med activity, #2 through #8 of the Left Gluteus Medius techniques and precedes Standing Supported Right Squat in Left Hip Extension and Knee Flexion of the Right Squat techniques. Also can be used as a good technique to test an individual’s ability to “find” and “feel” the outside hip during seated adduction, extension and internal rotation of the FA joint. This also can provide information on what muscle is used as a primary internal rotator. Who? Individuals whom have difficulty with left hip instability as a result of anterior capsule/ligamentous laxity (+ left adduction drop test, - extension drop test) and need secure FA or AF IR from medial inferior, posterior inferior and lateral-anterior muscles working in-concert with each other, versus anterior reliance on the TFL. Other symptomatic conditions that would probably benefit from this technique include left trochanteric bursitis, right quadratus lumborum and paravertebral hypertonicity, left FA impingement, left peroneal tendonitis, right plantar fascitis, left sacral iliac strain and left medial or lateral knee pain/strain This technique can be found on the 2nd Edition Non-Manual Techniques CD-Rom. To order, click here! |
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