Upload
brend0nsk1nn3r
View
221
Download
0
Embed Size (px)
Citation preview
8/3/2019 Application of STRs
1/15
Advanced Sports Massage
Moulton College
8/3/2019 Application of STRs
2/15
Aims and objectives
Demonstrate a series of STRtechniques
Practice a variety of STR techniques Active
Passive
Resisted
Weight bearing
8/3/2019 Application of STRs
3/15
Dorsiflexors
Patient lies supine
Place towel under knee for comfort
Locate Tibialis Anterior Tendon Or site of lesion
Lock with Thumb
Apply technique
Active / passive
plantar flex foot Resisted - Client attempts to produce a
stretch of the tissue but is resisted bytherapist
8/3/2019 Application of STRs
4/15
Achilles tendon
Patient lies prone
Bend knee and support
Apply Lock using thumbs Lock on both sides of tendon to stretch
fascia during movement
Apply technique
Active / Passive
Dorsiflex foot Resisted- Client attempts to produce a stretch
of the tissue but is resisted by therapist
8/3/2019 Application of STRs
5/15
Knee Extensors
Patient lies supine
Support knee in semi-flex
position Re-extend the knee to
shorten the musculature
Apply lock Use thumbs to focus on VMO
(specific lesion)
Broad lock using hand /webbing over distal MT junction
Flex knee to lengthen tissue
8/3/2019 Application of STRs
6/15
Alternative approaches
In sitting leg over edge of couch
Standing
move from upright to squatposition
Specific thumb lock to patella tendon
8/3/2019 Application of STRs
7/15
Hamstrings
Many different approaches toapplying STR on Hamstring group
Important to adapt to size andcondition of the muscle
Technique 1 - Passive: Patient lies prone
Broad lock applies across distal Mtjunction using palm of hand
Passively extend the leg
8/3/2019 Application of STRs
8/15
Hamstring 2 - Active
Patient lies prone
Reinforce lock using webbing of bothhands of distal MT junction
Patient actively extends knee
Hamstring 3 Resisted
Repeat start position
Lock applied using webbing of one handonly
Therapist resists patients kneeextension
8/3/2019 Application of STRs
9/15
Technique 4 - Passive
Patient lies supine
Flex hip to approx 90+
Apply lock Use thumbs / fist / elbow
Depending on location / size ofadhesion
Use other hand to support thigh /knee to prevent further hip flexion
Patient actively extends knee
8/3/2019 Application of STRs
10/15
Technique 5 hamstring origin
Patient lies supine
Patient supports thigh in flexed hip
position Hands behind knee
8/3/2019 Application of STRs
11/15
IT band
http://www.youtube.com/watch?v=FUq1Kq0HDT0&feature=related
Patient lies side lying
Support medial aspect of thigh
Knee / pillow / towels
Typically requires use of thumbs /elbow for application of lock
Whilst applying pressure patientFlex / extends knee joint
Can be V.uncomfortable!
http://www.youtube.com/watch?v=FUq1Kq0HDT0&feature=relatedhttp://www.youtube.com/watch?v=FUq1Kq0HDT0&feature=relatedhttp://www.youtube.com/watch?v=FUq1Kq0HDT0&feature=relatedhttp://www.youtube.com/watch?v=FUq1Kq0HDT0&feature=related8/3/2019 Application of STRs
12/15
Piriformis
Patient lie prone
Apply elbow in a longitudinal direction to
the piriformis muscle
Maintaining lock position apply technique
Active assisted patient internally rotateship
Passive therapist internally rotates hip
Resisted - therapist resists externalrotation
8/3/2019 Application of STRs
13/15
Shoulder Elevators
Patient lies prone
Apply lock with thumbfrom one hand
Use other hand on acromion and
depress shoulder to lengthen tissue Technique could be applied with
active assitance
8/3/2019 Application of STRs
14/15
Infraspinatus
Patient lies prone
Treated arm lies over side of couch
Palpate area of Infraspinatusmuscle to be locked
Lengthen muscle by moving intoexternal / medial rotation
Can be applied Actively / Passively /Resisted
8/3/2019 Application of STRs
15/15
Latissimus Dorsi
Patient lies side lying
Place arm at 90 shoulder flexion
Apply lock using hands
Just inferior and posteriorly to arm pit
Arm is then Flexed and abducted
whilst lock is maintained