PNMT

HIP

&

THIGH

PNMT

HIP

&

THIGH

PNMT for the Lower Extremitywith Douglas Nelson

Sponsored by ABMP

PNMT

HIP

&

THIGH

HIP ROM Norms

Flexion Active – 120 degrees

Flexion Passive – 140 degrees

Extension – passive 30 degrees

Abduction – Passive 50 degrees

Internal rotation- Passive 40 degrees

External rotation- Passive 50 degrees

PNMT

HIP

&

THIGH

Hip Range of Motion Assessments

Extension

Internal and External Rotation

Done both Supine and

Prone

Flexion

If all of these planes of movement are restricted, suspect arthritic changes in the hip.

PNMT

HIP

&

THIGH

Radiology Images: Hip

PNMT

HIP

&

THIGH

Hip vs. Spinal Pain

Hip pain (due to OA) often reveals itself in walking and is made better with sitting.

Spinal pain of a discal nature is worse in sitting and better with standing or walking.

PNMT

HIP

&

THIGH

PNMT

HIP

&

THIGH

The Rodney Dangerfield of Muscles Series:

They Get No Respect. . .

Muscles whose media consultants should be fired: #disrespectedmuscles

• Gluteus minimus

• Quadratus Femoris

• Adductor Magnus

• Vastus Lateralis

• Abductor Hallucis

PNMT

HIP

&

THIGH

Gluteus Medius

PNMT

HIP

&

THIGH

PNMT

HIP

&

THIGH

PNMT

HIP

&

THIGH

Gluteus Minimus TrP Patterns

PNMT

HIP

&

THIGH

Hip Deep Rotators PNMT

HIP

&

THIGH

Quadratus Femoris

PNMT

HIP

&

THIGH

Adductor Magnus TrP

PNMT

HIP

&

THIGH

Adductor Magnus and Hamstring Length

While they do not cross the knee, they can have a major impact on knee extension.

In a research study done by NMT MidWest, 77 subjects had hamstring length measured and were found restricted (less than 155 degrees). These subjects than had only the Adductor Magnus treated, and hamstring length was remeasured. After treatment of 77 subjects (48 female / 29 male) the data shows that PNMT treatment of the Adductor Magnus alone can increase hamstring flexibility. After accounting for subjects who had no restriction, two subjects did not increase in hamstring flexibility at all and 7 subjects only increased in flexibility on one side.

PNMT

HIP

&

THIGH

QuadricepAnatomy

Rectus FemorisIndirect Head

PNMT

HIP

&

THIGH

Vastus Lateralis

PNMT

HIP

&

THIGH

Muscles around the Knee

PNMT

HIP

&

THIGH

Patello-Femoral SyndromeThis condition produces diffuse

pain throughout the anterior knee.

The patella is meant to track in a very precise line. Tightness in the Vastus Lateralis and weakness in the Vastus Medialis will move the patella out of its proper tracking alignment.

PNMT

HIP

&

THIGH

Soleus

PNMT

HIP

&

THIGH

Soleus MuscleMasculine derivative of the Latin solea for “sandal”, although this muscle is likely named for its similar shape to a flatfish (“sole”), the fish and the foot wear stem from the same latin root.

PNMT

HIP

&

THIGH

Soleus Canal Opening

PNMT

HIP

&

THIGH

Tibial Nerve Entrapment

When the tibial nerve is entrapped here,

It presents with symptoms much like plantar fascitis.

PNMT

HIP

&

THIGH

Abductor HallucisTrP

PNMT

HIP

&

THIGH

PNMT

HIP

&

THIGH

Clients Don’t Come With These!

If you would like more information: www.nmtmidwest.com

Precision Neuromuscular Therapy (PNMT) can help you make great

clinical decisions.

Thank you for your commitment to excellence in

massage therapy!