3. Supine Hip Extension Refer to Appendix D ◗ ◗
Spring tension: 2 heavy-low Place Chair at end of Cadillac, or two Chairs together to support upper body – inner-range hip extension work to gain length through anterior hip
a. Pedal together – bilateral, unilateral b. Split pedal – bilateral, unilateral, reciprocal i. Alternative foot positions – dorsiflexed, plantar flexed ii. Thomas stretch leg position to bias pelvis into flexion for flexion bias syndromes iii. Legs abducted to take tension off IT band iv. Flex-Band or Mini Stability Ball around or between legs to facilitate adductors or abductors ◗ ◗ ◗ ◗ ◗ ◗
Monitor closely for excess lumbar extension and anterior femoral head translation Cue deep proximal hip extensors to pull femur down Ensure client is off the end with the vertically sliding bar Tabletop leg easier to stabilize pelvis, unilateral with foot on pedal challenges pelvis Lighter springs to emphasize psoas (e.g. two springs) Indications: promote length through anterior hip muscles, facilitate deep hip extensors, weak psoas (when using light springs), SI joint dysfunction, lumbar spine dysfunction
4. Foot Press on Long Box Refer to page 38 of the Complete Stability Chair manual and Appendix D a. Box Leg Flexing i. Parallel ii. Laterally rotated iii. Medially rotated b. Pedal Leg Flexing i. Parallel ii. Laterally rotated iii. Medially rotated c. Gluteus Medius Targeter d. Staggered leg position i. Alternative arm positions ◗ ◗ ◗ ◗
Challenges abductor system which has functional implications for gait Stability and proprioceptive challenge Watch for sacral and pelvic tucking instead of hip flexion Can do pelvic lateral tilt and rise for lateral hip challenge (both legs stay straight, client depresses pedal by lowering the pelvis, then raises back up)
5. Standing Leg Press Refer to page 42 of the Complete Stability Chair manual and Appendix D a. Front b. Side c. Facing side of Chair i. Varied spring resistance ii. Single Knee Lift iii. Single Leg Squat iv. Use Flex-Band around handles ◗ ◗
Balance and proprioception challenge Ensure roll of hip in socket
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