FPR

Question 1

Piriformis muscle

Answer 1

• pt prone with pillow under abdomen
• doc seated on the side of df
• doc monitors at df tissue at piriformis insertion on greater trochanter
• doc flexes pts knee and drops pts flexed knee and though off the table, allowing hip to flex forward until motion is felt at monitoring hand
• doc adducts and IR the pts knee until motion is felt
• induce compression force at the knee toward the monitoring hand, feeling for release of tissues
• hold for 3-4 seconds and return to neutral/release compression
• reassess piriformis df

Question 2

Gluteus maximus muscle

Answer 2

• pt prone with pillow under abdomen
• doc seated on the side of df
• doc monitors at df
• doc flexes pt’s knee into full abduction to rest knee on doc’s thigh farthest from the patient
• doc raises their heel off the floor until motion is felt at monitoring hand, this induces extension
• doc pushes pt’s knee externally (or pulls pt’s ankle medially) causing external rotation at the hip
• hold for 3-4 seconds waiting for tissue relaxation, release hip positioning , and return to neutral
• reassess gluteal df