Lower Extremity Flashcards
Quads
Tendon Work
- origins rectus femoris and sartorious (AIIS & ASIS respectively) through draping working medially to laterally to avoid inguinal area/lymph zones
- circular friction w/ palm, thumb or finger pads
- work around the knee with Bancroft sequence, sunburst, transverse friction
- friction medial and lateral epicondyles of femur and medial and lateral codnyles of tibia
- “susie’s window box”
Quads
O+I
Quads
No P+S
Quads
Broad
Quads
Drain
Work at least 3 lines
Quads
Fascia Lines
work distal to proximal
Hamstrings
Tendon
- Use fist or lifted plow for direct pressure on ischial tuberosity
- Use micromovements superior to inferior on medial ischial tuberosity
- Work medial to lateral on inferior and lateral ischial tuberosity
- Work just distal to ischial tube. to work hamstring tendon
- “susie’s window box” around popliteal region
- focus work through medial and lateral hamstring tendons
Hamstrings
P+S
One hand flexes leg at knee while other simultaneously compresses muscle group on bellies
Hamstrings
Broad
Work medial, center and lateral lines
Hamstrings
Drain
Work at least 3 lines
Hamstrings
Fascia
Focus on and in between adjacent muscle bellies
Tibialis Anterior
Tendon
- Bancroft sequence to warm up foot
- Focus on medial cuneiform and base of 1st metatarsal
- Work along TA tendon onto dorsal foot and over ankle
- work origin just below lateral condyle of tibia
Tibialis Anterior
P+S
One hand tractions at achilles tendon and dorsiflexes foot up toward head of table while other hand compresses TA on belly
Tibialis Anterior
Broad
Facing head or feet with hand/fist
Facing perpendicular to work cross fiber just off and lateral to tibia (be mindful muscle belly only goes 1/2 way down the tibia)
Gastrocs & Soleus
Tendon
- Posterior calcaneus, all around and plantar attachment
- Posterior knee (medial and lateral epicondyles of femur and medial and lateral condyles of tibia)
Gastrocs & Soleus
P+S
With leg beginning in flexed position and foot held in dorsiflexion, top hand compresses muscle belly (pressure down toward end of table) while bottom hand plantar flexes foot
Gastrocs & Soleus
Drain
Work at least 3 lines
Gastrocs & Soleus
Susie’s Additional Warm Up Strokes
- mixer: alternating wrist/forear strokes down bellies from calcaneus to popliteal
- pulling: pulling calf muscles up away from bone using heels of both hands slowly
- Combing: finger pads work a pulling/combing/dragging stroke across gastrocs from popliteal to calcaneus
- Modified Fascia Line: Fingertips work to separate gastroc bellies and gastrocs from soleus with fingertips of both hands centered between grastrocs and pulling from popliteal to calcaneuys
ROM
Leg @ knee
- flexion (hamstrings)
- extension (quads)
Foot @ ankle
- dorsiflexion (tib. ant)
- plantaflexion (gastroc/soleus)
Complimentary Regions
Hip
Low Back
