Postural Restoration
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
POSTURAL RESTORATION Biomechanical Influences on the Athlete’s Lower Half
Postural Restoration Institute™
March 18-19, 2011
Position Influences:
§ Hamstring Strains § Groin Strains § Knee Pain
Ron Hruska, MPA, PT Jason Masek, MSPT, ATC, CSCS, PRC © Postural Restoration Institute™ www.posturalrestoration.com
Patterns:
Brachial Chain (BC)
§ Left Anterior Interior Chain (AIC)
Anterior-Lateral Intercostals, Deltoid-Pectoral Muscle, Sibson’s Fascia, Triangularis Sterni, Sternocleidomastoid, Scaleni, Diaphragm
§ Posterior Exterior Chain (PEC)
Anterior Interior Chain (AIC) Diaphragm, Iliacus, Psoas, TFL, Vastus Lateralis, Biceps Femoris
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Overview of Lumbo-Pelvic & FemoralAcetabular (FA) – Left AIC Pathomechanics
Anterior View of an Anterior & Forward Positioned Left Innominate with Accompanying Right Sacral Torsion
Sacral pelvic rotation to the right, in a transverse oblique plane:
© Postural Restoration Institute™ www.posturalrestoration.com
2011 MAATA Annual Symposium
© Postural Restoration Institute™ www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 1
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
Posterior View of an Anterior & Forward Positioned Left Innominate with Accompanying Right Sacral Torsion
Anterior View of an Anterior & Forward Positioned Left Innominate with Accompanying Right Sacral Torsion
Raised Left Ischium Right SI Distraction Rotation of Sacrum, L5 & L4 to Right Out-flare of Left Innominate Closure of Left Obturator Foramen
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Biomechanical Influences of FA Joint “Normal”
Normal
Norkin C & Levangie P. Joint Structure and Function. Ed 2, FA Davis, Philadelphia. Page 314 & 317. Permission Pending.
© Postural Restoration Institute™ www.posturalrestoration.com
Biomechanical Influences of FA Joint Anterior Pelvic Position
The Left Side • Left innominate is positioned in a state of AF flexion, abduction, and ER with compensatory femoral activity.
Internal Rotation
2011 MAATA Annual Symposium
• Efforts to restore correct AF position and rehabilitate FA activity on the left side should include extension, adduction and IR.
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 2
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
The Right Side • Right innominate is positioned in a state of AF extension, adduction and IR with positional femoral activity. • Efforts to restore correct AF position and rehabilitate AF and FA activities on the right side should include flexion, abduction and ER. © Postural Restoration Institute™
Tests:
§ 1- Adduction Drop Test § 2- Extension Drop Test § 3- Straight Leg Raise § 4- Functional Squat Test © Postural Restoration Institute™
www.posturalrestoration.com
Adduction Drop Test
Left: Positive Test
www.posturalrestoration.com
Extension Drop Test
Right: Negative Test Left: Positive Test
Right: Negative Test
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Straight Leg Raise
2011 MAATA Annual Symposium
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 3
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
Functional Squat Test LEVEL à 1
LEVEL à 2
Ability to initiate a squat by slightly bending knees while trunk remains in flexion
Ability to begin squatting, moving bottom back and knees forward while trunk remains in flexion
Inability reflects lack of posterior pelvic rotation and hyperactive back extensors
Inability reflects lack of femoral adduction, hyperactive hip flexors, and overactive FA ER’s
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
LEVEL à 3
LEVEL à 4
Ability to squat bringing bottom below knee level while keeping heels down and trunk flexed
Ability to squat keeping heels down, trunk flexed and bottom to heels
Inability reflects tight intercostals and hyperactive anterior / posterior tibialis
Inability reflects hyperactive quads and gastroc-soleus
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Common Observations
LEVEL à 5 Ability to maximally squat keeping heels down and trunk flexed while keeping center of gravity through heels Inability reflects lack of maximal AF IR and synchronized mechanics of diaphragm and pelvic floor respiration
2011 MAATA Annual Symposium
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 4
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
© Postural Restoration Institute™
© Postural Restoration Institute™ www.posturalrestoration.com
2011 MAATA Annual Symposium
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 5
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
Left Knee Pain
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Right Knee Pain
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Considerations for Restoring Position: Left AIC
2011 MAATA Annual Symposium
§#1 90-90 Hemibridge
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 6
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
§#2 Right Sidelying Left Adductor Pull Back
§#3 Standing Resisted Wall Reach
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
§#4 Standing Resisted Trunk Around
§#5 Left Sidelying Knee to Knee
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
§Position for treatment:
Considerations for Restoring Position: PEC
Shift left hip back
2011 MAATA Annual Symposium
March 18-19, 2011
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 7
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
§#1 Wall Reach
§#2 Reverse Squat
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
§#3 Left Sidelying Right
§#4 Retro Stairs
Glute Max
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
§#5 Standing Supported Left AF IR
§Position for treatment: Knees forward (flexion)
50%
2011 MAATA Annual Symposium
50%
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 8
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
Thank you! Please visit our website to view or print this Power Point presentation.
www.posturalrestoration.com Additional resources provided on our website:
§ § § § §
Feature Technique Recent Emails Daily News Blog Featured Interview Articles
Questions:
[email protected] © Postural Restoration Institute™ www.posturalrestoration.com
2011 MAATA Annual Symposium
Copyright © Postural Restoration Institute® Page 9
POSTURAL RESTORATION Biomechanical Influences on the Athlete’s Lower Half
Postural Restoration Institute™
March 18-19, 2011
Position Influences:
§ Hamstring Strains § Groin Strains § Knee Pain
Ron Hruska, MPA, PT Jason Masek, MSPT, ATC, CSCS, PRC © Postural Restoration Institute™ www.posturalrestoration.com
Patterns:
Brachial Chain (BC)
§ Left Anterior Interior Chain (AIC)
Anterior-Lateral Intercostals, Deltoid-Pectoral Muscle, Sibson’s Fascia, Triangularis Sterni, Sternocleidomastoid, Scaleni, Diaphragm
§ Posterior Exterior Chain (PEC)
Anterior Interior Chain (AIC) Diaphragm, Iliacus, Psoas, TFL, Vastus Lateralis, Biceps Femoris
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Overview of Lumbo-Pelvic & FemoralAcetabular (FA) – Left AIC Pathomechanics
Anterior View of an Anterior & Forward Positioned Left Innominate with Accompanying Right Sacral Torsion
Sacral pelvic rotation to the right, in a transverse oblique plane:
© Postural Restoration Institute™ www.posturalrestoration.com
2011 MAATA Annual Symposium
© Postural Restoration Institute™ www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 1
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
Posterior View of an Anterior & Forward Positioned Left Innominate with Accompanying Right Sacral Torsion
Anterior View of an Anterior & Forward Positioned Left Innominate with Accompanying Right Sacral Torsion
Raised Left Ischium Right SI Distraction Rotation of Sacrum, L5 & L4 to Right Out-flare of Left Innominate Closure of Left Obturator Foramen
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Biomechanical Influences of FA Joint “Normal”
Normal
Norkin C & Levangie P. Joint Structure and Function. Ed 2, FA Davis, Philadelphia. Page 314 & 317. Permission Pending.
© Postural Restoration Institute™ www.posturalrestoration.com
Biomechanical Influences of FA Joint Anterior Pelvic Position
The Left Side • Left innominate is positioned in a state of AF flexion, abduction, and ER with compensatory femoral activity.
Internal Rotation
2011 MAATA Annual Symposium
• Efforts to restore correct AF position and rehabilitate FA activity on the left side should include extension, adduction and IR.
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 2
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
The Right Side • Right innominate is positioned in a state of AF extension, adduction and IR with positional femoral activity. • Efforts to restore correct AF position and rehabilitate AF and FA activities on the right side should include flexion, abduction and ER. © Postural Restoration Institute™
Tests:
§ 1- Adduction Drop Test § 2- Extension Drop Test § 3- Straight Leg Raise § 4- Functional Squat Test © Postural Restoration Institute™
www.posturalrestoration.com
Adduction Drop Test
Left: Positive Test
www.posturalrestoration.com
Extension Drop Test
Right: Negative Test Left: Positive Test
Right: Negative Test
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Straight Leg Raise
2011 MAATA Annual Symposium
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 3
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
Functional Squat Test LEVEL à 1
LEVEL à 2
Ability to initiate a squat by slightly bending knees while trunk remains in flexion
Ability to begin squatting, moving bottom back and knees forward while trunk remains in flexion
Inability reflects lack of posterior pelvic rotation and hyperactive back extensors
Inability reflects lack of femoral adduction, hyperactive hip flexors, and overactive FA ER’s
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
LEVEL à 3
LEVEL à 4
Ability to squat bringing bottom below knee level while keeping heels down and trunk flexed
Ability to squat keeping heels down, trunk flexed and bottom to heels
Inability reflects tight intercostals and hyperactive anterior / posterior tibialis
Inability reflects hyperactive quads and gastroc-soleus
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Common Observations
LEVEL à 5 Ability to maximally squat keeping heels down and trunk flexed while keeping center of gravity through heels Inability reflects lack of maximal AF IR and synchronized mechanics of diaphragm and pelvic floor respiration
2011 MAATA Annual Symposium
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 4
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
© Postural Restoration Institute™
© Postural Restoration Institute™ www.posturalrestoration.com
2011 MAATA Annual Symposium
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 5
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
Left Knee Pain
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Right Knee Pain
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Considerations for Restoring Position: Left AIC
2011 MAATA Annual Symposium
§#1 90-90 Hemibridge
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 6
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
§#2 Right Sidelying Left Adductor Pull Back
§#3 Standing Resisted Wall Reach
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
§#4 Standing Resisted Trunk Around
§#5 Left Sidelying Knee to Knee
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
§Position for treatment:
Considerations for Restoring Position: PEC
Shift left hip back
2011 MAATA Annual Symposium
March 18-19, 2011
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 7
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
§#1 Wall Reach
§#2 Reverse Squat
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
§#3 Left Sidelying Right
§#4 Retro Stairs
Glute Max
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
§#5 Standing Supported Left AF IR
§Position for treatment: Knees forward (flexion)
50%
2011 MAATA Annual Symposium
50%
© Postural Restoration Institute™
© Postural Restoration Institute™
www.posturalrestoration.com
www.posturalrestoration.com
Copyright © Postural Restoration Institute® Page 8
Postural Restoration – Biomechanical Influences on the Athlete’s Lower Half
March 18-19, 2011
Thank you! Please visit our website to view or print this Power Point presentation.
www.posturalrestoration.com Additional resources provided on our website:
§ § § § §
Feature Technique Recent Emails Daily News Blog Featured Interview Articles
Questions:
[email protected] © Postural Restoration Institute™ www.posturalrestoration.com
2011 MAATA Annual Symposium
Copyright © Postural Restoration Institute® Page 9
