1 / 20

3-Dimensional Stretching

3-Dimensional Stretching. Benjamin L. Kolly DPT, OMPT, ATC Xcel Physical Therapy, PLC. Bring spine roll Wedges, towels belts. Objectives. Review Basic Concepts of Stretching Identify purpose for 3-Dimensional Stretching Describe two 3-D stretches for immediate use. 6 Principles .

thu
Download Presentation

3-Dimensional Stretching

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

  1. 3-Dimensional Stretching Benjamin L. Kolly DPT, OMPT, ATC Xcel Physical Therapy, PLC

  2. Bring spine • roll • Wedges, towels • belts

  3. Objectives • Review Basic Concepts of Stretching • Identify purpose for 3-Dimensional Stretching • Describe two 3-D stretches for immediate use

  4. 6 Principles • Force vs Time • Prepositioning • Avoid torque through stiff joint • Follow up with AROM or activity

  5. Tissues • Muscles • Manual stretching, Hold-Relax, Reciprical inhibition • Joints • Mobilizations, traction

  6. Why 3-D • Tissues do not move in 1 plane • Avoid aberrant stresses on painful, restricted joints • Maximize the lengthening of muscles • Maximally open foramen • Protect spinal segments

  7. Mechanisms • Traction joints • Pre-position joints • Stretch through 2 or more joints • Glide (slow mobilization) through stretch

  8. Thoracic Spine Stretch • SDLY with SB over roll and knees bent up • With top arm reach backwards causing a rotation opposite of side bending • Add weight to arm as needed • Vary amount of trunk flexion

  9. Piriformis • Roll under L/S promote anterior tilt = L/S extension • Flex greater than 90 degrees, ER hip, glide hip posteriorly • Flex to approximately 60 degrees, IR hip and stabilize ipsi ASIS (p237)

  10. Hip Extensors • Roll under L/S promote anterior tilt = L/S extension • Flex hip and posterior gliding of hip joint • Gluteus Medius & Minimus • Abduction and ER • Gluteus Maximus • adduction and IR

  11. Ilipsoas • Prone on table, folded towel under abdomen to protect, wedge under foot • Extend thigh, IR hip, apply ventral glide

  12. Rectus Femoris • Prone on table, folded towel under abdomen to protect, wedge under foot • Extend the hip, flex the knee, apply ventral glide

  13. Short Adductors • Supine, stabilize straight leg • Abduct thigh and traction force • Prone, stabilize pelvis with belt • Ventral glide femur

  14. Long Adductors • Posterior tilt with contra leg over table • Extend knee and abduct hip • (amt hip flexion or knee flexion )

  15. LatissimusDorsi • Maximally flex the lumbar spine, flex shoulder, ER • Also SB away and cranially glide humerus

  16. Disc Traction • Seated, prone, supine, SDLY options • Preposition varying amount flexion, SB • Stabilize caudal and pull cranial or vise versa • (pg 28-29 notebook)

  17. Facet Stretching (Glide) • Creates extension at 1 segment and flexion at others • Mobilize cranial segment ventral cranial to create flexion moment on that segment and extension above

  18. Coupling in the Spine • Coupled movements • Non-coupled movements • Example:

  19. Review • 3-D stretches can be used on muscles and joints • 3-D concept is useful to: • replicate normal movement patterns • Reduce painful, compressive loads • Maximize elongation • Protect the spine

  20. Questions • Ben can be reached at bkolly@xceltherapy.com

More Related