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Thigh, Hip and Pelvis. Acute Care Lab Spring ‘10. Terms. Adduction Move toward the midline of the body (medial) ABduction Move away from the midline of the body (lateral) Flexion Move the extremity up ( anteriorly ) Extension Move the extremity back ( posteriorly ). Anatomy. Pelvis
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Thigh, Hip and Pelvis Acute Care Lab Spring ‘10
Terms • Adduction • Move toward the midline of the body (medial) • ABduction • Move away from the midline of the body (lateral) • Flexion • Move the extremity up (anteriorly) • Extension • Move the extremity back (posteriorly)
Anatomy • Pelvis • You ‘hips’ • Head of femur sits in the acetabulum for ambulation • Muscle attachments • Femur • Quadriceps muscles (anterior) • Hamstring muscles (posterior)
Pelvis • Made up of three bones • Ilium • Ischium • Pubic • Serves as origin for muscles
Hip Muscles • Hip flexor • Flexes the hip • Commonly injured in sprinters, runners • Hip adductors • Adduct the hip • ‘pulled groin’ • pain on the medial aspect of the leg • Hip abductors • Abduct the hip • Pain on the lateral aspect of the leg
Femur • Quadriceps muscles • Flexes the knee • Commonly strained • Hamstring muscles • Extends the knee • Also commonly strained
Hip Spica- Adductors • Standing, hip in slight flexion, leg in slight internal rotation • Lateral to medial (6” double) • Wrap two to three times around upper leg • Wrap around the pelvis, pulling across the abdomen and torso and back to the leg • Repeat until wrap is gone • Secure wrap with tape
Hip flexor wrap • Standing, hip in slight flexion • Medial to lateral (6” double) • Beginning at the quadriceps wrap two to three anchors • Pulling medial to lateral • At the waist, wrap around pulling across the abdomen, torso and back to the hip • Repeat until wrap is gone • Secure wrap with tape
Quadriceps wrap • Standing, hip in slight flexion • Medial to lateral (6” single) • Begin at the distal aspect of the leg • Anterior aspect of the leg • Pulling medial to lateral, overlap by half • Pulling up the leg • Distal to proximal • Continue until wrap is gone • Secure with tape
Hamstring wrap • Standing, hip in slight flexion • Medial to lateral (6” single) • Begin at the distal aspect of the leg • Posterior aspect of the leg • Pulling medial to lateral, overlap by half • Pulling up the leg • Distal to proximal • Continue until wrap is gone • Secure with tape