Unraveling the Mystery of Hip & Thigh Pain #3: Quadriceps Injuries

Transcription

1 Unraveling the Mystery of Hip & Thigh Pain #3: Quadriceps Injuries 1 Instructor: Ben Benjamin, Ph.D. 2 Instructor: Ben Benjamin, Ph.D. 3 1

2 Webinar Goals Explore the assessment and treatment of one of the most common set of thigh injuries. 4 Pretest 1. Which quadriceps muscle is a two jointed muscle? a. Rectus femoris b. Vastus lateralis c. Vastus medialis d. Vastus intermedius 5 Pretest 2. Select the quadriceps muscle which primarily works in the last 5 degrees of extension of the knee. a. Rectus femoris b. Vastus lateralis c. Vastus medialis d. Vastus intermedius 6 2

3 Pretest 3. The test for a quadriceps muscle strain is: a. Resisted flexion of the knee b. Resisted hip flexion c. Resisted extension of the knee d. Passive flexion of the knee 7 Pretest 4. The rectus femoris tendon attaches to the: a. Posterior Superior Iliac Spine b. Anterior Superior Iliac Spine c. Anterior Inferior Iliac Spine d. None of the above 8 Pretest 5. Which quadriceps flexes the hip? a. Rectus femoris b. Vastus lateralis c. Vastus medialis d. Vastus intermedius 9 3

4 Pretest 6. All of the rectus quadriceps muscles work together to: a. Bend the knee b. Straighten the knee c. Flex the hip d. Extend the hip 10 Quadriceps 11 Quadriceps Rectus femoris 12 4

5 Quadriceps Vastus Lateralis 13 Quadriceps Vastus medialis 14 Quadriceps Vastus Intermedius 15 5

6 Quadriceps 16 Assessment 17 Resisted Extension of the Knee

7 Resisted Extension of the Knee Resisted Extension of the Knee Resisted Hip Flexion Rectus Only 7

8 5 Degree Test Vastus Medialis Vastus Medialis Palpation 23 Bent Knee Side-Lying Stretch Test 24 8

9 Passive Prone Knee Flexion 25 Theory Resisted Extension of the Knee is painful at any angle This means Quadriceps Muscle Strain 26 Theory Resisted Hip Flexion at 180º is painful This means Rectus Femoris Strain (often the proximal tendon) 27 9

10 Theory 28 Theory 29 How It Happens 30 10

11 Where the Injury Can Occur 31 Treatment 32 Friction Therapy 33 11

12 Friction Therapy 34 Friction Therapy 35 Friction Therapy 36 12

13 Myofascial Therapy 37 Massage Therapy 38 Exercise Therapy Stretching the Proximal Half of the Quadriceps 39 13

14 Exercise Therapy Stretching the Distal Half of the Quadriceps 40 Exercise Therapy Squats 41 Exercise Therapy Lunges 42 14

15 Questions Facebook.com/DrBenBenjamin 43 Post-test 1. Which quadriceps muscle is a two jointed muscle? a. Rectus femoris b. Vastus lateralis c. Vastus medialis d. Vastus intermedius 44 Post-test 2. Select the quadriceps muscle which primarily works in the last 5 degrees of extension of the knee. a. Rectus femoris b. Vastus lateralis c. Vastus medialis d. Vastus intermedius 45 15

16 Post-test 3. The test for a quadriceps muscle strain is: a. Resisted flexion of the knee b. Resisted hip flexion c. Resisted extension of the knee d. Passive flexion of the knee 46 Post-test 4. The rectus femoris tendon attaches to the: a. Posterior Superior Iliac Spine b. Anterior Superior Iliac Spine c. Anterior Inferior Iliac Spine d. None of the above 47 Post-test 5. Which quadriceps flexes the hip? a. Rectus femoris b. Vastus lateralis c. Vastus medialis d. Vastus intermedius 48 16

17 Post-test 6. All of the rectus quadriceps muscles work together to: a. Bend the knee b. Straighten the knee c. Flex the hip d. Extend the hip 49 Other Webinars Available on Demand Unraveling the Mystery of Low Back Pain Unraveling the Mystery of Cervical Pain Unraveling the Mystery of Shoulder Pain Unraveling the Mystery of Knee Pain Unraveling the Mystery of Ankle Pain Massage in Cancer Care Anatomy Trains All Webinars Available at SPECIAL OFFER JOIN the Benjamin Institute ing List & Receive a FREE Ebook on the Low Back Go to: And click Join Our Mailing List 17

18 Join us in Costa Rica Active Isolated Stretching & Strengthening for the Lower Body December 31, 2011-January 7, hours of training 84 hours of vacation Learn AIS for the back, hips, thighs, lower legs, ankles, and feet Join Tom Myers & Ben Benjamin in Costa Rica Two Approaches to Neck Pain: Anatomy Trains & Orthopedic Massage February 11-18, 2012 Education in Paradise Courses in Costa Rica Beautiful Pura Vida retreat center 2 full days off per course Relaxing day trips & active outings African drumming, salsa dancing, yoga To register, call

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