Unraveling the Mystery of Hip & Thigh Pain #2: Hamstring Injuries 1 Instructor: Ben Benjamin, Ph.D. 2 Instructor: Ben Benjamin, Ph.D. 3 1
Webinar Goals Explore the assessment and treatment of the most common hamstring injuries. 4 Pretest 1. The most effective assessment test for a hamstring injury is: a) Resisted extension of the knee b) Resisted abduction c) Passive straight leg raise d) Resisted flexion of the knee 5 Pretest 2. The semitendinosus muscle is attached to: a) The head of the fibula b) The medial condyle of the femur c) The tibia d) The lateral condyle of the femur 6 2
Pretest 3. If there is pain in the posterior thigh while forward bending in the standing position this could indicate: a) Either a low back or hamstring injury b) A hip joint injury c) A thoracic injury d) Any and of the above 7 4. The hamstrings Pretest a) Extend the hip b) Flex the knee c) Rotate the lower leg when the knee is bent d) All of the above 8 Pretest 5. Which tests help you differentiate between a hamstring injury, a low back injury or a hip joint injury? a) Resisted flexion of the knee b) Passive medial rotation of the hip joint c) Active flexion while standing d) All of the above 9 3
Pretest 6. The superior attachment of the semimembranosus and semitendinosis is: a) At the posterior ilium and the ishial tuberosity b) At the ischial tuberosity and the posterior femur c) At the ishial tuberosity only with one common tendon d) None of the above 10 Anatomy 11 Hamstrings 12 4
Hamstrings 13 Hamstrings 14 Hamstrings 15 5
Hamstrings 16 Hamstrings 17 Hamstrings 18 6
Functions 19 Functions 20 Assessment 21 7
Primary Tests Resisted Flexion of the Knee Resisted Extension of the Hip 22 Auxiliary Test 23 Differentiation Tests Test 1: Forward flexion of the back Test 2: Extension of the back Test 3: Passive hip flexion Test 4: Passive medial rotation of the hip joint 24 8
Test 1: Active flexion Test 2: Active extension Test 3: Passive Flexion of the Hip Joint 27 9
Test 4: Passive Medial Rotation of the Hip Joint 28 Passive Flexion of the Hip Joint 29 Theory 30 10
31 32 Hamstring: Resisted Flexion of the Knee Low Back: Forward Flexion and Extension Low Back and Hip Joint: Passive Flexion of the Hip Medial Rotation of the Hip 33 11
Resisted Flexion of the Knee Low Back Injury Alone: No pain in the hamstring on test Hamstring Injury: Test is painful 34 Passive Flexion Medial Rotation Hip Joint Injury: Tests will hurt in the anterior or lateral hip and sometimes down the thigh but not in the low back 35 Balance 36 12
Injury 37 Injury Location 38 Used in Surgery 39 13
Treatment 40 Friction Therapy 41 Friction Therapy 42 14
Myofascial Therapy 43 Massage Therapy 44 Exercise Therapy 45 15
Exercise Therapy 46 Exercise Therapy 47 If I didn t get to your question ask me here: Facebook.com/DrBenBenjamin 48 16
Post-Test 1. The most effective assessment test for a hamstring injury is: a) Resisted extension of the knee b) Resisted abduction c) Passive straight leg raise d) Resisted flexion of the knee 49 Post-Test 2. The semitendinosus muscle is attached to: a) The head of the fibula b) The medial condyle of the femur c) The tibia d) The lateral condyle of the femur 50 Post-Test 3. If there is pain in the posterior thigh while forward bending in the standing position this could indicate: a) Either a low back or hamstring injury b) A hip joint injury c) A thoracic injury d) Any and of the above 51 17
4. The hamstrings Post-Test a) Extend the hip b) Flex the knee c) Rotate the lower leg when the knee is bent d) All of the above 52 Post-Test 5. Which tests help you differentiate between a hamstring injury, a low back injury or a hip joint injury? a) Resisted flexion of the knee b) Passive medial rotation of the hip joint c) Active flexion while standing d) All of the above 53 Post-Test 6. The superior attachment of the semimembranosus and semitendinosis is: a) At the posterior ilium and the ishial tuberosity b) At the ischial tuberosity and the posterior femur c) At the ishial tuberosity only with one common tendon d) None of the above 54 18
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 All Webinars Available at www.benbenjamin.com SPECIAL OFFER JOIN the Benjamin Institute E-Mailing List & Receive a FREE Ebook on the Low Back Go to: www.benbenjamin.com And click Join Our Mailing List Join us in Costa Rica Active Isolated Stretching & Strengthening for the Lower Body December 31, 2011-January 7, 2012 24 hours of training 84 hours of vacation Learn AIS for the back, hips, thighs, lower legs, ankles, and feet 19
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 866-331-7246 SPECIAL OFFER All Four DVD Sets Including CE Hours (124 CE hours total) PLUS Three Books A Total Value of $1620 For Only $995 If You Call Within 24 Hours Call toll-free 1-866-331-PAIN (7246) 60 For more information: www.benbenjamin.com 20