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30 Cards in this Set

  • Front
  • Back

Motions of Hip Joint

flexion



extension



ADD/ABD



internal (medial) rotation



external (lateral) rotation

Hip Flexors

- psoas major & minor



- iliacus



- rectus femoris



- sartorius

Psoas Major

O: vertebral bodies of T12-L5, transverse processes of all lumbar vertabrae


 


I: lesser trochanter of femur


 


A: hip flexion


 


N: lumbar nerves 1-3

O: vertebral bodies of T12-L5, transverse processes of all lumbar vertabrae



I: lesser trochanter of femur



A: hip flexion



N: lumbar nerves 1-3

Psoas Minor

O: vertebral bodies of T1-L1


 


I: pectineal line & iliopectineal eminence


 


A: hip flexion (weak)


 


N: lumbar nerves 1-2


 


* only 40% of people have this muscle

O: vertebral bodies of T12-L1



I: pectineal line & iliopectineal eminence



A: hip flexion (weak)



N: lumbar nerves 1-2



* only 40% of people have this muscle

Iliacus

O: iliac fossa, iliac crest, ala of sacrum & anterior sacroiliac ligaments


 


I: lesser trochanter of femur


 


A: hip flexion


 


N: femoral nerve

O: iliac fossa, iliac crest, ala of sacrum & anterior sacroiliac ligaments



I: lesser trochanter of femur



A: hip flexion



N: femoral nerve

Strengthening & Stretching Iliopsoas

Strengthening: hip flexion; sitted hip flexion with ankle weight



Stretching: hip extension

Hip Extensors

- gluteus maximus (prime mover)



- biceps femoris



- semimembranosus



- semitendinosus

Gluteus Maximus

O: Ilium (posterior to gluteal line), dorsal surface of sacrum & coccyx, sacrotuberous ligament


 


I: ITB, gluteal tuberosity of femur


 


A: hip extension, ADD & ER


 


N: inferior gluteal nerve

O: Ilium (posterior to gluteal line), dorsal surface of sacrum & coccyx, sacrotuberous ligament



I: ITB, gluteal tuberosity of femur



A: hip extension, ADD & ER



N: inferior gluteal nerve

Strengthening & Stretching Gluteus Maximus

Strengthening: hip extension



Stretching: hip flexion

Hip Adductors

- adductor magnus



- adductor longus



- adductor brevis



- pectineus



- gracilis

Adductor Magnus

O: inferior ramus of pubis, ramus of ischium, & ischial tuberosity


 


I: gluteal tuberosity, inferior portion of linea aspera, medial supracondylar line & adductor tubercle


 


A: hip ADD, flexion (upper), hip extension (lower)


...

O: inferior ramus of pubis, ramus of ischium, & ischial tuberosity



I: gluteal tuberosity, inferior portion of linea aspera, medial supracondylar line & adductor tubercle



A: hip ADD, flexion (upper), hip extension (lower)



N: obturator & sciatic

Adductor Longus

O: body of pubis


 


I: middle third of linea aspera


 


A: hip ADD


 


N: obturator

O: body of pubis



I: middle third of linea aspera



A: hip ADD



N: obturator

Adductor Brevis

O: body & inferior ramus of pubis


 


I: superior portion of linea aspera & pectineal line


 


A: hip ADD


 


N: obturator

O: body & inferior ramus of pubis



I: superior portion of linea aspera & pectineal line



A: hip ADD



N: obturator

Pectineus

O: superior ramus of pubis


 


I: pectineal line of femur (just inferior to lesser trochanter)


 


A: ADD & flexion of hip, assists with hip IR


 


N: femoral nerve

O: superior ramus of pubis



I: pectineal line of femur (just inferior to lesser trochanter)



A: ADD & flexion of hip, assists with hip IR



N: femoral nerve

Strengthening & Stretching Adductors

Strengthening: hip ADD



Stretching: hip ABD or butterflies

Hip Abductors

- gluteus medius (prime mover)



- gluteus minimus



- tensor fascia latae (opposes gluteus maximus)



Gluteus Medius

O: external surface of ilium


 


I: greater trochanter


 


A: Hip ABD & IR


 


N: superior gluteal nerve

O: external surface of ilium



I: greater trochanter



A: Hip ABD & IR



N: superior gluteal nerve

Gluteus Minimus

O: external surface of ilium


 


I: greator trochanter


 


A: hip ABD & IR


 


N: superior gluteal nerve

O: external surface of ilium



I: greator trochanter



A: hip ABD & IR



N: superior gluteal nerve

Tensor Fasciae Latae

O: ASIS & iliac crest


 


I: ITB


 


A: hip flexion, ABD & IR


 


N: superior gluteal nerve

O: ASIS & iliac crest



I: ITB



A: hip flexion, ABD & IR



N: superior gluteal nerve

Strengthening & Stretching Abductors

Strengthening: hip ABD lead with heel



Stretching: ADD

Hip Internal Rotators

No prime movers



Synergists include:


- pectineus


- gluteus medius


- gluteus minimus


- TFL

Hip External Rotators

- piriformis (prime mover)



- superior gemelli



- inferior gemelli



- obturator internus



- obturator externus



- quadratus femoris

Piriformis

O: anterior sacrum (& sacrotuberous ligament)


 


I: greater trochanter


 


A: hip ER


 


N: sacral 1st & 2nd

O: anterior sacrum (& sacrotuberous ligament)



I: greater trochanter



A: hip ER



N: sacral 1st & 2nd

Obturator Externus

O: obturator foramen & obturator membrane


 


I: trochanteric fossa of femur


 


A: hip ER


 


N: obturator nerve

O: obturator foramen & obturator membrane



I: trochanteric fossa of femur



A: hip ER



N: obturator nerve

Obturator Internus

O: pelvis surface of obturator membrane


 


I: medial surface of greater trochanter


 


A: hip ER & abducts hip when flexed


 


N: nerve to obturator internus

O: pelvis surface of obturator membrane



I: medial surface of greater trochanter



A: hip ER & abducts hip when flexed



N: nerve to obturator internus

Gemelli Superior & Inferior

O: ischial spine (superior) & ischial tuberosity (inferior)


 


I: medial surface of greater trochanter


 


A: hip ER & abducts hip when flexed


 


N: nerve of obturator internus (superior) & nerve to quadratus femoris (inferior)

O: ischial spine (superior) & ischial tuberosity (inferior)



I: medial surface of greater trochanter



A: hip ER & abducts hip when flexed



N: nerve of obturator internus (superior) & nerve to quadratus femoris (inferior)

Quadratus Femoris

O: ischial tuberosity


 


I: intertrochanteric crest of femur


 


A: hip ER


 


N: nerve to quadratus femoris

O: ischial tuberosity



I: intertrochanteric crest of femur



A: hip ER



N: nerve to quadratus femoris

Stretching hip external rotators

Stretching: externally rotate hip & pull leg toward body OR internal rotation

Sciatica

the piriformis can cause issues with sciatic nerve


 


88% of people have sciatica

the piriformis can cause issues with sciatic nerve



88% of people have sciatica

Potential causes of Sciatica

A. sciatic nerve runs under piriformis


 


B. piriformis bisects sciatic nerve


 


C. piriformis runs in middle of sciatic nerve


 


D. sciatic nerve runs in midde of piriformis

A. sciatic nerve runs under piriformis



B. piriformis bisects sciatic nerve



C. piriformis runs in middle of sciatic nerve



D. sciatic nerve runs in midde of piriformis