Treating the hip capsule with functional release techniques •••••••••••••
After a thorough assessment it was apparent the patient had poor hip mobility and extensibility. This was his second treatment, initially his right hip had 0 degrees of hip internal rotation.
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Functional release treatment to the hip joint capsule:
1️⃣Anterior hip: pectineus, obturator externus
2️⃣Posterior hip: piriformis, gemelli and obturator internus.
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The “release” mechanism involves:
1️⃣extrinsic forces: manual input with directional force on fibrotic aspects of the hip capsule.
2️⃣progressive angular isometric loading: the patient’s intrinsic isometric holds.
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Manual treatment was followed up with FRC mobility exercises: high tension controlled articular rotations and higher tension progressive angular isometric loading / regressive angular isometric loading to lock in those improvements. .
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