Chapter 4- Thigh, Hip and Pelvis

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Acute Care Lab
Spring ‘10

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)

Pelvis
◦ You ‘hips’
◦ Head of femur sits in the acetabulum for
ambulation
 Muscle attachments

Femur
◦ Quadriceps muscles (anterior)
◦ Hamstring muscles (posterior)

Made up of three bones
◦ Ilium
◦ Ischium
◦ Pubic
Serves as origin
for 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

Quadriceps muscles
◦ Flexes the knee
 Commonly strained

Hamstring muscles
◦ Extends the knee
 Also commonly strained

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

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

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

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
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