Monday, March 21, 2011

Piriformis Stretch


 
 Phase 1

Lay down on your back with knees bent. 
Bilateral shoulder girdles are in neutral
Bilateral shoulder joints are in neutral
Bilateral Wrist joints neutral
Bilateral Elbow joints in neutral




Phase 2


Take one knee and put it across the other leg.
Bilateral shoulder girdles are in neutral
Bilateral shoulder joints are in neutral
Bilateral Wrist joints in neutral
Bilateral Elbow joints in neutral

Phase 3


Grab the knee that is crossing the other leg and pull it towards your chest. Hold for 30 seconds and repeat three times then switch legs.
Bilateral shoulder girdle are abducted 
Agonist
   Pectoralis minor- contract concentrically to abduct the shoulder girdle
   Serratus anterior- contract concentrically to abduct the shoulder girdle
Bilateral shoulder joints are diagonaly adducted
Agonist Muscles Used

     
Anterior Deltoid -contract concentrically to diagonally adduct shoulder joint.
Coracobrachialis- -contract concentrically to diagonally adduct shoulder joint.
Biceps Brachii (short head)- contract concentrically to diagonally adduct shoulder joint
Pectoralis Major - Upper & Lower-   contract concentrically to diagonally adduct shoulder joint

Antagonist

o    Posterior Deltoid
o    Infraspinatus
o    Teres Minor
o    Triceps Brachii (Long Head)



Dexter wrist in neutral sinister wrist slightly flexed
Agonists
–        Flexor carpi radialis contract concentrically to flex the wrist.
–        Flexor carpi ulnaris contract concentrically to flex the wrist.
–        Palmaris longus contract concentrically to flex the wrist.
–        Flexor digitorum superficialis contract concentrically to flex the wrist.
–        Flexor digitorum profundus contract concentrically to flex the wrist.
–        Flexor pollicis longus contract concentrically to flex the wrist.

Bilateral elbow joints are flexed
Agonists
     Biceps brachii contract concentrically to flex elbow
Brachialis contract concentrically to flex elbow
     Brachioradialis contract concentrically to flex elbow
 
Hip diagonally adducted
Agonist
Adductor Brevis contracts concentrically to adduct the hip joint.
Adductor Longus contracts concentrically to adduct the hip joint.
Adductor Magnus contracts concentrically to adduct the hip joint.
Gracilis contracts concentrically to adduct the hip joint.
Passive Stretch—Muscle Passively Lengthening
The Piriformis Muscle is being passively stretched

 
 Drill
The clam
This exercise targets not only your piriformis but also your gluteus medius and minimus muscles, which assist the piriformis in its actions. Lie on your right side, bend your knees . Support your head with your bottom arm and make sure your hips are stacked. Keeping your ankles together, slowly lift your top knee toward the ceiling. Lift as high as you can without rolling your hips. Slowly return to the starting position. Complete 15 repetitions, then switch sides and repeat the exercise. As your muscles become stronger, loop a resistance band around your knees when performing the clam to make it more challenging.

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