Presentation on theme: "The Muscles that Adduct the Femur at the Acetabulofemoral (Hip) Joint"— Presentation transcript:
1The Muscles that Adduct the Femur at the Acetabulofemoral (Hip) Joint
2Hip Adductors There are five primary muscles that adduct the femur They all cross the hip jointThe 5 muscles that adduct the femur at the hip joint from lateral to medial are:PectineusAdductor LongusGracilisAdductor BrevisAdductor Magnus(People Love Getting Back Money)
3Hip AdductorsAdductors work with the abductors to keep the pelvis stable during flexion and extension (walking, running, climbing…)Adductors and Abductors must be balanced in strength and flexibilityAdductors are difficult to condition because they influence balance. (Side lying activities are best so they can work against gravity)If abductors overpower adductors, the pelvis will tilt to the side of the strong abductors.It would be the same if the adductors overpower the abductors
4Pectineus Pectineus means comb because this muscle has a comb like appearance.O: PubisI: Posterior Surface of Femur (inferior to the lesser trochanter of femur)A:Adduction of HipFlexion of HipAnterior Tilt of Pelvis
5Pectineus Integrated Function: Assists in eccentric deceleration of abduction of the femurAssists in eccentric deceleration of lateral rotation of the hipAssists in dynamic stabilization of the lumbo-pelvic-hip complex
6Gracilis This muscle means graceful and slender O: Pubis I: Medial surface of tibial shaft,just posterior to sartoriusA:Adduction of HipFlexion of HipAnterior Tilt of PelvisFlexion of Knee
7Gracilis Integrated Function: Assists in eccentric deceleration of hip abductionAssists in eccentric deceleration of knee extensionAssists in dynamic stabilization of the hip and knee
8Transplantation of the Gracilis Weaker member of the adductor group, it can be removed without noticeable loss of function and surgeons often transplant the muscle with its nerve and blood vessels to replace a damaged muscle in the hand.Once in the hand it produces digital flexion and extension.
9Adductor Longus This muscle tells us that it is an adductor and long O: PubisI: Linea Aspera of the FemurA:Adduction of HipFlexion of HipAnterior Tilt of Pelvis
10Adductor Brevis A: Adduction of Hip Flexion of Hip This muscle is an adductor and short.O: PubisI: Linea Aspera of FemurA:Adduction of HipFlexion of HipAnterior Tilt of Pelvis
11Adductor Magnus Adduction of Hip Extension of Hip Largest and Deepest AdductorO: Pubis and Ischial TuberosityI: Linea Aspera of FemurAdductor Tubercle of Femur(above condyle on medial side)A:Adduction of HipExtension of HipPosterior Tilt of PelvisAdductorHiatus: anopening forthe femoralartery andvein to passthrough
12Adductor Longus, Brevis, and Magnus Integrated Function:Assists in eccentric deceleration of hip adduction and lateral rotationAssists in dynamic stabilization of the lumbo-pelvic-hip complex during functional movementsThe Adductor Magnus assists in eccentric deceleration of hip flexion
13Groin PullDepending on the severity, a groin pull can range from a slight stretching, to a complete rupture of the hip adductor muscles.Of the hip adductors, it is Adductor Longus that is most susceptible to injury, and the most common place of injury on Adductor Longus is insertion.This can result from the quick starts and stops of kicking and running sports. These injuries are especially common in soccer but are also seen in racket sports, basketball, hockey, volleyball, and football.
14How to Prevent and Treat a Groin Pull Proper warm up and stretching is key to injury preventionStretch the Hip Adductors and Hip FlexorsTreatment:For immediate relief, follow the R.I.C.E. treatment plan. Rest, Ice, Compression and elevation are the best immediate treatment for all pulls and strains.Avoid aggravating activities for the first 1 to 2 weeks.Once activity is started again, ice the muscle after exercise to reduce any swelling. After applying the ice, wrap the thigh to keep it compressed.
15Supine SB SqueezeThis exercise can be performed standing, side lying or supineBack supported and core engagedHip flexion to about 45 or 90 degreesAdduct Hips and squeeze
16Lateral Lunge Joint Actions: Primary Muscles Strengthened: Hip Adduction (trailing leg)Hip Extension (lead leg)Knee Extension (lead leg)Ankle Plantarflexion (lead leg)Primary Muscles Strengthened:Hip Adductors (trailing leg)Gluteus Maximus and Hamstrings (lead leg)Quadriceps (lead leg)Adductor Magnus (lead leg)Gastrocnemius and Soleus (lead leg
17Lateral LungeLateral lunges are problematic because to reach parallel requires a great deal of flexibility of the hip adductors.Not everyone has this ability and will not be able to reach parallel with the leg they step out with.
18Lateral LungeYou must have adequate CORE strength and functional flexibility in the Lumbo Pelvic Hip Complex (LPHC), and calves, in order to perform this movement without compensationSome common compensations:Low back arches – stretch Psoas / Rectus Femoris (hip flexors)External Rotation of Back Foot/Knee – stretch Gastroc / Soleus (calves).
20Performing the Lateral Lunge Keep upper torso erect. (Leaning forward may be a result of poor hip joint flexibility.)From optimal postural alignment, draw your lower abdomen inward toward your spineWhile maintaining optimal spinal alignment, step laterally and descend slowly by bending at the hips, knees and ankles. Your pelvis should stay square to the front as your torso stays erect.
21Performing the Lateral Lunge During the descent maintain weight distribution between the heels and mid-foot.Do not allow the feet to cave inward or shift outward. The knees should track between the first and second toes.Perform downward reps slowly and concentrate on the descent and the alignment of your body.Only descend down as far as you can maintain optimal alignment
22Lateral Step-Up Joint Actions: Hip Adduction (trailing leg) Plantarflexion (trailing leg)Hip Extension (lead leg)Knee Extension (lead leg)Plantarflexion (lead leg)Primary Muscles Strengthened:Hip Adductors (trailing leg)Gastrocnemius and Soleus (trailing leg)Gluteus Maximus and Hamstrings (lead leg)Quadriceps (lead leg)Gastrocnemius and Soleus (lead leg)
23Lateral Step-Up Begin standing sideways next to a box or bench Step up with the inside legPlace entire foot on boxKeep back, head and shoulders alignedKeep knees and toes pointing forward
24Standing Adductor Stretch Begin with one leg straight and the opposite leg bent.Both feet are pointed straight ahead.Draw your belly button inward.Slowly move in a sideways motion toward the bent leg until you feel a stretch in the straight leg groin area.Hold for seconds, repeat for 2-3 reps.Switch sides and repeat directions.
25Supine Straight Leg Adductor Stretch with Rope Preparation :Strap rope around the forefootMovement : Use the rope to Abduct the leg until first resistance is felt, hold for 20 sec. repeat for 3-4 reps.
26Adductor Stretch Seated on SB Seated on ball, assume a side lunge position.Keep extended leg straight with your weight on bent leg.Draw your belly button inward and then perform a posterior pelvic tilt.Shift your weight toward the front foot until a slight resistance barrier (stretch) is felt on the straight leg.Hold for seconds, repeat for 2-3 reps.Explore different hip positions to find specific "tight spots".