Superior Shear Muscle Energy

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Superior Shear Muscle Energy

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Recall Diagnosing the Innominate

Steps for Treatment:

  1. Patient supine
  2. Physician at the foot of the table with hands wrapped around area superior to the ankle of the superior shear and one forearm against the opposite foot
  3. Internally rotate the lower extremity to close-pack the joint
  4. Apply caudad traction on the dysfunctional side 
  5. Ask patient to push against physician with the opposite heel while maintaining traction on dysfunctional side, don’t let the leg move at all 
  6. Hold for 3-5 seconds 
  7. Relax for 2 seconds 
  8. Take up slack to engage a new barrier 
  9. Repeat at least 2 more times or until full range of motion 
  10. Passive stretch 
  11. Reassess 

Video Tutorial:

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