Dear All
do you think techniques often work, but not for the reasons we think. If the
current muscle balance gurus are to be believed psoas is rarely a problem,
one of the good guys, often under not over active.
I am reminded of an Ed Wilson quote ' the efficacy of a technique does not
validate the rationale behind its use'
As Smash and Nicey would say ' wise words mate'
Regards Kevin
-----Original Message-----
From: Mclean, Chris <[log in to unmask]>
To: [log in to unmask] <[log in to unmask]>
Date: 16 July 1999 16:51
Subject: RE: psoas release
>Dear Sophie,
>How did you manage to palpate the psoas muscle? Was your patient
incredibly
>thin? As I understand it the psoas originates form the anterior aspects of
>all the lumbar vertebrae and their discs (except the fifth). Its relations
>superiorly to inferiorly include: the diaphragm, the kidney on that side,
>psoas minor when present, the renal vessels, the ureter, the inferior vena
>cava and the ileum. The ascending/descending colon lies lateral to the
>right and left psoas respectively. Although it is more superficial as it
>crosses the pubis it is covered by the abdominal muscles, the fascia over
>the femoral triangle, the sartorius and rectus femoris. a posterior
>relation below the pelvis is the hip joint capsule before it inserts into
>the lesser trochanter. I can not see how it is possible to definitely say
>in most people that it is the psoas that you can feel. Palastanga, field
>and Soames in Anatomy and Human Movement (Butterworth-Heinemann Third
>Edition 1998) state that it is virtually impossible to palpate.
>Please let me know how you did it?
>
>Yours sincerely
>
>Simon Mesner MBBS (A+B) B.Sc. (HONS) MCSP SRP Cert. Sports Physiotherapy
>Senior Chartered Physiotherapy
>
>> -----Original Message-----
>> From: sophie dhenin [SMTP:[log in to unmask]]
>> Sent: 15 July 1999 15:47
>> To: [log in to unmask]
>> Subject: Re: psoas release
>>
>> Hi everyone
>> I've had lots of requests for a description of a psoas release technique
>> which I shall endeavour to provide: please try it - it works! - it's not
>> painful for the patient which is a real boon. It's called the frog
>> technique
>> for reasons which will become obvious.
>> Patient lies in crook lying position. Since I'm right handed I tend to
>> stand
>> on the patient's right. First explain to the patient what you are going
to
>>
>> do and if appropriate drape a towel over the pelvis. Rehearse with the
>> patient what he will be doing: ie he will draw his legs up and put the
>> soles
>> of his feet together so that he is resting the lateral borders of the
feet
>>
>> on the bed and the knees drop out into a frog-like position. At your
>> instruction he will slowly slide the legs back down the bed keeping the
>> soles together until the last possible moment. You in the meantime will
>> have
>> a hand under his sacrum and will be exerting a traction force on it.
>> Once the patient has practiced the leg movements and you have ascertained
>> that it causes no pain, you can procede with the technique. Ask the
>> patient
>> to lift his backside off the bed, knees slightly apart. Slide your hand
>> between his legs and under him so that you cup the sacrum in your hand -
>> you
>> will find that you need to go a little higher up than you expect so that
>> you
>> are actually cupping the most prominent part of the bone with the heel of
>> your hand.
>> Ask the patient to relax his weight back down onto you, then adopt the
>> knees
>> out / soles together position. You traction the lumbosacral area by
>> leaning
>> away from the patient (use your body weight not your biceps) and give him
>> the go-ahead to start straightening his legs. Exert traction all the way
>> down.
>> Repeat x3
>> Then palpate the psoas again.....it will be like jelly!
>>
>> If you wish to mobilise an iliolumbar ligament or to stretch out a
>> scoliotic
>> back you can adapt this technique beautifully ....
>> Hope this makes sense
>>
>>
>>
>> Sophie Dhenin
>>
>>
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