Inguinal ligament
Tensor Fasciae Latae
Sartorius
Inguinal ligament
Rectus
Femoris
Psoas Major
Pecti neus
Adductor Longus
So , we have TFL ( hill ), rectus femoris ( valley ), sartorius ( hill ), iliacus ( valley ), psoas major ( hill ), pectineus ( valley ), adductor longus ( hill ), adductor brevis ( valley ), gracilis ( hill ), adductor magnus ( valley ), and medial hamstrings ( hill again ) as the posterior border of the adductor magnus ( Image 10 ).
A
Inguinal ligament
Sartorius
Ilia cus
Psoas Major
C
Inguinal ligament
Or , looking at these muscles as couplets of two hills with a valley between , we have :
• TFL and sartorius as hills , with the rectus femoris as the valley between them ( Image 11a ),
• sartorius and psoas major as the hills , with the iliacus as the valley between them ( Image 11b ),
• psoas major and adductor longus as the hills , with the pectineus as the valley between them ( Image 11c ),
• adductor longus and gracilis as the hills , with the adductor brevis as the valley between them ( Image 11d ),
• and gracilis and medial hamstring muscles as the hills , with the adductor magnus as the valley between them ( Image 11e ).
When it comes to the rubric of having the client engage the target muscle to locate it , versus simply using the contour approach , I recommend that new practitioners work with the engagement approach because it is confirmation that you are , in fact , on the target muscle .
Inguinal ligament
Tensor Fasciae Latae
Image 11 . Couplets of two hills with the valley between . A , TFL and Sartorius with the rectus femoris between . B , Sartorius and psoas major with the iliacus between . C , Psoas major and adductor longus with the pectineus between . D , Adductor longus and gracilis with the adductor brevis between . E , Gracilis and medial hamstrings with the adductor magnus between .
Rectus
Femoris
Sartorius
Ilia cus
Psoas Major
Pecti neus
Adductor
Magnus
Brevis
Semitendinosus
Adductor
Adductor Longus
Semimembranosus
Image 10 . The muscles of hip joint flexion have a contour that resembles hills and valleys .
B
But once you are more experienced , simply having the knowledge of the location and contour of the target musculature is often enough to know with confidence that you have located it . With either approach , once located , the target muscle can then be assessed .
Gracilis
D
Inguinal ligament
E
Dr Joe Muscolino has been a manual and movement therapy educator for more than 35 years . He is the author of extensive online streaming video content on anatomy , physiology , and kinesiology , as well as assessment and treatment skillsets for manual therapists and movement professionals . He has created Learn Muscles Continuing Education ( LMCE ), Master Classes in Muscle Anatomy ( MAMC ), Bone and Joint Anatomy ( BAJAMC ), Kinesiology ( KMC ), and Visceral Anatomy ( VAMC ). He has also created a Master Online Curriculum for massage and other manual and movement therapy educational institutions . He is the author of multiple textbooks and he teaches continuing education workshops around the world , including a certification in Clinical Orthopedic Manual Therapy ( COMT ). Visit www . learnmuscules . com for more information , or you can reach him directly at josephe . e . muscolino @ gmail . com .
Dr . Joe will be teaching Clinical Orthopedic Manual Therapy classes in Sydney this October 26 / 27 and 28 / 29 . Register at terrarosa . com . au .
Magnus
Adductor
Brevis
Semitendinosus
Adductor
Adductor Longus
Semimembranosus
Gracilis
Gracilis
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