Network Magazine summer 2015 | Page 40

restricted side). This self-myofascial release technique will help loosen up these structures and prepare them for the stretching exercise that follows. Client lies on their side and places the roller beneath their body on the lateral side of the leg/hip that appeared lower on the assessment. Client moves the roller gently up and down their leg and hip, pausing on any sore spots they find. Perform at least once per day on that side for a total of 2 to 3 minutes. Exercise 2: Door frame stretch This stretching exercise is designed to mobilise the hip that appeared lower (from the dowel rod assessment) so the body can begin to accept weight correctly on that side and help balance the hips. Side lying leg lift (position 1) Side lying leg lift (position 2) If you discover that your client’s hips are not level, you can assume their neck and head are also out of alignment, due to the compensatory movements they develop Door frame stretch Client stands in a door frame and reaches the arm of whichever side of the hip appeared lower in the assessment over their head. Grasping the doorframe above head level with the hand of the upstretched arm, the client places their other hand lower on the frame at thigh level and tucks their outside foot behind their inside foot.  Pushing their inside hip away from their hands, they shift their weight into their outside hip until they feel a stretch. Hold for 20 to 30 seconds. Exercise 3: Side lying leg lift A sideways shift of the hips can also result from a weakness on the side of the hip that appeared higher in the assessment, as the 40 | NETWORK SUMMER 2015 abductors become ineffective at stabilising the hip/leg during movement. This exercise strengthens the gluteus medius and minimus on the higher-hip side to help keep the pelvis, hips and lumbar spine centred. With their head supported, client lies on the side of the body that the dowel rod assessment revealed to have the lower hip. Bending the knee of the top leg, they position the instep of that foot on the inside of their bottom leg at knee level. Posteriorly rotating the pelvis (i.e. tucking it under) the client gently lifts the knee of their top leg without arching their lower back or rotating their hips. This exercise should be performed slowly, allowing plenty of time for the nervous system to connect to the muscles on the sides of the hips/buttocks. Perform 10 to 12 repetitions once a day. An understanding of how the whole body works together as a kinetic chain is essential when working with clients who experience pain. Utilising assessments that identify the underlying causes of musculoskeletal dysfunction, and addressing those issues with corrective exercises, can help you and your clients move better while eliminating longstanding aches and pains. For references read this article at fitnessnetwork.com.au/resource-library Justin Price, MA is the creator of the Network Corrective Exercise Trainer Specialist Certification course, The BioMechanics Method®. His techniques are used in over 25 countries by specialists trained in his unique pain-relief methods. fitnessnetwork.com.au/biomechanics