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Lumbar spine |
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Manual - Manual stretching |
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Rotation of the back extensors (Autochthonous extensor):
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| a) The spinal acanthi are palpated with the thumb and the ball of the thumb and the muscle fibers running parallel to the back extensor muscles are then pushed away from the acanthi to create a u-shaped pre-tensioning of the muscles. To stretch, the pressure is increased with the second hand using the thumb itself or, for more extensive stretching, with the ball of the thumb.
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b) With the patient in a lateral position with knees partially flexed, the long back extensors are palpated with the fingertips. The therapist pulls the muscles towards him/her and pre-tensions them in a u-shaped manner. To stretch, the therapist pushes on the shoulder girdle and pelvis with the forearms and pushes them apart to separate them from the beginning and attachment of the back extensor.
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Stretching the hip flexors (iliopsoas):
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Stretching the posterior thigh (hamstrings, ischiocrural muscles):
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In a supine position, one leg pulled back to the chest, the other hanging over the edge of the couch, the spinal column is locked by the bracing of the flexed led against the body of the therapist. To stretch, the hip joint is straightened by light pressure on the thigh.
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a) With the patient in a prone position, the therapist places the patient's thighs on his/her own.
S-shaped pre-tensioning is applied using a pinch grip on the inner or outer side, according to the location of the pain.
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b) To stretch, the knee is extended.
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