application of strs

8/3/2019 Application of STRs

1/15

Advanced Sports Massage

Moulton College


2/15

Aims and objectives

Demonstrate a series of STRtechniques

Practice a variety of STR techniques Active

Passive

Resisted

Weight bearing


3/15

Dorsiflexors

Patient lies supine

Place towel under knee for comfort

Locate Tibialis Anterior Tendon Or site of lesion

Lock with Thumb

Apply technique

Active / passive

plantar flex foot Resisted - Client attempts to produce a

stretch of the tissue but is resisted bytherapist


4/15

Achilles tendon

Patient lies prone

Bend knee and support

Apply Lock using thumbs Lock on both sides of tendon to stretch

fascia during movement

Apply technique

Active / Passive

Dorsiflex foot Resisted- Client attempts to produce a stretch

of the tissue but is resisted by therapist


5/15

Knee Extensors

Patient lies supine

Support knee in semi-flex

position Re-extend the knee to

shorten the musculature

Apply lock Use thumbs to focus on VMO

(specific lesion)

Broad lock using hand /webbing over distal MT junction

Flex knee to lengthen tissue


6/15

Alternative approaches

In sitting leg over edge of couch

Standing

move from upright to squatposition

Specific thumb lock to patella tendon


7/15

Hamstrings

Many different approaches toapplying STR on Hamstring group

Important to adapt to size andcondition of the muscle

Technique 1 - Passive: Patient lies prone

Broad lock applies across distal Mtjunction using palm of hand

Passively extend the leg


8/15

Hamstring 2 - Active

Patient lies prone

Reinforce lock using webbing of bothhands of distal MT junction

Patient actively extends knee

Hamstring 3 Resisted

Repeat start position

Lock applied using webbing of one handonly

Therapist resists patients kneeextension


9/15

Technique 4 - Passive

Patient lies supine

Flex hip to approx 90+

Apply lock Use thumbs / fist / elbow

Depending on location / size ofadhesion

Use other hand to support thigh /knee to prevent further hip flexion

Patient actively extends knee


10/15

Technique 5 hamstring origin

Patient lies supine

Patient supports thigh in flexed hip

position Hands behind knee


11/15

IT band

http://www.youtube.com/watch?v=FUq1Kq0HDT0&feature=related

Patient lies side lying

Support medial aspect of thigh

Knee / pillow / towels

Typically requires use of thumbs /elbow for application of lock

Whilst applying pressure patientFlex / extends knee joint

Can be V.uncomfortable!
http://www.youtube.com/watch?v=FUq1Kq0HDT0&feature=relatedhttp://www.youtube.com/watch?v=FUq1Kq0HDT0&feature=relatedhttp://www.youtube.com/watch?v=FUq1Kq0HDT0&feature=relatedhttp://www.youtube.com/watch?v=FUq1Kq0HDT0&feature=related


12/15

Piriformis

Patient lie prone

Apply elbow in a longitudinal direction to

the piriformis muscle

Maintaining lock position apply technique

Active assisted patient internally rotateship

Passive therapist internally rotates hip

Resisted - therapist resists externalrotation


13/15

Shoulder Elevators

Patient lies prone

Apply lock with thumbfrom one hand

Use other hand on acromion and

depress shoulder to lengthen tissue Technique could be applied with

active assitance


14/15

Infraspinatus

Patient lies prone

Treated arm lies over side of couch

Palpate area of Infraspinatusmuscle to be locked

Lengthen muscle by moving intoexternal / medial rotation

Can be applied Actively / Passively /Resisted


15/15

Latissimus Dorsi

Patient lies side lying

Place arm at 90 shoulder flexion

Apply lock using hands

Just inferior and posteriorly to arm pit

Arm is then Flexed and abducted

whilst lock is maintained

application of strs

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