梨状肌综合征
2018-01-14 本文已影响0人
FML梵美丽婷婷
第二小组作业,黄婷、刘豫珊、周永萍
主诉:职业当瑜伽老师三年,左侧腰部疼痛;做完之后左侧腰部疼痛消失
![](https://img.haomeiwen.com/i9959623/c0d5dfa78fbc9be0.jpg)
![](https://img.haomeiwen.com/i9959623/0a6e2168be554848.jpg)
骶髂关节活动度测试,左侧髂骨旋后稍差!
![](https://img.haomeiwen.com/i9959623/9558540da6900dbf.jpg)
右侧髂骨旋后,所以给右侧做旋前的关节松动,并做后伸的肌肉能量技术激活!
![](https://img.haomeiwen.com/i9959623/55bfd0626d3cdd95.jpg)
左侧髂骨旋前,所以给左则髂骨做旋后关节松动,并松解臀大腘肌,最后MET激活髋屈肌!
![](https://img.haomeiwen.com/i9959623/4222c15ac3734eb4.jpg)
![](https://img.haomeiwen.com/i9959623/254e79a710f7dacb.jpg)
右脚旋外,左侧大腿旋外,考虑左侧扩胫膜和胫骨前肌紧张!
右侧旋内活动度差考虑右侧梨状肌紧张!
![](https://img.haomeiwen.com/i9959623/69cbc7936893ea3f.jpg)
梨状肌评估右侧不达标, 触诊:左侧臀大有痛肌张力大,右侧梨状肌有痛肌张力大
手法松解梨状肌,并做梨状肌MET!
![](https://img.haomeiwen.com/i9959623/0133fcf91184461b.jpg)
左侧髂胫束松解,并MET激活扩胫膜!
![](https://img.haomeiwen.com/i9959623/28ca51c19cae664e.jpg)
![](https://img.haomeiwen.com/i9959623/05a927244f5b56e3.jpg)
腰方肌评估,相对左侧比右侧紧!
![](https://img.haomeiwen.com/i9959623/a1a1f8a2a54dd421.jpg)
![](https://img.haomeiwen.com/i9959623/15b6edb77b7ecf8b.jpg)
左侧腰方肌松解以及拉伸!
![](https://img.haomeiwen.com/i9959623/00c67a1bce2d92d6.jpg)
![](https://img.haomeiwen.com/i9959623/4e9330b2832ae3d2.jpg)
![](https://img.haomeiwen.com/i9959623/106fbe854a5b3d15.jpg)
最后再回到静态评估,髂后上几乎在一条线上!左腿旋后活动度,也正常了!