Hip

1. The hip

2. Pelvic Girdle
• Sacroiliac joint
• Iliac crest
• Ilium
• sacrum
• Coccyx
• Ischium
• Pubis
• Pubic symphasis

3. Palpation of the pelvic
• Hip joint?
• Ilium?
• Ischium?
• Sacro-illiac joint?

4. Pain
• Sit bone pain in Yoga!
!
Discomfort when folding forward. How to
accommodate this pain? Bend the knees?
!
• SI joint pain in Yoga!
Asymmetrical poses and twists

5. Bone + O + Bone = joint!
!
Femur meets the acetabulum of the pelvis !
!
• Acetabul-O-femoral joint
Naming the hip joint

6. • Acetabul-O-femoral joint

7. Pelvic
movements
!
Anterior tilt
!
Posterior tilt

8. Movements at the hip
• Flexion
• Extension
• Abduction
• Adduction
• internal rotation
• external rotation

9. Muscles of the hip

10. Anterior Muscles
• Quadriceps (flexion)
• Adductors (5 muscles on the inner thigh)
• Tensor fasciae latae (TFL)
(abduction,flexion)
• Sartorious (Flexion, abduction,lateral
rotation)

11. Lateral Muscles
• Gluteus minimus (abduction, medial
rotation)
• Gluteus medius (abduction, medial
rotation, lateral rotation)
• Both stabilise the hip

12. Posterior Muscles
• Deep six lateral rotators (piriformis
muscle)
• Gluteus maximus (extension, stabilise)
• Hamstrings (extension, external rotation)

13. 2 joint muscles
• Quadriceps!
• Hamstrings !
Both muscles groups cross to major joints the
hip and the knee
Work in opposition harmoniously

14. Quadriceps
• group of 4 muscles!
• (1) rectus femoris,
• (2) Vastus medialis ,lateralis, intermedius
• Origin - Ilium (1) Femur (2)
• Insertion - Tibia
• Action - Flexion of hip and knee

16. Hamstrings
• Group of 3 muscles
• (1) Biceps Femoris (2) Semitendinosus, (3)
Semimembranosus
• Origin - Ishium (1) Femur (2,3)
• Insertion - Tibia (2,3) Fibula (1)
• Action - Hip extension, assits rotation

18. Factors that determine
hip flexibility
• Angle of the hip socket
• Angle of the femur head and neck?
• Tissues
• Gluteals

19. Kinetic chain
• Open and closed (review)
!
• Femur – SI joint – spine
!
• Pelvic movements are related
up and down

20. Sneaky hips
Swivel or true twist?

21. The iliopsoas muscle

22. Psoas + iliacus = iliopsoas
!
Hip flexor, low back stabiliser.
!
!
Most powerful of the hip flexor
group. !
!

23. Psoas Major muscle
• Origin - First lumbar vertebrae
• Insertion - Lesser trochanter of the femur
• Action - Flexion of the hip + external rotation

24. Illiacus
• Origin - Iliac fossa
• Insertion - Lesser trochanter of the femur
• Action - Flexion of the hip joint + external rotation

25. Commonly thought of as one muscle

26. Psoas core elements
• Center of gravity
• centre of movement
• ‘core’ muscles
• very deep
• emotional
muscle……
• Uddiyana (float)

27. Palpate the psoas

28. • Bones of the pelvic
• Anatomical name of the hip joint
• Movements of the hip
• Pelvic tilts
• 2 joint muscles
• Factors effecting hip flexibility
• Importance of the iliopsoas as a hip flexor muscle
Review