Hip Mobilization (Self-administered) Anterior to Posterior with Flexion

[@CaviteHomeCarePhysicalTherapy]

Good day!. I am a Physio in the PH and your videos are great refresher for me. God speed and take care

[@BrookbushInstitute]

+J FarnworthIt could, try it on the side that use the higher pelvis first and see how your movement changes. If you improve, this may be a good technique to add to your repertoire. B2

[@sweetyogajustine]

+Brent Brookbush We have a similar movement in yoga (I'm a teacher) but without the band. I'll experiment. Thanks for the advice.

[@sweetyogajustine]

Thanks for that I'll take a look

[@King30cal]

Correct me if I’m wrong but isn’t the band pulling in a inferior direction More than posterior. The hip is in flexion and not at long axis , if it was then it would be posterior.

[@garlicgirl3149]

Interesting. My physical therapist did this but without the band.

[@BrookbushInstitute]

+Tanya Walker Your therapist may not have had the same intention. Talk to your therapist about this technique and see what they have to say. Dr. B2

[@fractalofgod6324]

World this be the exact routine for FIA hip impingement? The exercise I've seen using the band involves much more range of movement of the femur backwards and forwards.

[@linal2068]

Thank you! Love your videos.

[@BrookbushInstitute]

So happy to help Lina! Dr. B2

[@Inspire-2030]

If you have the HMS certificate are you able to prescribe banded distraction to your clients

[@Ccsontos]

You might want to consider having the patient pull from behind the knee during the mobilization, pulling with hands over the knee adds unnecessary compression to knee joint and promotes joint degradation. I have all my clients stretch hamstrings from behind the knee (I know this is not a hamstring stretch, but the action is similar), probably not a concern with a patient of this age and health status, but something to keep in mind for middle aged, older aged, or patients with knee pathology history.

[@BrookbushInstitute]

+Cody Csontos Hey Cody, If we are going to get technical it is not compression but posterior glide of the tibia on the femur in flexion, and I doubt there is any risk of degeneration unless there is already pathology/pain present. It is a great suggestion for those with knee pain, but I think you will find this technique, depending on the amount of hip flexion someone already has, is actually less comfortable when trying to pull from behind the knee. We tried it... okay in a pinch, but not ideal. Thanks for the comment, Dr. B2

[@bostonkane110]

i dont mean to be offtopic but does any of you know a method to log back into an Instagram account..? I was stupid forgot the password. I would love any help you can give me.

[@zaynwesson1064]

@Boston Kane Instablaster ;)

[@omniaibrahim8689]

thanks a lot for vedios Is special techniques or consideration to be used or done for patient with total hip replacement?

[@BrookbushInstitute]

Once the surgeon clears the patient for all activity you may find this technique very beneficial for hip replacement patients. Dr. B2

[@omniaibrahim8689]

+Brent Brookbush thanks for replying I'm undergraduate physiotherapist doing research on mobilization in post operative hip replacement. Starting mobilize patient early to prevent complications. so do mean mobilization can't be used in first 24 hours following hip replacement surgery?

[@BrookbushInstitute]

Omnia Ibrahim No, I mean you should talk to the surgeon, and I am guessing you would not be able to do this in the first 4 to maybe 12 weeks.

[@SailingTheSeasPirateRob]

this is cool, if you do it side lying would it have a similar effect?

[@brentbrookbush9505]

It would, although I cannot imagine it being very comfortable. That band is really strong... and needs to be. The hip is a big strong joint. Dr. B2

[@HairyPixels]

Is something you would do after or before working on soft tissue? Thanks.

[@BrookbushInstitute]

+Hairy Pixels We do foam rolling and other release techniques, before mobilizing, and then follow up with lengthening/stretching, activation, integration, neuro reed, etc. Thanks for the question, Dr. B2

[@bbjonas4233]

Hi, is this good to do if have anterior femoral glide syndrome? Thanks

[@brentbrookbush9505]

Potentially, It depends on the mobility in that hip. Dr. B2

[@jasongearhart7340]

Can you elaborate on why this would be good for someone who pushes their knees out

[@brentbrookbush9505]

Hey Jason, Individuals with knees bow out often exhibit limited range of motion in their hips. Theoretically, this mobilization would increase extensibility of the posterior capsule of the hip joint, which may have a propensity to become stiff in those individuals with knees bow out. Think of the posterior structures around the ball of the femoral head shortening and turning the femur out. At the end of the day, we may not be able to support this theory with research, but the hypothesis led to this technique and it is often effective ;-) Dr. B2

[@rosav.nieves2778]

I have pain in my left hip, left knee for years. Also low back pain. MRIs normal. No results after trying seven chiropractors. Had been afraid to try this type of exercise, afraid that I might hurt my hip. If I decide to try it, do I need to do it on both sides? I barely get pain in my right hip.

[@drvn2001]

I have seen this technique with people who have clicking hips. Where the client may get pain in hip flexion and or extension. I have been trying it on myself. So far haven't seen the result. But I am assuming its something you have to work at on a regular bases for a while to get results?

[@BrookbushInstitute]

+John Hoadley Or it is the wrong technique John, It sounds like you are basing your decision to add this exercise to your program on a symptom and not on arthrokinematic dysfunction. Just because an individual has "clicking hips" does not mean they have insufficient posterior glide, or insufficient hip flexion. I might suggest considering further evaluation before selecting this exercise. Sincerely, Dr. B2

[@jorgemmmmteixeira]

If we were talking about hip capsules, this hits more the anterior capsule? By the way, do you even like that word "capsule"? Unless my online sources suck, when I searched for "posterior hip capsule", I was really expecting to see another thing,

[@BrookbushInstitute]

This would be a posterior capsule stretch and mobilization... think about how flexion would stretch the capsule, and how pushing the femoral head backward would further stretch the capsule. It is theoretical however, as we do not have the technology to research this assertion in vivo. The posterior capsule is not as well developed as the anterior capsule, which does paint some gray area into our assertion. Most important is to assess, address and re-assess. If this technique helps you and your client achieve your intended outcome, then great... if not, then try something else ;-) Dr. B2

[@jorgemmmmteixeira]

Thanks, informative as always. :) In a person with FAI (in the front) + pain in the posterior pelvis/hip while sitting over 90 degrees of hip flexion, does that means posterior capsule tightness most of the times? Some disconfort is felt on the SIJ and top of illium after that. Is it also possible to be the head of the femur hitting the posterior part of the acetabulum? Or is that very rare?

[@BrookbushInstitute]

I would think that posterior capsule tightness if far more common the anterior capsule tightness. The more important piece is to assess for hypomobility and use mobilization when necessary. Dr. B2

[@Peshur]

Mate Im late to the party here...just come across your channel (Digging it big time btw) do you have any tests/self assessment for external hip rotation?

[@BrookbushInstitute]

Hey Peshur, At our website, BrentBrookbush.com you can see all of our videos, including Goniometry, which is what I would use to measure hip external rotation ROM. Dr. B2

[@SuperDurv]

inferior to superior no?

[@sweetyogajustine]

I'm going to try this but before I do, would this be helpful to level the hips if one of them is lifting up?

[@BrookbushInstitute]

+J Farnworth Hey J, Interesting question, It depends on what is causing the hip lift... it's a little hard for me to give you an answer with out knowing what your using as an assessment for a "lifting hip"? If an overhead squat assessment reveals an asymmetrical weight shift on one side and reduction in hip flexion is noted during goniometry, then yes, this would help someone with a lifting hip. Dr. B2

[@postnatalmotcoach1006]

What if a student has pains right at that area top of hip,

[@mikeconnor3602]

I have pain also and a lack of range. I hope your question is a answered

[@montyjamable]

I have scar tissue there which makes this painful. I pad the area with a folded towel. It helps a lot.

[@getbetterpt]

That is a superior to inferior glide not anterior posterior. Looks great exercise though.

[@krazybilly99]

I dance ballet and im not quite sure about my left hip joint, because i can lift my knee up rotate it and i can feel a locking in my hip. when i lay on my back and pull up my knee with my hands i feel also a locking. what would u suggest me doing? whats the right position of my hip joint and what should i do to keep it in the right position?

[@BrookbushInstitute]

Hey Samibilly, Our videos are intended to educate professionals on various techniques, assessments and human movement science. This is not a "fix it yourself" channel intended for the average consumer. I wish I could help, but honestly without seeing you in person and identifying what it is that is causing that "locking" feeling there is very little I can do. As a dancer I find it unlikely that you would need joint mobilization techniques, so I would not attempt the technique above without a recommendation from a physical therapist or other licensed professional. I do hope you find a physical therapist that can help you in person in your area. Dr. B2