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Soft tissue massage and trigger point release of iliopsoas, adductor group, gluteus minimus, gluteus medius, piriformis and tensor fascia latae
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Address soft tissue restrictions with the aim of reducing pain and increasing hip joint range of movement
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Sustained digital pressure to each trigger point, with the muscle positioned on stretch
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30 - 60 seconds digital pressure per trigger point
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Session 1 - 8
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Massage longitudinally along the muscle belly
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2 - 5 minutes of massage per muscle
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Mobilisation of lumbar spine
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To improve lumbar spine mobility and restore normal lumbo-pelvic movement
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Unilateral postero-anterior accessory glides, Grade III or IV
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3 - 5 sets of 30 - 60 seconds
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Session 1 - 8
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Correction of sacro-iliac joint asymmetries
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To optimise the position of the ilium and therefore the orientation of the acetabulum
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Massage to iliopsoas
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2 - 5 minutes of massage
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Session 1 - 8
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Mobilisation of sacrum
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Manual traction if ligamentum teres is intact or ligated and patient is >3 months post-labral repair
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Increase hip flexion and/or IR/ER range of motion
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Seatbelt around patient's proximal femur and therapist's hips. Gentle inferior and/or lateral traction force applied. May include patient actively moving hip into flexion as traction is applied
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3 sets of 10 seconds. If tolerated, increase by 1 set per treatment session to a maximum of 6 sets in total
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Session 1 - 8
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