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- Hello massage nurse,
so now we're doing lesson eight
and I'm gonna be doing the muscles of hip, flexion,
extension, abduction, adduction,
medial rotation, and lateral rotation.
So I'm gonna start with the adductors, okay?
So there's five adductors, you've got your pectineus,
which is the blue one right here,
it originates in the superior pubis.
And then you've got your adductor brevis,
which is the pink one and that originates
right below the pubis.
Then you've got your adductor longus,
remember if there's a brevis,
there's gonna be a longus,
that will be the green one right here.
And then you've got your adductor magnus,
which is the massive one
and that one originates from the lower part of the pubis.
And it inserts right here on the distal part of the femur,
they all insert in the femur.
And also the adductor magnus also originates right here
from the femur.
So it's pretty wide, it's underneath and you can see,
that they kind of overlap each other
and you've got your gracilis
that originates from the lower ramus of the pubis
and it inserts at the pes anserinus.
So in pes anserinus remember there's three muscles
that insert right here,
which is the gracilis, sartorius and the semitendinosus,
all three of them insert right here on the tibia.
So it's very important for you guys
to massage this area here at the pes anserinus
where three muscles insert right here.
So for the...
There's five hams...
Not hamstring, I'm sorry.
Five adductors, four quads, three hamstrings,
six deep hip rotators, and oh, the iliopsoas,
I forgot to talk about the iliopsoas.
The iliopsoas is really to two muscles,
the psoas major and the and the iliacus.
Most people call it iliopsoas,
it's the main hip flexor,
I did not draw it on her because it's deep inside the body,
it originates from T12, L one, two and three, four, five,
and then it crosses diagonally,
so it's on the anterior part of the belly button,
and then it crosses diagonally
and it inserts at the lesser trochanter of the femur.
It's what anchors you,
it's the main hip flexor,
it's the one that you bend over with
and it also pulls you back.
So I didn't do that one,
but the iliopsoas is the main hip flexor.
Okay, so now you've got the gluteus maximus
and medius and minimus.
Now remember that the gluteus maximus
is the most superficial,
it is also the strongest hip extensor.
The strongest hip flexor is the iliopsoas,
that's the one that flexes your hips right here,
but the extensor would be your gluteus maximus.
It originates from the coccyx,
the sacrum and all the way to the ilium
and it covers all the part of your...
Biggest part of your glute
and it inserts at the gluteal tuberosity of the femur.
You have the iliotibial band, which is very strong,
it originates from the superior angle of the ilium
and it goes all the way down
to the lateral side of your knee,
it actually helps brace your knee,
so it doesn't go out, it's a very strong band.
Then you have your gluteus medius, which is right...
Also originates right here from the sacrum,
the ilium and inserts right here at the greater trochanter,
along with the gluteus minimus is underneath that,
very small and a lot of times,
gluteus minimus mimics sciatic nerve pain,
'cause it'll hurt the side of your leg.
So be careful with...
Check all the muscles out if you're having hip problems
and remember that these muscles, oh,
the gluteus medius is where you get a shot,
that bulky part on the top of your glute,
that's where you get the shot in the gluteus medius.
So you've got minimus, medius, maximus,
and they all insert right here on the lateral side,
by the trochanter.
So I'm gonna talk a little bit more
about the deep hip rotators,
'cause you have three glutes on this side
and underneath that,
you have your six deep hip rotators,
so you have nine muscles on each side.
So let me show you that, I drew that too,
that's what I'm gonna want you guys to do for your lesson
is learn these muscles,
because they're very important
with hip flexion, extension abduction, adduction,
and medial rotation and lateral rotation.
I'll show you again,
the movements here, so when you've got hip flexion,
you're closing the hip a little bit,
so do the hip flexion for me,
hip flexion and hip extension,
there you go, that's the gluteus maximus.
You got ab-duction, abduction away from the midline,
adduction, and then you've got lateral rotation
and then medial rotation.
So these are the movements of the hip.
And next lesson,
I'll be showing you movements of the knee joint,
which will be flexion and extension, which that's only...
That's easy, 'cause that's a hinge joint,
but there's so many muscles here.
So I hope this really helped you
and I just wanted to show you the movements and the muscles.
Okay, so now on this side,
remember these muscles are underneath the gluteus maximus,
medius and minimus, so you've got your piriformis,
which it originates on the anterior part of the sacrum.
This is actually the one that compresses the sciatic nerve,
that it sometimes it goes underneath
the piriformis muscle
and it looks like a little pizza slice,
it originates on the sacrum,
anterior part of...
Lower part of the sacrum
and they all insert at the greater trochanter of the femur.
Then you've got your gemellus superior
and gemellus inferior, this one's gemellus superior,
'cause it's on top
and this one's gemellus inferior, 'cause it's below it.
Then you've got your obturator externus,
which is...
Originates right where the ischium is
or the ischium depending on how you wanna pronounce it,
but it's right on that little of fossa,
so that's your sitz bone, the ischium is your sitz bone.
So it originates there and it also inserts
in the greater trochanter.
Then you've got your quadratus femoris
and this is a little bit lower
and it originates in the lower part of the ischium
and they all insert right here at the greater trochanter.
So it's very important for you to work all this out
when you are giving a massage.
Then muscles that you use for flexion, extension,
abduction, adduction, medial rotation, and lateral rotation.
But remember that this is of the hip
in lesson two, I'll be doing flexion
and extension of the leg.
So today is just the hip.
So for flexion of the hip
and flexion means that you're just bending at the hip,
your psoas major, iliacus, tensor fasciae latae,
your rectus femoris, gracilis,
adductor magnus and pectineus are a flexion.
Extension will be your gluteus maximus,
the semitendinosus, semimembranosus, biceps femoris,
and adductor magnus.
For abduction, meaning you're pulling your hip away
to the side,
is your piriformis, gluteus medius, minimus, maximas,
tensor fasciae latae and the sartorius.
For ab-duction away from the midline,
No, I'm sorry, adduction,
bringing it back to the midline,
would be adductor magnus,
adductor longus, adductor brevis, pectineus
and quadratus femoris.
Remember the adductors are in the medial part of the body.
Your lateral rotation will be your gluteus medius,
gluteus minimus, and tensor fasciae latae.
For lateral rotation that takes a lot more,
which is the psoas major, iliacus,
gluteus minimus, medius, gluteus maximus,
and all of the deep hip rotators.
So it takes a lot of muscles to make even just one movement,
so this is why it's important for you to learn
where the muscles are,
learn the general area of where they're at.
And I did my best to do the drawings,
it's very difficult to do the drawings
and trying to figure out
which angle we can show them to you guys
and I hope this really helps you,
we are gonna be doing lesson two next time,
and that will be the flexors and extensors of the leg,
which will be your hamstrings
and your quads, okay?
So remember that there are six deep hip rotators,
five adductors, four quads, three hamstrings,
two of the psoas major and psoas...
The iliacus makeup the hip flexor,
so you can think of them that way,
break them down a little bit,
'cause to think of 20 something muscles
is really overwhelming.
So with that I hope that helps you,
this is less than eight muscles of the hip movement
and part two will be muscles of the knee movement.
Until the next time create a great day.
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