Corkscrew for Hip, Posterior Chain, and Neurodynamic Mobility | Modern Manual Therapy Blog - Manual Therapy, Videos, Neurodynamics, Podcasts, Research Reviews

Corkscrew for Hip, Posterior Chain, and Neurodynamic Mobility

if your ASLR and PSLR looks like this, this post is for you
At the Rochester The Eclectic Approach to UQ and LQ Assessment and Treatment, we made some rapid changes in what appeared to be slow responders for hip mobility.

In all 3 cases, they had

  • ASLR and PSLR (active and passive) limited to 45 degrees or less bilaterally
  • did not respond rapidly to IASTM or other modulation techniques

Wrapping with the EDGE Mobility Band is a great way to modulate stretch perception. In other words, feeling the novel compression instead of a strong sensation of stretch combined with active and passive overpressure during The Corkscrew Hip and Posterior Chain Mobilization often gets you rapid results.

Twinkle Toes loves The Corkscrew

After restoring mobility with The Corkscrew, usually done in a few sets of 8-10 reps. The new mobility is trained with the diagonal activated ASLR. Both are seen in the video below. All 3 PTs were high tone individuals who had not been able to touch their toes or go beyond 45 degrees ASLR in years.

The Corkscrew with EDGE Mobility Band

  • wrap the thigh at area where the most stretch is perceived
  • the patient actively extends the knee and dorsiflexes at the ankle 
  • the cue is "push your heel up to the ceiling"
  • the PT adducts the hip, internally rotates, and flexes to 90
  • the overpressure is on the band, further taking the tissues into IR, providing some inferior glide and long axis distraction
  • the patient may exhale as the technique is performed on/off

Diagonal Activated ASLR 

The rationale here is that in gait, the right UE helps drive the left LE. Activated the right UE with an active press of a kettlebell, dumbell, or just manual resistance from an clinician helps activate the left hip flexors and inhibit the posterior chain. This is done with an exhalation on ASLR with a belly breath, making sure to activate the diaphragm.

If you or a patient of yours has trouble toe touching or with "tight" hamstrings, the above combination of The Corkscrew with EDGE Mobility Band and retraining with diagonal activated ASLR is a very simple and powerful way to rapidly restore mobility in a threat free manner.

Keeping it Eclectic...

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