무릎 근육과 뼈의 촉진 매뉴얼

관절가동범위(ROM)- 대퇴경골관절의 운동은 3면에서 모두 일어나지만 시상면에서 슬관절의 관절은 완전한 굴곡에서 신전운동(0-140도)- 내회전과 외회전으로 된 횡단면에서 운동은 시상면에서 관절의 위치에 영향을 받는다. 무릎을 완전 신전(<a href="http://cafe.daum.net/panicbird" target="_blank" class="tx-link">screw home</a>)했을때 회전은 대퇴골과 경골의 맞물림에 의해 완전히 제약을 받는다. 이 맞물림은 대퇴골의 내측과가 외측과보다 길기 때문에 일어난다. 무릎 회전범위는 무릎 90도 굴곡시 최대로 일어난다. 이 상태에서 무릎의 외회전은 0-45도, 내회전은 0-30도 범위. 90도 이상 굴곡하면 내회전의 범위가 줄어드는데, 그 이유는 연부조직이 회전을 제한하기 때문이다.<div> </div> 슬개골 전면부 <img src="https://t1.daumcdn.net/cfile/cafe/203BB24450C47C9718" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_203BB24450C47C9718CC2D"/> 무릎굴곡시 구조 <img src="https://t1.daumcdn.net/cfile/cafe/0360534150C47CC904" class="txc-image" actualwidth="767" hspace="1" vspace="1" border="0" width="767" style="clear:none;float:none;" id="A_0360534150C47CC904AAD8"/>trochlear groove of the femur <img src="https://t1.daumcdn.net/cfile/cafe/1955C94150C47D2716" class="txc-image" actualwidth="766" hspace="1" vspace="1" border="0" width="766" style="clear:none;float:none;" id="A_1955C94150C47D2716C2A4"/>joint line of the knee <img src="https://t1.daumcdn.net/cfile/cafe/1104284C50C47DA028" class="txc-image" actualwidth="750" hspace="1" vspace="1" border="0" width="750" style="clear:none;float:none;" id="A_1104284C50C47DA028D3D6"/> Femoral condyles <img src="https://t1.daumcdn.net/cfile/cafe/012C9F5050C47DCF20" class="txc-image" actualwidth="752" hspace="1" vspace="1" border="0" width="752" style="clear:none;float:none;" id="A_012C9F5050C47DCF20C897"/> Tibial condyles <img src="https://t1.daumcdn.net/cfile/cafe/1558724850C47E021A" class="txc-image" actualwidth="752" hspace="1" vspace="1" border="0" width="752" style="clear:none;float:none;" id="A_1558724850C47E021A82B1"/> Head of the fibula <img src="https://t1.daumcdn.net/cfile/cafe/152B4D5050C47E4824" class="txc-image" actualwidth="661" hspace="1" vspace="1" border="0" width="661" style="clear:none;float:none;" id="A_152B4D5050C47E48244757"/> Tibial tuberosity <img src="https://t1.daumcdn.net/cfile/cafe/1753954F50C47E6A2F" class="txc-image" actualwidth="764" hspace="1" vspace="1" border="0" width="764" style="clear:none;float:none;" id="A_1753954F50C47E6A2FEF77"/> Tibial shaft <img src="https://t1.daumcdn.net/cfile/cafe/1574D44B50C47EA123" class="txc-image" actualwidth="578" hspace="1" vspace="1" border="0" width="578" style="clear:none;float:none;" id="A_1574D44B50C47EA123937B"/> Posterior views of the muscles of the pelvis and thigh <img src="https://t1.daumcdn.net/cfile/cafe/1674DE4B50C47F672A" class="txc-image" actualwidth="962" hspace="1" vspace="1" border="0" width="962" style="clear:none;float:none;" id="A_1674DE4B50C47F672AF461"/> <img src="https://t1.daumcdn.net/cfile/cafe/1358724850C47FF026" class="txc-image" actualwidth="882" hspace="1" vspace="1" border="0" width="882" style="clear:none;float:none;" id="A_1358724850C47FF0265855"/> Views of the anterior thigh <img src="https://t1.daumcdn.net/cfile/cafe/0152234850C4804634" class="txc-image" actualwidth="810" hspace="1" vspace="1" border="0" width="810" style="clear:none;float:none;" id="A_0152234850C4804634FC19"/> <img src="https://t1.daumcdn.net/cfile/cafe/20031A4950C4807804" class="txc-image" actualwidth="747" hspace="1" vspace="1" border="0" width="747" style="clear:none;float:none;" id="A_20031A4950C4807804D10E"/> Views of the medial right pelvis and thigh <img src="https://t1.daumcdn.net/cfile/cafe/1853944E50C480D218" class="txc-image" actualwidth="617" hspace="1" vspace="1" border="0" width="617" style="clear:none;float:none;" id="A_1853944E50C480D218D3C8"/> <img src="https://t1.daumcdn.net/cfile/cafe/125B084E50C480D20C" class="txc-image" actualwidth="707" hspace="1" vspace="1" border="0" width="707" style="clear:none;float:none;" id="A_125B084E50C480D20C3720"/> Views of the right lateral thigh <img src="https://t1.daumcdn.net/cfile/cafe/1559094E50C4811F11" class="txc-image" actualwidth="618" hspace="1" vspace="1" border="0" width="618" style="clear:none;float:none;" id="A_1559094E50C4811F118D24"/> <img src="https://t1.daumcdn.net/cfile/cafe/1758744E50C4811F12" class="txc-image" actualwidth="618" hspace="1" vspace="1" border="0" width="618" style="clear:none;float:none;" id="A_1758744E50C4811F120EE5"/> 햄스트링 근육의 촉진<img src="https://t1.daumcdn.net/cfile/cafe/0314104B50C4825305" class="txc-image" actualwidth="482" hspace="1" vspace="1" border="0" width="482" style="clear:none;float:none;" id="A_0314104B50C4825305D800"/> <img src="https://t1.daumcdn.net/cfile/cafe/134F993650C4835830" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_134F993650C48358301FF4"/> <img src="https://t1.daumcdn.net/cfile/cafe/0368134A50C4830010" class="txc-image" actualwidth="517" hspace="1" vspace="1" border="0" width="517" style="clear:none;float:none;" id="A_0368134A50C4830010BA20"/> Palpation of the superficial hamstring muscles of the right thigh <img src="https://t1.daumcdn.net/cfile/cafe/2016893C50C4838E01" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_2016893C50C4838E016255"/> distal semimembranosus <img src="https://t1.daumcdn.net/cfile/cafe/14134C3850C483C625" class="txc-image" actualwidth="746" hspace="1" vspace="1" border="0" width="746" style="clear:none;float:none;" id="A_14134C3850C483C625943E"/> Palpation of the distal tendons of the biceps femoris, semitendinosus, and gracilis as the client rotates the leg at the knee joint <img src="https://t1.daumcdn.net/cfile/cafe/1178183350C484A91F" class="txc-image" actualwidth="530" hspace="1" vspace="1" border="0" width="530" style="clear:none;float:none;" id="A_1178183350C484A91F1716"/> <img src="https://t1.daumcdn.net/cfile/cafe/185BA84450C484CD13" class="txc-image" actualwidth="753" hspace="1" vspace="1" border="0" width="753" style="clear:none;float:none;" id="A_185BA84450C484CD13DA0E"/> Posterior views of common lateral and medial hamstring TrPs <img src="https://t1.daumcdn.net/cfile/cafe/1371364150C485101A" class="txc-image" actualwidth="755" hspace="1" vspace="1" border="0" width="755" style="clear:none;float:none;" id="A_1371364150C485101A9DFE"/> A stretch of the right hamstring group <img src="https://t1.daumcdn.net/cfile/cafe/175CB04150C4854938" class="txc-image" actualwidth="800" hspace="1" vspace="1" border="0" width="800" style="clear:none;float:none;" id="A_175CB04150C4854938C738"/>장경인대 <img src="https://t1.daumcdn.net/cfile/cafe/134F334450C485992D" class="txc-image" actualwidth="773" hspace="1" vspace="1" border="0" width="773" style="clear:none;float:none;" id="A_134F334450C485992D8DC9"/>Starting position for supine palpation of the right TFL. <img src="https://t1.daumcdn.net/cfile/cafe/110E983E50C4864326" class="txc-image" actualwidth="764" hspace="1" vspace="1" border="0" width="764" style="clear:none;float:none;" id="A_110E983E50C4864326A9C6"/> <img src="https://t1.daumcdn.net/cfile/cafe/2027A23E50C4864301" class="txc-image" actualwidth="764" hspace="1" vspace="1" border="0" width="764" style="clear:none;float:none;" id="A_2027A23E50C4864301D7D8"/> <img src="https://t1.daumcdn.net/cfile/cafe/1809363F50C4868304" class="txc-image" actualwidth="765" hspace="1" vspace="1" border="0" width="765" style="clear:none;float:none;" id="A_1809363F50C4868304AB4E"/> <img src="https://t1.daumcdn.net/cfile/cafe/1328E24250C485E520" class="txc-image" actualwidth="591" hspace="1" vspace="1" border="0" width="591" style="clear:none;float:none;" id="A_1328E24250C485E5206A56"/> tensor fasciae latae (TFL) TrP <img src="https://t1.daumcdn.net/cfile/cafe/157EA14650C486B313" class="txc-image" actualwidth="682" hspace="1" vspace="1" border="0" width="682" style="clear:none;float:none;" id="A_157EA14650C486B31354C0"/> A stretch of the right TFL<img src="https://t1.daumcdn.net/cfile/cafe/194DEF3750C486E40F" class="txc-image" actualwidth="769" hspace="1" vspace="1" border="0" width="769" style="clear:none;float:none;" id="A_194DEF3750C486E40F9E49"/> Anterior view of the right sartorius <img src="https://t1.daumcdn.net/cfile/cafe/1504DC3B50C487270D" class="txc-image" actualwidth="787" hspace="1" vspace="1" border="0" width="787" style="clear:none;float:none;" id="A_1504DC3B50C487270DE59E"/> Starting position for supine palpation of the right sartorius. <img src="https://t1.daumcdn.net/cfile/cafe/016ADF3950C487FD1B" class="txc-image" actualwidth="760" hspace="1" vspace="1" border="0" width="760" style="clear:none;float:none;" id="A_016ADF3950C487FD1B7E07"/> <img src="https://t1.daumcdn.net/cfile/cafe/195C023750C4882501" class="txc-image" actualwidth="783" hspace="1" vspace="1" border="0" width="783" style="clear:none;float:none;" id="A_195C023750C48825015BF1"/> Palpation of the distal belly of the right sartorius by first locating the vastus medialis. <img src="https://t1.daumcdn.net/cfile/cafe/1370293950C4888E14" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_1370293950C4888E14932B"/><img src="https://t1.daumcdn.net/cfile/cafe/01147B3A50C488D339" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_01147B3A50C488D33934FD"/> <img src="https://t1.daumcdn.net/cfile/cafe/1409F53350C4876819" class="txc-image" actualwidth="598" hspace="1" vspace="1" border="0" width="598" style="clear:none;float:none;" id="A_1409F53350C48768191343"/> sartorius TrPs <img src="https://t1.daumcdn.net/cfile/cafe/1971E53B50C4890635" class="txc-image" actualwidth="737" hspace="1" vspace="1" border="0" width="737" style="clear:none;float:none;" id="A_1971E53B50C4890635C1C3"/> A stretch of the right sartorius <img src="https://t1.daumcdn.net/cfile/cafe/0318B53A50C4895D36" class="txc-image" actualwidth="625" hspace="1" vspace="1" border="0" width="625" style="clear:none;float:none;" id="A_0318B53A50C4895D36F61B"/> Palpation of the distal belly and tendon of the right psoas major portion of the iliopsoas medial to the sartoriusas the client flexes the spine by doing a curl-up. <img src="https://t1.daumcdn.net/cfile/cafe/162D6F3450C489C70F" class="txc-image" actualwidth="629" hspace="1" vspace="1" border="0" width="629" style="clear:none;float:none;" id="A_162D6F3450C489C70F1CA1"/> Views of the quadriceps femoris group <img src="https://t1.daumcdn.net/cfile/cafe/16489E3750C48A2728" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_16489E3750C48A2728EF30"/> Starting position for supine palpation of the right quadriceps femoris group.  <img src="https://t1.daumcdn.net/cfile/cafe/1801443650C48AEC11" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_1801443650C48AEC1142AD"/> <img src="https://t1.daumcdn.net/cfile/cafe/176C523650C48AEC31" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_176C523650C48AEC31C506"/><img src="https://t1.daumcdn.net/cfile/cafe/163A194350C48B7643" class="txc-image" actualwidth="681" hspace="1" vspace="1" border="0" width="681" style="clear:none;float:none;" id="A_163A194350C48B7643C94F"/> <img src="https://t1.daumcdn.net/cfile/cafe/2057AA4350C48B7716" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_2057AA4350C48B77167F9F"/> <img src="https://t1.daumcdn.net/cfile/cafe/12777E3650C48A551B" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_12777E3650C48A551B285E"/> Views of the quadriceps femoris muscles' common TrPs <img src="https://t1.daumcdn.net/cfile/cafe/023FC34250C48BA420" class="txc-image" actualwidth="1024" hspace="1" vspace="1" border="0" width="1024" style="clear:none;float:none;" id="A_023FC34250C48BA42075C5"/> A stretch of the right quadriceps femoris group <img src="https://t1.daumcdn.net/cfile/cafe/01556D4550C48BDA1B" class="txc-image" actualwidth="715" hspace="1" vspace="1" border="0" width="715" style="clear:none;float:none;" id="A_01556D4550C48BDA1B9761"/>Anterior view of the right gracilis Palpation of the right proximal gracilis Medial view showing common gracilis TrPs with their corresponding referral zone 박근 스트레칭