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Dynamic deformities such as ankle equinus and hip adduction deformity leading to subluxation are usually managed conservatively with exercises; serial casting and botulinum toxin type A injections. This main goal of these conservative measures is to impede or prevent the happening of fixed or static joint deformities.
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This exercises the hip adductors. The simple mechanism allows exercising any suitable muscle where a small angle can be created to press it, for example the biceps (elbow flexion) or the hamstrings (knee flexion).
Hip adduction is a strengthening exercise for the piriformis muscle. A cable attached at the ankle can be used to adduct the hip, bringing the leg in toward the opposite side of the body. The same equipment can also be used for hip abduction, where the leg starts beside the opposing leg and moves out to the side, away from the body.
The psoas is the primary hip flexor, assisted by the iliacus. The pectineus, the adductors longus, brevis, and magnus, as well as the tensor fasciae latae are also involved in flexion. The gluteus maximus is the main hip extensor, but the inferior portion of the adductor magnus also plays a role. The adductor group is responsible for hip adduction.
The extension synergy for the lower extremity includes hip extension, adduction and internal rotation, knee extension, ankle plantar flexion and inversion, and toe plantar flexion. [ 1 ] Note that some muscles are not usually involved in these synergy patterns and include the lattisimus dorsi , teres major , serratus anterior , finger extensors ...
This gait pattern is reminiscent of a marionette. Hypertonia in the legs, hips and pelvis means these areas become flexed to various degrees, giving the appearance of crouching, while tight adductors produce extreme adduction, presented by knees and thighs hitting, or sometimes even crossing, in a scissors-like movement while the opposing muscles, the abductors, become comparatively weak from ...
Magnus is a powerful adductor, especially active when crossing legs. Its superior part is a lateral rotator but the inferior part acts as a medial rotator on the flexed leg when rotated outward and also extends the hip joint. The adductor minimus is an incompletely separated subdivision of the adductor magnus. Its origin forms an anterior part ...
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