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Video tags
Subtitles
Russian
00:00:07
let's do it now we'll go as I wanted to go initially00:00:11
we'll start with the postural muscles, that is, the muscles of the stabilizer of the hip joint, this00:00:19
will be the deep muscles, we'll start from the depth, let's go up like this, not so deep,00:00:31
we find the iliac00:00:50
crest, the iliac crest, the posterior upper the iliac axis the00:00:56
lower iliac axis00:01:00
with such a simple pimp we denote that it is here 12th rib now we throw it even00:01:24
more difficult to find the vertebra here it is here we have the sacrum00:01:34
the sacrum something there you wave your head like that I try this is all that we drew00:01:44
I draw a half I will not draw the whole thing you and I still forgot one moment, this is the square muscle00:01:51
of the lower back, we have not yet voiced the muscle that forms the back wall of the peritoneum, that is, it is00:02:00
somewhat similar to the abdominal muscles together with each other, that is, how it looks like it has a00:02:10
beginning on the ilium on the transverse processes of the vertebrae and on the rib That is,00:02:18
the beginning from the ilium, the muscles go to the vertebrae, now I will draw00:02:27
fifth fourth00:02:33
Well, in short, in this format, I did everything 4 enlarged But that’s not the point00:02:39
That is, all the lumbar vertebrae captures the square muscles of the lower back from the ilium00:02:45
to the vertebrae, the muscles go along the transverse process of the ilium, we also00:02:51
have fibers going up, that is, to the rib 12 and from the vertebrae also the 12th rib00:03:04
and it turns out, as it were, a mesh, in fact, just a mesh at the back, which maximally closes the back wall00:03:09
of the peritoneum when it is shortened. But in addition to the fact that it makes lateraflexion, lateral tilts,00:03:17
it also participates a little in twisting in one and the other, that is, it attracts the rib to the spine and00:03:25
the ilium to the spine, that is, all these things with rotation, it will also participate there00:03:33
, mainly its function is more the main function, again, the posterior wall of the peritoneum, that is, it is directly00:03:38
active. It will not participate in movement as the main agonist, but the main function of protecting00:03:44
the posterior wall in hyperlordosis especially when you, let's say, feel the ilium of the 12th rib00:03:52
and see that there the distance is generally minimal in our case, here I only get two00:03:57
fingers, that is, it should be more, that is, it should be somewhere between 3-4 fingers, it should crawl between00:04:08
The bottom line is that you can even see in our case there is hyperlordosis, and this just00:04:16
speaks of that this muscle will be in a shortened state. But if you get out of the triggers,00:04:22
you00:04:27
can remove a good compensation. Therefore, you should never get into it00:04:33
. the place is the transverse processes, in principle,00:04:39
you can already work with them triggers often from this side you will find just00:04:47
a pain point right here you will00:04:54
usually see an ordinary person doing something twitching at the beginning while00:05:02
there are still different people sometimes someone in general it doesn't hurt you see yes at the initial levels When00:05:10
you are just developing palpation skills, you focus on oh And in the future you already00:05:16
when Oh, it’s probably been pressed, look before and over time, with a set of experience with a skill with a large00:05:23
number of patients, you already begin to feel them yourself, you don’t even need to focus on00:05:28
quince, you do a massage, you feel tight, like this, and we went in essence We even if we take Here00:05:36
is an official massage that let me associate this story when Yakovlev didn’t give it to washing the floors,00:05:44
that is, at first we do everything, we wiped it with a dry, damp cloth, then00:05:50
we start to wash it more deeply, then we find mud somewhere between the baseboards00:05:57
and some kind of dirt means sealing, that is the fabric should be soft everywhere, and now00:06:01
you find a dense fabric, we remove it, we clear it in this format, the00:06:07
simplest and most understandable method of washing the floors, we added the square muscle of the lower back, this is what the back00:06:16
we will have to finish, we forgot the back, let's go, the pelvis starts with the pastoral muscles00:06:23
, the gluteus medius muscle, this is straight what is very important in the hip joint is what00:06:33
stabilizes the femur here ace also By the way, the femur and the large skewer00:06:42
, that is, here we go into the crumb And we rest on top of the bone, this is the skewer, the big skewer, the bone00:06:53
climbed not from behind But on the side, right on the side, so you need to00:06:59
put your fingers on it right from above when you are on top, the main thing is to remove the weight of this Leg yes, of course, it’s unpleasant, of course00:07:10
, it is almost always in all diseases who do not deal with00:07:14
this story. It happens that, but I met that it’s not painful there, this girl does00:07:20
yoga00:07:25
stretching and so on for the last year. But it was00:07:32
. many00:07:39
recipes00:07:45
_ _ _00:07:50
and you will find00:07:56
from Roller, that is, here Roller is its borders Here at this level Where is it from I'm Borscht Well, a little bit00:08:07
here and the middle gluteal it reaches almost to the top of the comb, but a little bit00:08:13
before reaching the end of the tip itself. axis00:08:20
The upper anterior axis of the air bone, yes, to feel they put the pen00:08:27
, they00:08:34
asked the person to take the nail to the side and there you will feel this00:08:39
muscle in the depths and you can try to find its border right here you need to do it again.00:08:48
So if you imagine Yin and Yang, then the middle gluteal it looks like00:08:58
Inga, so let’s add00:09:04
it. That is, it’s like a comma, which is the main part of the muscle on this side, it’s just00:09:10
the place of attachment, it’s just the beginning, we understand it Yes, and from here the fibers go and cover00:09:18
the entire skewer from above00:09:24
, this is how its fibers will be directed a large number00:09:32
now Where is my atlas Who saw00:09:39
now clearly show not only here to feel here it is important to find This one00:09:43
in from the rolling roller Yes, this is just the middle gluteal Now we will take00:09:54
it this shoulder we have00:09:59
so air-lumbar Let's go further Here is the place of attachment of the middle gluteal this is our00:10:07
backside this is our front and here is her comma Here is a circle here and up to the upper00:10:18
part you see it occupies almost the entire plane of the bone, here is our skeleton00:10:26
and here on the skeleton it turns out00:10:30
This is a comma, it goes like this here, even like this00:10:38
, in this format00:10:42
, this is00:10:51
here here you ride you found the average annual and further anteriorly it00:10:57
will be all of it practically because further below it there is a small distance small gluteal00:11:02
Here is more about the average gluteal here to the side And thus00:11:13
This is how it looks on the biomechanics of standing here is the movement and, accordingly00:11:18
, the stabilization of the joint took a step, the joint needs to stabilize the middle00:11:27
one, the middle one turned on, and we’ll still find the pear it’s quite difficult,00:11:36
let’s go to the small one for a start, in fact, it’s just under the middle gluteal00:11:41
in the space, the residual space between the trochanter and the large gluteus maximus, and it00:11:46
’s more in front of us because its tail Yes, it’s the same one00:11:58
here more anteriorly and small here the tail goes away00:12:02
and it is also attached to the femur, but slightly in front00:12:08
, that is, it turns out here, and it will bend, it will also participate in abduction,00:12:16
see the middle gluteal grabs the femur here, and the00:12:20
gluteal bone goes a little further, that is, the gluteal bone is small, probably more than this part fastenings00:12:29
in front Yes, closer to the front yes Basically it will do flexion, but since it is a postural muscle00:12:37
, it will always participate because the joint As you can see, it is already attracted from both sides, but00:12:43
you need to put it entirely into the joint, but put the head of the bone into the hip joint00:12:51
And there is one muscle that will pull it in from this side and it will be the piriformis muscle and00:13:00
the next one of the important postural muscles is the pear-shaped pear-shaped starts00:13:10
from the sacrum from the inside, that is, it comes out from there, that is, well, not from the coccyx00:13:18
And from the inside, that is, from there it comes out of the sacrum and goes to the hip00:13:23
joint And grabs from above here for him, that is, thereby completing this00:13:33
moment of fixation of the hip joint from this side, that is, it turns out that you need to00:13:39
tighten the front from above and from the side, and these muscles will just perform this function all these three00:13:49
middle gluteal compartments remember we found with you Here is this00:13:52
pimpochka here why do we find this pimpochka in order to understand that it is from this00:13:59
pimpochka that the piriformis muscle begins and it will be difficult to find it to feel it,00:14:06
so it’s easiest to draw here Well, even you work with a person,00:14:11
a person with piriformis syndrome even gives you it’s not a syndrome, it just says00:14:17
it’s better with you, it’s already a little worse Yes, it shoots at the back surface, so I say on I lean00:14:24
there or go straight from my ass, but it shoots from the gluteal muscle to the heel in a straight00:14:30
line. This suggests that there are problems with the00:14:34
sciatic nerve. that00:14:40
this is all the space beyond the sacrum, this is all the piriformis muscle and it is attached, as it were,00:14:46
from above by the skewer Well, you see, if you look from the side, we see such a picture And if you look from this00:14:52
side, we see here another depression, that is, as if the pear-shaped one enters like this here00:14:59
, like this, well,00:15:09
yes, she’s not the middle one, it doesn’t work at all, well, as if the tail might00:15:20
go a little under the middle Well, by reinforcing the middle one, not under the muscle itself, but under the mount00:15:25
, and now it turns out here she is here, her movement is all right I I twist, I look, my leg is shorter00:15:33
somehow it rotates incorrectly in the other direction, its main function If you take its00:15:42
tension, this is rotation, the external rotation of the leg is here this is this is this And here its00:15:52
contraction will be Here, that is, put your foot on me here is the contraction of the piriformis muscle00:15:58
biomechanics guys such an interesting thing, of course00:16:06
, because depending on the position of the joint, the muscle will change its function and here we are now00:16:12
we are with you the surface can be water a little parrot, let's take the middle gluteus or pear-shaped is the00:16:18
external editor of the thigh, it is bent by the internal rotator, then here it makes this movement when the00:16:26
leg is bent, it does This is the movement and the middle gluteus, depending on the degree of composition, makes00:16:32
external rotation or internal rotation, because in general the average game on in fact, a very00:16:37
interesting muscle if we consider it from the point of view of mechanics, here we have the ilium, here we00:16:42
have the femur, and here are the muscles that lie there Well, it’s schematic, as it were, and that’s how00:16:48
we grab it here a little, I’ll load you up, which was directly very interesting personal and if I00:16:57
move the joint Here in this plane here it is also will participate in the movement and she00:17:04
will also participate in the movement of flexion in hip extension and also in the rotation she will participate00:17:10
That is, if some fibers begin to contract, then the joint begins to go in this direction and00:17:18
rotate because it lies, as it were, on top of the lever this lever it will move like this00:17:26
and often you will find painful things here where the transition is precisely the back of what00:17:31
I am leading to Because when there is weakness of the gluteal muscles, it will be overloaded by the00:17:36
middle gluteal piriformis muscles, for example, for some reason, the gluteus00:17:42
does not work in normal function there is a skew of the pelvis there. It is stretched by itself, is in a stretched00:17:47
position, that is, the wing of the pelvis00:17:53
has gone a little in front, thereby the muscles will remain reflexively already00:17:57
working poorly and the muscles will be overloaded. perfect00:18:06
. Therefore, these things will always be here sore and ideally but it’s not always necessary00:18:11
to remove them directly, this is compensation, that is, these are the muscles that at least somehow hold the00:18:15
hip joint when the buttock does not work, at least somehow00:18:18
allow the hip joint there is a simple option there is a difficult one there is a simple option00:18:28
and we ask the person to push out the arm strain relaxed Push here it’s clear that the gluteal gluteus is correct, the00:18:36
big gluteal yes, I crushed it and I ask the person to just turn it on00:18:42
so that it just works for her and the brain sees that the muscles can function this is a simple way from00:18:47
sports massage00:18:53
we need the guys turned on the muscles they gave the exercise everything is a chic compensation00:19:02
yes but there are always some nuances there In general, I realized that it’s difficult to draw a trapezium00:19:11
pear-shaped we find the lower awn we feel the sacrum and from it we draw the00:19:22
average annual here we find it is important to find this border where it begins and listen at all to her00:19:29
in motion ask a person take your leg to the pear-shaped side, you can also try to00:19:35
feel it, put a pen like this and ask the person to twist the leg back and forth Like this,00:19:41
give me you there, it’s not much for you, let’s00:19:51
feel it right in the movement of the muscle, I advise you to directly put your hand ask to make the person00:19:59
move to relax on the shoulders of that middle one you need to find it to the side Push with your foot and00:20:03
look relaxed straight so that the tissues relax as much as possible then give the leg to the side and listen00:20:08
What is there where it strains right in this format while palpating Yes of course Of course it’s But00:20:17
what about the big buttock but the big buttock right away we throw a big one or not00:20:23
a medium little toy and a big gluteal big gluteal Let's finish it off, yes, remember this00:20:39
axis, you were looking for it yourself and here it comes and here you feel some more moment where00:20:46
this tubercle is, that is, it’s just so voluminous here voluminous here this voluminous00:20:51
Kustman bone is just one of the places of attachment of the gluteal muscle and then the gluteal m Our fish is00:20:58
captivating. That's it, everything is up to the sacrum and some textbooks have a drawing that captures the coccyx.00:21:10
But the coccyx there is a slightly different connection00:21:19
. today there is such a thing00:21:29
and again the eye began to twitch00:21:35
to look at the middle buttock How to find its border on the thigh where it is attached like this with your fingers and00:21:42
find where it sticks What is stuck it when the fingers go softly and then they become Well , they00:21:50
go straight hard and here at the level of sticking, it just passes and everyone started touching themselves, yes00:22:00
, that is, about here you are just now. Try and the gluteal muscles are also an interesting00:22:07
girl00:22:14
; it is attached right here from this part00:22:22
And they capture a large area like this this is all the femurs it goes with us00:22:29
this is all big berries this is only to the beginning of the gluteus maximus Yes, it is attached to the femur00:22:37
and everything is not as simple with it as it seems, in fact, it has two heads, two fibers00:22:45
, the lower fibers go to our femur, and the surface of the fiber goes to the00:22:51
fascia lata of the thigh or the tibial tract in the pictures we saw here is this thing00:22:59
This is the tibial tract of the iliac in the future will be ready or the latial tract00:23:09
here someone calls it that in fact in Russian in a simple ilio-tibial tract or00:23:15
Fascia lata of the thigh00:23:22
it is very painful swollen this is a question The large intestine and the question of the gluteal muscle00:23:30
were seen at sessions or in people on the same priest Well, on the ears on one side, the ear will be00:23:36
larger This is due to the weak gluteal muscle, that is, imagine two layers once a layer Strengthen00:23:45
yes yes once this layer is generally called the levers of love, but let it be daddy's ears Why are the levers of love00:24:01
and this can be the levers of love look Let's not00:24:05
delve into this question. Yes, I can individually answer later00:24:10
, and the second surface goes into the Lata fascia of the thigh and, accordingly, there is a00:24:15
certain space here, and when the gluteal is weak, the upper surface00:24:20
, it goes away from the side, edema is formed. Well, that is, there is a valuable tissue is just a large amount of00:24:26
special fluid and I think we saw on the one hand this story is clearly expressed and so00:24:33
we don’t climb it yet, if you see a lot of women after childbirth,00:24:45
this is the question This is a question of the pelvic floor because our coccyx is clearly connected with the gluteal muscles00:24:55
Ладно переходим все-таки к МФЦ есть прекрасные синдромы То есть когда00:25:01
есть мышцы какое-то укорочение допустим в данном случае будет подвздошно-поясничная00:25:06
мышцы в Укрощение воздушно-поясничный То есть она будет ротировать таз вот туда00:25:11
Тем самым растягивая ягодичную мышцу это укорочение остается когда человек ходит00:25:17
сидит и так далее То есть это есть перекос и в тренировках когда ты пыт аешься включить00:25:23
мышцу которая в данный момент растянута и рефлекторно мозг ее Видит видит ее00:25:28
так что её надо Расслабить она не может включиться никак поэтому на тренировках00:25:36
а это не поднимается значит не включается00:25:44
скорее всего ну либо не так тестирует либо это вопрос чего Толстому кишечнику00:25:48
отек на толстый на но проблема с толстым кишечником если не убирается00:25:54
скорее всего она все-таки до конца не включилась Ну посмотрим это индивидуальный00:25:58
момент формат того что ну по факту чаще всего исправляется с подвздошно-поясничной00:26:03
мышцей работы и на тренировках тоже даем растяжку подвздошно-поясничной мышцы и00:26:08
тогда вот эта штука будет уходить возвращаемся к большой ягодичной усложнил теперь упрощаем00:26:21
Соединяем волокна вообще как бы она идет вот так вот чуть-чуть вот так00:26:36
вот так будет направлены волокна чуть по другим углом Вот и вот здесь вот это вот00:26:42
уже не мышца напряги ягодичку вот ее граница То есть это жирочек из интересных фактов вот00:26:49
напрягает Но если вы не будете видела сухих сухих качков в идели фотографии сухущих качков00:26:57
которые выступают у них жопы иксиком таким них там нет жирка и это выглядит Ну так себе00:27:03
поэтому что почувствовать ягодицу можете попросить человека поднять Вот00:27:10
так ногу и вот так вот таким образом можете прощупать именно эту мышцу00:27:15
тут еще будет включаться сгибатели Да желательно согнутой ногой напрямую там00:27:24
будет подключаться еще мышцы Они и так будет подключаться можно00:27:28
напрямую попробовать Давай напрямую тоже в принципе ну видишь хуже00:27:33
большая ягодичная средняя Малая груша дам сям-ням груша00:27:45
она вплетается в него Вот про смотря не разветвление она по слоям идет то есть00:27:57
нижний слой глубокий который идет в кость и верхний слой который вот таким образом вот00:28:01
здесь видно вещь напрягает Широкая фасции она туда у него вплетается00:28:05
вот на картинке это прям явно очень хорошо видно Вот так вот четыре мышцы ребят поехали рисуемDescription:
Анатомия постуральных мышц. Фрагмент семинара: «Анатомия для массажистов» Подробнее о семинаре: https://kkpk.pro/obuchenie-massazhu/anatomiya-dlya-massazhistov/ - - - - - - - - - - ★ НАШИ КОНТАКТЫ ★ ★Вконтакте: https://vk.com/schoolsandal ★Сайт: https://kkpk.pro/ ★Чат для общения с коллегами: https://t.me/sandalchat ★Записаться на приём: https://dr-tsivanyuk.pro/ ★Адрес: г. Краснодар, ул. 40 лет Победы 172/1, 4 этаж ★Телефон, WhatsApp: +7 964 930 0030 ★ E-mail: [email protected]
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