With your client prone, test external and internal rotation of their femur. Have your clients knee bent to 90 degrees, then bring the foot across the midline to test external rotation. External rotation should go at least 60 degrees. If it does not go 60 degrees notice the end feel. If the end feel is hard then your client could benefit from joint capsule release. If the end feel is leathery then you need to work with stretching muscles.
To test internal rotation bring your clients foot away from the midline. Internal rotation should go 30 to 45 degrees. If it is less notice the end feel. If the end feel is hard then your client could benefit from joint capsule release. If the end feel is leathery then you need to work with stretching the piriformis and deep six muscles.
This work is adapted from the Orthopedic Massage work of James Waslaski. More information may be found at www.orthomassage.net
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