TFL and IT band

Anstomy

OriginOuter lip of anterior iliac crest, Anterior superior iliac spine (ASIS)
InsertionIliotibial tract
ActionHip joint: Thigh internal rotation, (Weak abduction); Knee joint: Leg external rotation, (Weak leg flexion/ extension); Stabilizes hip & knee joints
InnervationSuperior gluteal nerve (L4-S1)
Blood supplyAscending branch of lateral circumflex femoral artery

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Stretching

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Rolling and self massage

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Ober’s Test

Assessing For: the length of the Iliotibial band and Tensor Fascia Lata

Procedure:

  • Patient is sidelying close to the edge of the table on the unaffected leg. Therapist stands behind the Patient.
  • Flex hip and knee of the unaffected leg that is at the bottom
  • Stabilize the Patient’s pelvis with one hand
  • With the other hand grasping the medial aspect of the patient’s affected knee, passively hyperabduct and extend the affected femur at the hip.
  • Allow the affected leg to lower without rotating

Positive Sign: the affected leg stays abducted and does not lower.