Iliacus-Psoas Active Release Technique with adaptation

Here we have ART in action releasing the Iliacus and Psoas Major.  This technique I usually combine with manual Psoas activation, distal Psoas/Iliacus release and general release of the anterior hip capsule and indirect head of the RecFem.  Viewers will note the regular mention of these techniques in the posts, this is largely due to their effectiveness and the regularity with which hip dysfunction presents.

My objective with this specific protocol is often to separate and facilitate sufficient slide between the Iliacus  and Psoas Major.  Improvements here will positively effect hip flexion, extension and pelvic control.  It is my opinion that these TWO muscles oppose each other in the sense that Iliacus is a powerful flexor of the hip whereas Psoas, especially its anterior fibres, cause posterior tilt of the pelvis due to fascial connection to the anterior surface of the innominate.  The segmental vertebral attachments and segmental innervation hint that the posterior fibres of Psoas act, in much the same way as the lumbar Multifidus, providing spinal stability.  I would add to this hypothesis by suggesting that many of the motor control strategies attempting to retrain the so-called "inner unit", and especially with regard to the TVA, elicit improvements due to the facilitation of Psoas function.

Key technical points regarding this protocol include,

- Flat contact onto the Iliacus.  As with all ART the contact should not compress the structures involved, full ROM and slide may then be achieved.
- Full range of hip extension with slight internal rotation.
- Care to be taken when proximal to the Femoral nerve or Lateral Femoral Cutaneous Nerve.
- To aid separation, posterior pelvic tilt may be added at terminal hip movement, this will effectively allow the Psoas to slide.
- Contact should be inferior to the Inguinal Ligament.

Apologies - the intended video clip of the technique did not upload.  The images above show the basic start and finish position.  The technique can be effective through clothing as shown.


Please do not attempt any of the above unless you are suitably qualified!