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Cadaver dissection of the TFL

Tensor Fascia Latae (TFL)

Integrated functional anatomy of the tensor fascia latae (TFL) and IT band. Attachments, nerves, palpation, joint actions, arthrokinematics, fascia, triggerpoints, and behavior in postural dysfunction. Common foam rolling, injury prevention, and stretches for the TFL.

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Course Description: Tensor Fascia Latae

This course describes the anatomy and integrated function of the tensor fascia latae (a.k.a. TFL, tensor fascia lata, tensor fasciae latae, or tensor muscle). This muscle is located on the proximal and lateral thigh, primarily anterior to the hip joint, invests in the iliotibial tract (iliotibial band), is composed primarily of type I muscle fibers, and crosses the hip joint and knee joint. The tensor fascia latae is a hip flexor, hip abductor, hip internal rotator, tibial external rotator, and may contribute to knee extension or flexion depending on knee joint angle. This course also describes the role of the tensor fascia latae in hip joint arthrokinematics, fascial integration (iliotibial band and gluteus maximus), postural dysfunction, and subsystem integration. Sports medicine professionals (personal trainers, fitness instructors, physical therapists, massage therapists, chiropractors, occupational therapists, athletic trainers, etc.) must be aware of the integrated function of the TFL muscle for detailed analysis of human movement, and the development of sophisticated exercise programs and therapeutic (rehabilitation) interventions. Further, this course is essential knowledge for future courses discussing injury prevention and physical rehabilitation (e.g. “tight TFL”, TFL pain, hip joint pain, knee pain, runner’s knee, greater trochanteric bursitis, IT band tightness/iliotibial tract tightness, hip impingement syndrome, etc.) and tensor fascia latae exercises and techniques (e.g. TFL foam rolling, TFL release, TFL soft tissue mobilization, TFL stretch, etc. ).

Pre-approved credits for:

Pre-approved for Continuing Education Credits for:

This Course Includes:

  • AI Tutor
  • Text and Illustrations
  • Audio Voice-over
  • Research Review
  • Technique Videos
  • Practice Exam
  • Pre-approved Final Exam

Brookbush Institute's most recommended techniques for the Tensor Fascia Latae (see videos below):

Cadaver dissection of the TFL
Caption: Cadaver dissection of the TFL

Introduction to the Tensor Fascia Latae
3 Sub Sections

Tensor Fascia Latae Muscle Actions
1 Sub Section

Fascial Integration
1 Sub Section

Behavior In Postural Dysfunction

Techniques for the Tensor Fascia Latae
8 Sub Sections

Bibliography

  1. Phillip Page, Clare Frank, Robert Lardner, Assessment and Treatment of Muscle Imbalance: The Janda Approach © 2010 Benchmark Physical Therapy, Inc., Clare C. Frank, and Robert Lardner
  2. Dr. Mike Clark & Scott Lucette, “NASM Essentials of Corrective Exercise Training” © 2011 Lippincott Williams & Wilkins
  3. Donald A. Neumann, “Kinesiology of the Musculoskeletal System: Foundations of Rehabilitation – 2nd Edition” © 2012 Mosby, Inc.
  4. Michael A. Clark, Scott C. Lucett, NASM Essentials of Personal Training: 4th Edition, © 2011 Lippincott Williams and Wilkins
  5. Leon Chaitow, Muscle Energy Techniques: Third Edition, © Elsevier 2007
  6. Tom Myers, Anatomy Trains: Second Edition. © Elsevier Limited 2009
  7. Shirley A Sahrmann, Diagnoses and Treatment of Movement Impairment Syndromes, © 2002 Mosby Inc.
  8. David G. Simons, Janet Travell, Lois S. Simons, Travell & Simmons’ Myofascial Pain and Dysfunction, The Trigger Point Manual, Volume 1. Upper Half of Body: Second Edition,© 1999 Williams and Wilkens
  9. Cynthia C. Norkin, D. Joyce White, Measurement of Joint Motion: A Guide to Goniometry – Third Edition. © 2003 by F.A. Davis Company
  10. Cynthia C. Norkin, Pamela K. Levangie, Joint Structure and Function: A Comprehensive Analysis: Fifth Edition © 2011 F.A. Davis Company
  11. Florence Peterson Kendall, Elizabeth Kendall McCreary, Patricia Geise Provance, Mary McIntyre Rodgers, William Anthony Romani, Muscles: Testing and Function with Posture and Pain: Fifth Edition © 2005 Lippincott Williams & Wilkins
  12. Karel Lewit. Manipulative Therapy: Musuloskeletal Medicine © 2007 Elsevier
  13. Carolyn Richardson, Paul Hodges, Julie Hides. Therapeutic Exercise for Lumbo Pelvic Stabilization – A Motor Control Approach for the Treatment and Prevention of Low Back Pain: 2nd Edition (c) Elsevier Limited, 2004
  14. Andrew Biel, Trail Guide to the Human Body: 4th Edition, © 2010
  15. Padua, D. A., Bell, D. R., & Clark, M. A. (2012). Neuromuscular characteristics of individuals displaying excessive medial knee displacement. Journal of athletic training, 47(5), 525.
  16. Bell, D. R., Oates, D. C., Clark, M. A., & Padua, D. A. (2013). Two-and 3-dimensional knee valgus are reduced after an exercise intervention in young adults with demonstrable valgus during squatting. Journal of athletic training,48(4), 442-449.
  17. Selkowitz, D. M., Beneck, G. J., & Powers, C. M. (2013). Which exercises target the gluteal muscles while minimizing activation of the tensor fascia lata? electromyographic assessment using fine-wire electrodes. journal of orthopaedic & sports physical therapy, 43(2), 54-64.
  18. Hewett, T. E., Myer, G. D., Ford, K. R., Heidt, R. S., Colosimo, A. J., McLean, S. G., & Succop, P. (2005). Biomechanical measures of neuromuscular control and valgus loading of the knee predict anterior cruciate ligament injury risk in female athletes A prospective study. The American journal of sports medicine, 33(4), 492-501
  19. Sutter R, Kalberer F, Binkert CA, et al. (2012). Abductor tendon tears are associated with hypertrophy of the tensor fasciae latae muscle. Skeletal Radiol. 42: 627-633.
  20. Ray B, D’Souza AS, Saxena A, et al. (2013). Morhpology of the superior gluteal nerve: a study in adult human cadavers. Bratisl Lek Listy. 114(7): 409-412.
  21. Gottschall JS, Okita N, Sheehan RC. (2012). Muscle activity patterns of the tensor fascia latae and adductor longus for ramp and stair walking.

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