← MBLEx Core

Lower Body & Trunk Muscle OIA

Connect attachments to joint action, palpation and the exact regions treated in the New Routine.

Low Back

Quadratus lumborum

O: iliac crest/iliolumbar region. I: 12th rib and lumbar transverse processes. A: ipsilateral trunk lateral flexion, bilateral lumbar extension; stabilizes 12th rib. Routine: QL Sweep.

Erector spinae

Groups: iliocostalis, longissimus, spinalis. Broad inferior attachments rise along ribs, vertebrae and skull depending on column. A: bilateral spinal extension and unilateral lateral flexion with regional variation. Routine: Erector Glide.

Hip & Gluteal Region

Gluteus maximus

O: posterior ilium, sacrum/coccyx and associated fascia/ligaments. I: IT tract and gluteal tuberosity. A: hip extension/external rotation; contributes to stability. Routine: Glute Press, Rock & Roll, Elbow Melt, Target Points, Fist Transition, performed over the sheet as taught.

Gluteus medius

O: lateral ilium. I: greater trochanter. A: abduction; fibers contribute to rotation and pelvic stabilization during single-leg stance.

Gluteus minimus

O: lateral ilium deep to medius. I: greater trochanter. A: abduction/internal rotation and pelvic stabilization.

Piriformis

O: anterior sacrum. I: greater trochanter. A: external rotation of extended hip and assists abduction when flexed. Deep gluteal anatomy and sciatic nerve relationship require precise, non-aggressive work.

Tensor fasciae latae

O: ASIS/anterior iliac crest. I: iliotibial tract. A: hip flexion, abduction, internal rotation; tensions IT tract. The IT band is dense connective tissue, not a muscle.

Thigh

Hamstrings

Members: biceps femoris, semitendinosus, semimembranosus. Most originate at ischial tuberosity; biceps short head originates on femur. I: biceps to fibular head; semitendinosus medial proximal tibia; semimembranosus posterior medial tibial condyle. A: knee flexion; most extend hip; biceps laterally rotates flexed knee, semis medially rotate. Routine: Ham Glide.

Quadriceps femoris

Members: rectus femoris, vastus lateralis, medialis, intermedius. I: quadriceps tendon to patella and patellar ligament to tibial tuberosity. A: knee extension; rectus femoris also hip flexion. Routine: Quad Glide, Quad Knead.

Adductor group

Adductor longus, brevis and magnus plus medial-thigh gracilis/pectineus primarily adduct the hip, with additional flexion, extension or rotation depending on muscle and position. Attachments run primarily from pubic/ischial pelvis to femur; gracilis crosses to medial tibia. Routine: Adductor Wring. Medial thigh requires explicit consent and secure draping.

Sartorius

O: ASIS. I: medial proximal tibia at pes anserinus. A: hip flexion, abduction, external rotation and knee flexion.

Lower Leg & Foot

Gastrocnemius

O: posterior femoral condyles. I: calcaneus through Achilles tendon. A: plantarflexion and assists knee flexion. Routine: Calf Effleurage, Calf Split, Lobster Claw. Never deeply work an unexplained hot, swollen, tender unilateral calf.

Soleus

O: posterior proximal tibia/fibula. I: calcaneus via Achilles tendon. A: plantarflexion; important postural muscle. Bias palpation with knee flexed.

Tibialis anterior

O: lateral tibia/interosseous region. I: medial cuneiform/base first metatarsal. A: dorsiflexion and inversion. Routine: Shin Flow/Shin Strip region. Avoid grinding on tibial crest.

Tibialis posterior

O: posterior tibia/fibula/interosseous membrane. I: primarily navicular with expansions to midfoot. A: inversion and plantarflexion; supports medial arch.

Fibularis longus & brevis

O: lateral fibula. I: longus to plantar first metatarsal/medial cuneiform region; brevis to base of fifth metatarsal. A: eversion and assists plantarflexion. Use caution near fibular head/common fibular nerve.

Landmarks to know cold

ASIS, iliac crest, sacrum, ischial tuberosity, greater trochanter, femoral condyles, patella, tibial tuberosity, tibial crest, fibular head, medial/lateral malleoli, calcaneus, navicular and major metatarsal landmarks.