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TENSOR FASCIAE LATAE Julia McHale December 20, 2013 What is the TFL? Tensor Fasciae Latae The tensor fasciae latae is a muscle of the thigh. The Latin name for this muscle roughly translates to English as “the muscle that stretches the band on the side”. The word tensor comes from the Latin verb meaning “to stretch”. Fascia is the Latin term for “band”. The word latae is the genitive form of the Latin word lata meaning “side”. (Wikipedia) www.jayspace.com/animal-anatomy/dog-and-feline.html Dog and feline: Origin: Lower edge of the front end of the pelvis; the surface of the gluteus medius. Insertion: Into the fascia covering the thigh muscles Structure: The triangular muscle separates into two forms on the surface. The muscle belly ends on the thigh; its lower edge is directed downward and forward from the upper end of the femur. The Sartorius, not the TFL, is the leading muscle on the front of the thigh. Function: flexor of the hip joint, extensor of the stifle joint, tensor of the fascia latae, draws the limb forward in the cranial movement of the stride. Canine Anatomy: A Systematic Study by Donald R. Adams Muscles: Tensor Fasciae Latae The cranial femoral muscles include the TFL and quadriceps femoris. The TFL is a short double-bellied muscle situated on the proximal lateral surface of the femoral region between the Sartorius muscle craniomedially the middle gluteous muscle proximally and the biceps femoris muscle caudally. The TFL muscle arises from the tuber coxae and inserts on the fascia latae. The cranial gluteal nerve arises from the lumbosacral trunk; crosses the dorsal surface of the ilium near the cranial margin of the major ischiatic notch with the cranial gluteal vessels and innervates the middle gluteus, deep gluteus, and TFL muscles. Dog stifle joint (knee) Musculature of Dog Stifle Joint There are two groups of muscles in the dog stifle: those that extend the joint and those that flex it. Below is a list of these muscles and the nerves responsible for their stimulation Muscles extending: Quadriceps femoral nerve. Tensor fasciae latae – cranial gluteal nerve. Biceps femoris – caudal gluteal, tibial nerves. Page | 1 Semitendinosus –tibial nerve. Semimembranosus – tibial nerve. Muscles flexing: Gracilis – obturator nerve. Gastrocnemius – tibial nerve. Superficial digital flexor – tibial nerve. PELVIC LIMB OF THE DOG: STRUCTURE AND FUNCTION The piriformis arises from the ventral surface of the sacrum and inserts on the greater trochanter deep to the tendon of the gluteus medius. Both muscles extend the hip joint and both, inserting lateral to the hip joint, have some action in abduction. The cranial part of the tensor fasciae latae, the cranial belly of the Sartorius, and the rectus femoris of the quadriceps act to extend the knee (stifle) joint and to flex the hip joint. Owing to the difference in the mass to be moved, the action of these muscles is chiefly to extend the more distal knee joint, which has the lesser mass. The caudal belly of the Sartorius acts to flex the hip and the knee joints. The caudal part of the tensor fasciae latae also acts to flex the hip joint; it has no action on the knee joint. Tensor Fasciae Latae m. Origin: Tuber coaxe Insertion: Cranial part: fascia lata, and by that means, the patella and patellar ligament; caudal part: lateral lip of the facies aspera. The Healthy Way to Stretch Your Dog: Sasha Foster/Ashley Foster The bent leg stretches the gluteal muscle group; the straight leg stretches the hamstring muscle group. Balance Your Dog: Canine Massage C. Sue Furman, PhD The two largest muscles on the lateral surface of the thigh are the biceps femoris, which extends the hip, stifle, and tarsus, and flexes the stifle; and the TFL which flexes the hip and stifle. INJURIES AND ISSUES www.ncbi.nlm.nih.gov/pubmed/18198787 Hip and sacroiliac disease: selected disorders and their management with physical therapy. Page | 2 Many problems in the hip area show movement dysfunctions of the hip joint in combination with the lumbar spine, sacroiliac joint, neurodynamic structures, and the muscular systems. Muscle strain injuries pertinent to the canine hip have been reported in the iliopsoas, pectinues, gracilis, Sartorius, TFL, rectus femoris, and semitendinosus muscles. Physical diagnoses of this type of injury require palpitation skills and the ability to specifically stretch the suspected musculotendinous tissue. Treatments shall incorporate modalities, stretches, specific exercises, and advisement on return to normal activity. Canine hip dysplasia (CHD) is a common finding in many large breed dogs. Physical treatments, preventative therapies, and rehabilitation could have a large role to play in the management of nonsurgical CHD patients with the goal to create the best possible musculoskeletal environment for pain-free hip function and to delay or prevent the onset of degenerative joint disease. Osteoarthritic hip joints can benefit from early detection and subsequent treatment. Physical therapists have long utilized manual testing techniques and clinical reasoning to diagnose early-onset joint osteoarthritis and therapeutic treatments consisting of correcting muscle dysfunctions, relieving pain, joint mobilizations, and advisement on lifestyle modifications could be equally beneficial to the canine patient. As well, sacroiliac joint dysfunctions may also afflict the dog. An understanding of the anatomy and biomechanics of the canine sacroiliac joint and application of clinical assessment and treatment techniques from the human field may be substantially beneficial for dogs suffering from lumbopelvic or hindlimb issues. HOW TO MASSAGE TFL From Mark Hocking Pressure release and stretch treatment of a canine tensor fasciae latae trigger point A trigger point in the dog’s tensor fasciae latae muscle is treated by applying constant gentle pressure to the most tender spot for approximately one minute and following with a stretch of the hip flexor muscles http://vimeo.com/43246401 Canine Massage: A complete reference manual BY: Jean-Pierre Hourdebaught The hip attachment of the TFL area just below the point of the hip is a very critical spot. This is where both the TFL muscle and the iliopsoas muscle originate. These two muscles are strong hip flexors. Furthermore, the TFL muscle plays a role in extending the stifle during retraction of the hind leg. When this trouble spot is stressed, the dog will show discomfort on the same side when turning and will tend to throw his leg outward during protraction. Be careful and very gentle when starting to work this area. If the area appears very tender at first touch, use the ice massage technique prior to the treatment to numb the nerve endings. Page | 3 Stir up the circulation in the area with the SEW approach. Apply compressions with a moderate to heavy pressure (5-12 lbs) along the TFL muscle. Then use kneading to relax muscle fibers and prevent the formation of SP36 and SP 37, intersperse with effleurage. Apply cross-fiber frictions over the entire muscle to loosen the muscle fibers. Alternate with some effleurages every 20 seconds. After the massage, apply cold to ease the nerve endings and flush the blood circulation in that area. Finish with the WES approach to thoroughly drain the area. To finish this routine, apply lots of light stroking over the entire dogs body to give it a sense of relaxation. Complete your massage with a general stretching routine of the dog which is particularly good to contribute to the positive effect of your massage work. After this massage routine, some light exercising for the dog is recommended as a good follow up but keep any lateral work (circles) to a minimum at first, especially if the shoulder and TFL muscles were tight. Veterinarymedicine.dvm360.com Wobble boards are used to stimulate balance and proprietception for injured animals as well as for sports dogs during training for muscle development and coordination. Page | 4 QUIZLET.COM protraction of hind leg 1. iliopsoas 2. tensor fascial latae 3. rectus femoris 4. sartorius 5. biceps femoris 6. gastrocnemius 7. extensor muscles abduction of hind leg 1. middle gluteal 2. superficial gluteal 3. tensor fascia latae 4. biceps femoris 5. quadriceps femoris Page | 5 adduction of hind leg 1. adductor muscles 2. gracilis muscle 3. iliopsoas muscle antagonist muscles involved 1. gluteal 2. biceps femoris 3. quadriceps 4. tensor fascia latae Page | 6 benefits of animal massage -stimulates/sedates the nervous system -increase/drain blood flow through blood -accelerates cleansing effect of lymph system -increase oxygen/gas exchanges through the respiratory system -increase metabolic rate of digestive system -increase fluid circulation of urinary system -increase nutrition/flexibility of muscular system -increase nutrition of the bone and joint structure nerve endings in your will give you considerable info about the physiological state of the body part fingers you are working on sensations you perceive TEMPERATURE-look for changes in body temp during massage TEXTURE-notice tissues that feel overly soft or puffy TENDERNESS-the sensitivity response of the animal to your touch TENSION-the tonicity of the muscle fibers an area abnormally cool to indicates lack of blood circulation to that area, which may indicate problems the touch such as muscle contraction and/or deep chronic tension and eventually pain an area abnormally hot to indicates the presence of an inflammation and is a sign of an underlying the touch problem such as micro-spasm, stress points, trigger points or trauma tissues which feel too soft or indicates the presence of edema-a sign of congestion or of an underlying too puffy inflammatory condition if sensitivity response of the indicates underlying problems such as nerve endings are irritated or damaged dog is high muscle tension results from too much exercise, scar tissue build-up too much muscle tension less blood circulation, less nutrients, less oxygen, increase of toxin build-up, Page | 7 means creation of an underlying inflammation, can cause trigger points and stress points 0.1 to 0.5 pounds finger stroking touch 0.5 to 3 pounds light touch 3 to 5 pounds regular touch 8 to 15 pounds firm touch starting at 15 pounds heavy pressure--used only on large muscle groups more than 25 pounds of can bruise muscle fibers in the muscle layers of the average animal pressure protraction forward motion of the legs retraction backward motion of the legs abduction outward motion of the legs Page | 8 adduction inward motion of the legs isometric contraction when a muscle contracts without causing an obvious movement. (ex. when a dog stands on a moving platform and has to adjust his muscles to remain standing) concentric contraction when a muscle shortens as it contracts and induces articular movements such as protraction, retraction, abduction, and adduction agonist muscle when a muscle contracts, responsible for concentric contraction antagonist muscle the muscle that counteracts the agonist action. it is elongated during concentric contraction eccentric contraction when a contracted antagonist muscle releases from its contracted state slowly to allow for better muscle control / acts as a shock absorber during landing or any other such abrupt movement protraction of the foreleg/forward motion 1. the brachiocephalicus muscle 2. the omotransversarius muscle 3. the supraspinatus muscle 4. the subscapularis muscle 5. the coracobrachialis 6. the biceps brachii muscle 7. the extensor carpi radialis muscle Page | 9 8. the common digital extensor muscle retraction of the foreleg/backward motion 1. triceps 2. latissimus dorsi 3. flexor muscles 4. rhomboideus 5. cervical trapezius 6. deep pectoral muscle abduction of the foreleg/sideward apart movement 1. supraspinatus and infraspinatus 2. the deltoideus 3. the rhomboideus 4. the trapezius elongated muscles-1. deep pectoral 2. superficial pectoral Page | 10 adduction of the foreleg/sideward together movement 1. deep pectoral muscle 2. superficial pectoral muscle elongated muscles-1. supraspinatus and infraspinatus 2. deltoideus 3. rhomboideus 4. trapezius protraction of hind leg 1. iliopsoas 2. tensor fascial latae 3. rectus femoris 4. sartorius 5. biceps femoris 6. gastrocnemius 7. extensor muscles Page | 11 retraction of hind leg (pulling in) concentric contraction 1. gluteus muscles, especially middle gluteal 2. hamstring group 3. gastrocnemius 4. deep flexor muscles 1. middle gluteal 2. superficial gluteal 3. tensor fascia latae 4. biceps femoris abduction of hind 5. quadriceps femoris leg adduction of hind leg 1. adductor muscles Page | 12 2. gracilis muscle 3. iliopsoas muscle antagonist muscles involved 1. gluteal 2. biceps femoris 3. quadriceps 4. tensor fascia latae extension of vertebral 1. spinalis dorsi muscles column 2. longissimus dorsi muscles 3. iliocostalis dorsi muscles extension of the neck 1. splenius 2. semispinalis capitis 3. rhomboideus 4. trapezius muscle (cervical part) 5. serratus ventralis cranialis flexion of the neck 1. sternohyoideus 2. brachiocephalicus Page | 13 3. sternocephalicus 4. omotransversarius benefits of animal massage -stimulates/sedates the nervous system -increase/drain blood flow through blood -accelerates cleansing effect of lymph system -increase oxygen/gas exchanges through the respiratory system -increase metabolic rate of digestive system -increase fluid circulation of urinary system -increase nutrition/flexibility of muscular system -increase nutrition of the bone and joint structure nerve endings in your will give you considerable info about the physiological state of the body fingers part you are working on sensations you perceive TEMPERATURE-look for changes in body temp during massage TEXTURE-notice tissues that feel overly soft or puffy TENDERNESS-the sensitivity response of the animal to your touch TENSION-the tonicity of the muscle fibers an area abnormally cool to indicates lack of blood circulation to that area, which may indicate the touch problems such as muscle contraction and/or deep chronic tension and eventually pain an area abnormally hot to indicates the presence of an inflammation and is a sign of an underlying the touch problem such as micro-spasm, stress points, trigger points or trauma tissues which feel too soft or indicates the presence of edema-a sign of congestion or of an underlying too puffy inflammatory condition if sensitivity response of the indicates underlying problems such as nerve endings are irritated or dog is high damaged Page | 14 muscle tension results from too much exercise, scar tissue build-up too much muscle tension less blood circulation, less nutrients, less oxygen, increase of toxin build- means up, creation of an underlying inflammation, can cause trigger points and stress points 0.1 to 0.5 pounds finger stroking touch 0.5 to 3 pounds light touch 3 to 5 pounds regular touch 8 to 15 pounds firm touch starting at 15 pounds heavy pressure--used only on large muscle groups more than 25 pounds of can bruise muscle fibers in the muscle layers of the average animal pressure © 2013 Quizlet • Inside Quizlet • How it Works • Mobile • Teachers • Mission • Team • Jobs • Legal Page | 15 SOURCES: (Wikipedia) www.jayspace.com/animal-anatomy/dog-and-feline.html Canine Anatomy: A Systematic Study by Donald R. Adams The Healthy Way to Stretch Your Dog: Sasha Foster/Ashley Foster Balance Your Dog: Canine Massage C. Sue Furman, PhD www.ncbi.nlm.nih.gov/pubmed/18198787 From Mark Hocking/Pressure release and stretch treatment of a canine tensor fasciae latae trigger point Canine Massage: A complete reference manual BY: Jean-Pierre Hourdebaught Veterinarymedicine.dvm360.com Page | 16