Category Archives: Interdisciplinary Integration

Why do we have the feet on the wall for the 90/90?

Video Tags: Neurology, Myokinematic Restoration, Hemibridge

4 comments
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  • Jonathan Rowe

    Thank you so much for this. I have been using a box for clients to dig the back of their heels into so they can only feel hamstrings; but this helps me to understand the visual component of linking hamstrings, which will be necessary for gait once the client goes back to standing. I will now only use the wall and get them to feel heel, ball, and toes. ReplyCancel

  • Jim Wittekind

    Thank you so much for the further explanation! I too have been using an “Open chain” position to try and get more ham and less calf use for knee flexion. I took the phrase “Do not press your feet flat into the wall instead dig down with your heels” from instruction # 2 on the Myokinematic Restoration Repositioning (2) handout too literally. Thanks again Jen and Ron for all your hard work in trying to disseminate this wonderfully complex information! ReplyCancel

  • Jay Austin

    As someone previously mentioned we used the terms “Dig down with your heels”in step 4 of supine left hamstring (8) (90-90 hip lift with balloon). We have Plexiglass against our walls in clinic but people’s feet slide down the wall unless they press into the wall which lead to difficulty isolating hamstrings. Is using the box wrong if they still sense the wall and maintain reference centers ? Responses will be helpful!

    Regarding the reference to the ground and feeling feet/toes flat on the floor. In the Standing Supported Bilateral IO/TA activity (Standing anterior neck Inhibition #3) We are instructed to “Pull toes up, keeping your weight through your heels and squat down”. What is the purpose of toe extension here vs. 90-90 hip lift where we want the feet flat? I assumed it was related to gastroc inhibition in this exercise but does that eliminate some of the reference points discussed in this video?ReplyCancel

    • Postural Restoration

      Hi Jay,
      Thanks for the comments. For your first question, using a ledge is a great way to make sure that they aren’t sliding down the wall and still maintaining full contact with the foot.

      For your second question we are trying to activate an anterior tibialis musculature while you are keeping your weight on your heels during co activation of the hamstring. This ensures glute and hamstring activity as quadriceps extension of the knee is initiated at the time of heel contact or early stance phase. Vs anterior tibialis co activiation with back extensors at the same phase of the gait cycle.ReplyCancel