Adopt an orthostatic (standing) position, near a stable support to maintain postural balance. Position the ankle of the symptomatic lower limb on the contralateral knee, reproducing a “figure 4” configuration. Initiate controlled flexion of the weight-bearing limb, then slightly tilt the trunk anteriorly , with the upper limbs relaxed, while preserving the physiological alignment of the spine.
Stabilize this therapeutic position for 30 to 60 seconds , practicing deep diaphragmatic breathing.
Repeat the protocol on the contralateral limb to preserve biomechanical symmetry.
Expected kinesthetic benefits : sensation of stretching at the level of the coxofemoral joint, the gluteal musculature, and moderate stimulation of the proprioceptive mechanisms responsible for postural balance .
3. Seated Myofascial Stretching Technique
Therapeutic objective: decompress the lumbar structures and improve the elasticity of the posterior muscle chains
Adopt a sitting position on the floor, with your lower limbs in maximum abduction without causing excessive joint stress . Initiate a progressive forward flexion of the trunk , preserving the physiological curvature of the spine. Position your hands on the floor, or even your forearms if your flexibility allows it.
Hold this therapeutic posture for 20 to 30 seconds , then return to the starting position with optimal neuromuscular control.
Suggested protocol: two sequential repetitions , accompanied by controlled breathing.
Expected physiological response : gradual stretching of the posterior myofascial structures (spinal, gluteal, hamstring), without painful exacerbation.
4. Neurodynamic Activation in Quadrupedism with Segmental Mobilization
Therapeutic objective: stimulate piriformis muscle recruitment and strengthen lumbopelvic stabilization
Position yourself in quadrupedal position, with your upper limbs aligned vertically with your shoulders and your knees aligned with your hip joints . Gradually raise the symptomatic lower limb backward, with your knee flexed at 90°, as if to exert pressure against an imaginary resistance .
Hold the isometric contraction briefly , then return to the starting position.
Perform 15 repetitions at a controlled speed , avoiding any sudden movements.
Complete protocol: 2 sets per lower limb .
Neurophysiological objective : selective activation of the piriformis muscle , with progressive improvement of functional muscle tone .
