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Extended Hand-Toe B

Utthita Hasta Padangusthasana

Overview

 

This pose is a balancing pose that is the next step to Extended hand-to-toe A. All the muscles of the standing leg are activated to maintain single-leg stability. The hip abductors (gluteus medius & minimus) of the standing leg are also working to maintain a level pelvis, preventing contralateral hip drop. On the lifted leg, the hamstrings, knee flexors and ankle plantarflexors are being lengthened. As the lower limb is already flexed in extended hand-to-toe A, the external rotators contract to horizontally abduct the lower limb.

Joint Actions

Joint actions

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Muscular actions

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Muscle Actions
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Nerves

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Nerves that may undergo neural tension:

  • Sciatic nerve

  • Tibial nerve, medial and lateral plantar nerve

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Notes

 

While the hip flexors activate to stay flexed, the upper limb which is grasping the big toe does more to keep the leg up. It is therefore important to maintain control in the upper limb to reduce stress on the shoulder. Keeping the scapulae retracted and engaging the deltoids and rotator cuff muscles may reduce the risk of injury.

 

If there is a round  or lateral tilt in the lower back, increase knee flexion to keep the spine neutral. The use of a strap may help if one is unable to reach their big toe with their fingers.

 

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Precautions & Contraindications

 

Avoid or modify if any of the following are present:

  • Hip pathologies

  • Balance deficits

  • Low back pathologies (avoid rounding)

  • Ankle, knee, hip, or shoulder injuries

Nerves
Notes
Precautions

©2020 by A Physiotherapist's Yoga Encyclopedia

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