Any drills or games you might suggest to help decrease external roation in LE’s with pediatric clients.
Why are you wanting to do this?
I currently have 5-7 patients that have a large amount of ER currently coming from the hip, most are unilateral. It affects their gait, running, climbing, stairs, etc. When working with them I seem to be able to increase balance and strength to be able to walk, stairs, hop, jump, etc. but nothing I do seems to be able to decrease any of the external rotation. This is also at an autism center so more involved cases/diagnoses. My current knowledge of Peds is pretty low. I was promised to work with adults only and that lasted about 1 day before 50/50 split.
How old are they? Are the individuals you are seeing also diagnosed on the autism spectrum? If SCFE or Legg-Calves has been ruled out, a high degree of ER likely wouldn’t change anything I would focus on. If a kid is high on the Beighton scale it’s not uncommon to see ER ranges in the 60-80 range (also seen in a lot of the dance and martial arts population).