It is important to assess the level of obesity by BMI, distribution of weight (waist circumference), and the extent of co-morbidity, in order to provide effective treatment and assess level of disease risk (Table 3). 7,11,12 Patient engagement as a central agent in management is fundamental.
Muscular sheath â forms a sheath for the tensor fascia lata muscle. Tensor Fascia Lata (TFL) The tensor fascia lata is a gluteal muscle that acts as a flexor, abductor and internal rotator of the hip. Its nomenclature however, is derived from its additional role in tensing the fascia lata. The muscle originates from the iliac crest, and descends down the superolateral thigh.
As soon as the knee goes out to the side wider than the hip, the IT band releases and the tensor fascia latae, the muscle of the IT band, is taken out of the pose as it relaxes out of tension, or worse engages to pull the knee out to the side. This defeats the whole purpose of the pose.