Hip

Question 1

Hip Conditions

Answer 1

Tight or weak muscles in the hip/pelvis region can cause a number of biomechanical problems and cause pain or discomfort in and of themselves.

Question 2

For the following muscle groups develop exercises that will:

Answer 2

• Lengthen the Group
• Teach the hip to use the new muscle
  length.
• Ask the muscle or group to perform
  in a functional manner to enhance NMC.

Question 3

Hip Abductor Function

Answer 3

• Includes gluteus medius, gluteus minimus and tensor fascia lata.
• Decelerates pronation at the hip (internal rotation, adduction).
• Decelerates pronation at the knee (internal rotation).

Question 4

Hip Adductor Function

Answer 4

• Includes gracilis, pectineus, adductor magnus, adductor longus and adductor brevis.
• Decelerates pronation at the hip (flexion, internal rotation).

Question 5

Hip External Rotator Function

Answer 5

• Includes piriformis, gemelli, and obturator internus.
• Decelerates pronation at the hip (internal rotation).

Question 6

Hip Flexor Function

Answer 6

• Includes psoas major and iliacus.
• Decelerates pronation at the hip (internal rotation).

Question 7

Piriformis Syndrome

Answer 7

• Spasm or hypertrophy of the piriformis that places pressure on the sciatic nerve (L4-S3).

Question 8

Piriformis Syndrome: Common Problems/Limitations

Answer 8

• Pain, parenthesia in the lateral lower leg and foot
• Weakness
• Diminished IR

Question 9

IT Band Friction Syndrome

Answer 9

• ITB/TFL is tight and rubs on the femoral condyle causing lateral knee pain.
• IT band and bursa between the IT band the femoral epicondyle can become inflamed.

Question 10

Snapping Hip Syndrome

Answer 10

• Chronic inflammation of the trochanteric bursa causes the IT band to snap as it moves over the greater trochanter.

Question 11

IT Band Friction/Snapping Hip Syndromes: Common Problems/Limitations

Answer 11

• Pain at the lateral femoral epicondyle/greater trochanter.
• Weakness
• Hypomobility
• Valgus may cause more discomfort due to a stretch on the IT Band (Snapping Hip)
  ~ Caused by weak abductors

Question 12

What to do when Pelvic Rotations are present?

Answer 12

• MET
• Manipulation

Question 13

What to do when SI Joint Sprain is present?

Answer 13

• Strengthen glute max

Question 14

What to do when Hip Degeneration is present?