متلازمة الفرقة الحرقفية الظنبوبية: الإدارة التالية بعد فشل العلاج الأولي

Evidence-supported exercises for activating and improving the endurance of the proximal hip muscles responsible for reducing femoral adduction and internal rotation during weight-bearing activities include side-lying, short-arc hip-abduction isotonic exercises and side-lying “clamshell” exercises (hips and knees flexed to 20°–30° in the side-lying position) that focus on eccentric control of the hip abductors, quadruped “mule kicks” with the knee flexed and extended during the hip-extension component and using resistance bands or cuff weights, supine single-legged (ipsilateral side) hip-extension bridges with the knee progressively flexed from 90° to 30°, and seated or supine hip external-rotation isotonic exercises using resistive tubing.

Lumbopelvic stability and high-quality motion control should be encouraged during all hip-based exercises to promote functional coordination, and purposeful ranges of motion should be used wherever possible.

The volume and load should be progressively increased with patient tolerance, restoration of muscle activity, and continued pain reduction.