متلازمة الحزام الحرقفي الظنبوبي عندما لم تحقق تمارين الورك خفيفة الحمل أهداف إعادة التأهيل

References

DOI: 10.4085/1062-6050-548-19

• Suggested foci for level II include 1-legged ipsilateral standing hip hikes that require gluteal activity to prevent hip drop and Trendelenburg positioning, split-leg forward lunges, 2-legged mini-squats that progress to 1-legged mini-squats, progressive step-up and step-down exercises with gluteal focus that prevent Trendelenburg hip drop, contralateral open chain hip isotonic exercises to challenge the painful leg in various stability positions (ensuring proper sagittal-plane positioning), and side-stepping or lunging exercises with resistance bands (progressing from the band placed at the knee, to the ankle, and then the toes as tolerated).
• The latter stages of level II can begin to challenge the system using jog and stop-in-place exercises on the affected limb, followed by small, controlled mini-hops and hold exercises to assess proximal control and proper sagittal-plane motion and force absorption.
• Deliberate verbal cuing and mirrors for feedback, motion control, and high-quality execution are required to encourage and restore more desirable movement patterns in the sagittal plane for all weight-bearing exercises.
• To progress into and within level III, athletes should be able to tolerate higher volume and duration of loads used in level II and be pain free during and after exercise sessions.
• Patients also should be capable of walking for at least 30 minutes without lateral knee pain or jogging for 1 minute without pain, or both, before progressing into level III.
• Clinicians should also ensure that the patient demonstrates quality sagittal-plane movements and control before moving into higher-demand and -load level III activities.