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Physiotherapy protocol Hip 2 to 3 sessions / week / sem. 4 to 6 weeks

Anterolateral impingement of the tensor fasciae latae

Anterolateral impingement of the tensor fasciae latae (TFL). Functional rehabilitation of the hip and lower limb, addressing the associated biomechanical factors.

Therapeutic goals

1

Reduction of anterolateral hip pain and inflammatory processes.

2

Reduction of stress on the tensor fasciae latae and the iliotibial band.

3

Improved hip mobility.

4

Strengthening of the hip stabiliser muscles.

5

Improved neuromuscular control of the pelvis.

6

Prevention of recurrence and a gradual return to sporting activities.

Techniques used

Pain relief and soft-tissue work

Pain-relieving physical therapy as indicated. Massage therapy and myofascial release of the tensor fasciae latae, iliotibial band and gluteal muscles. Relaxation work for the lateral hip region.

Joint mobility and flexibility

Specific stretches for the tensor fasciae latae and iliotibial band. Stretches for the gluteus maximus and piriformis. Hip mobility work.

Targeted muscle strengthening

Progressive strengthening of the hip stabilisers: gluteus medius (priority), gluteus maximus, hip external rotators, lumbopelvic core work.

Proprioceptive training and neuromuscular control

Single-leg balance exercises. Work on a balance cushion or unstable surface. Work on pelvic control and lower limb alignment.

Functional rehabilitation and return to sport

Work on pelvic control during walking and running. Gradual reintroduction of running. Education on load management and prevention.

Exercise programme

  • Side-lying hip abduction
  • Clamshell with a resistance band
  • Glute bridge, double-leg then single-leg
  • Lateral band walk (monster walk)
  • Hip hike on a step
  • Controlled squat with hip-knee-foot alignment work
  • Step-up / step-down
  • Single-leg stance with pelvic stabilisation

Protocol details

2 to 3 sessions / week
Durée : 4 to 6 weeks

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