Therapeutic goals
Reduction of lateral hip pain and inflammatory phenomena.
Improvement of pelvic stability.
Strengthening of the gluteus medius and the hip stabiliser muscles.
Correction of muscle imbalances of the pelvis and lower limb.
Improvement of neuromuscular control.
Prevention of recurrence and gradual return to physical activity.
Techniques used
Pain-relieving physical modalities as indicated. Massage therapy and myofascial release of the gluteus medius, tensor fasciae latae and iliotibial band. Relaxation work on the gluteal region and lateral hip.
Stretching of the tensor fasciae latae and iliotibial band. Stretching of the gluteus maximus and piriformis. Hip mobility work.
Progressive strengthening of the hip stabilisers: gluteus medius (priority), gluteus maximus, hip external rotators, lumbopelvic core work.
Single-leg balance exercises. Work on a balance cushion or unstable surface. Work on controlling pelvic stability during functional movements.
Work on pelvic control during walking and running. Gradual reintroduction of running according to tolerance. 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 (controlled pelvic elevation on a step)
- Controlled squat with alignment work
- Step-up / step-down
- Single-leg stance with pelvic stabilisation
Protocol details
Injury related to this protocol
Ce protocole de rééducation est spécifiquement conçu pour la prise en charge de gluteus medius tendinopathy.
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