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Chiropractic Journal of Australia : CJA December 2012
132 Chiropractic Journal of Australia Volume 42 Number 4 December 2012 Table 1 CORRECTIVE EXERCISE PROGRAM EXERCISE PRESCRIPTION AND PROGRESSIONS SETS AND REPETITIONS Phase 1: Mobility / Neuromuscular Adaptation and Control • Avoid aggravating Activities • Stationary cycling • Supine TrA alternate hip abduction./.external rotation* • PHE (with correct motor control patterns)* • AIS hip fexors, hip adductors, hip internal rotators* Phase 2: Strength and Endurance • Continue Phase 1 exercises as prescribed o Progress from TrA to abdominal bracing • Supine bridge with resisted hip abduction* • Side bridge (on knees)* • Side-lying hip external rotation* Phase 3: Strength and Endurance Progressions • Continue Phase 1 exercises as prescribed o with abdominal bracing • Single leg bridge with resisted hip abduction** • Side bridge (on ankles)** • Side-lying straight leg abduction** Phase 4: Functional Integration • Continue Phase 1 exercises as prescribed o with abdominal bracing • Wall hip abduction** • SB squat with resisted hip abduction** • Single leg step-down** 20 minutes 2x6-15eachlega 2x6-15eachlega 2 x 6-15each leg a 2x10eachleg 2x6-15a 2x6-15eachsideb 2x6-15eachlega 2 x 6-15each leg a 2x6-15eachsideb 2x6-15eachlega 2x6-15eachlegb 2x6-15a 2x6-15eachlega N.B.: The patients progressed to the next phase of exercise prescriptions when they were able to complete the entire session, and achieve the maximum repetitions on consecutive days without pain exacerbation and without fatigue (muscle tremors, incorrect movement patterns, loss of ‘awareness’ were considered signs of fatigue). Any technique(s) that exacerbated the patients’ symptoms were modifed or removed. * = performed two times per day ** = performed three-to-four times per week a = each repetition occurs over 5-10 seconds; b = hold each repetition for 5-10 seconds; 5 seconds rest between repetitions; TrA = transversus abdominis (abdominal hollowing); PHE = prone hip extension; AIS = active isolated stretching; SB = Swiss-ball FEMOROACETABULAR IMPINGMENT JAROSZ
CJA September 2012
CJA March 2013