In the above 10 min mini case, I go over Eval, Reset, and Stabilize for loss of hip extension. The physio was a former dancer, and like gymnasts, they often have hypermobile lumbar spines in extension and a lack of hip extension. Hip extension is limited and also has decreased endurance once restored.
Eval
- prone hip extension active and passive
- emphasize hip extension in sagittal plane, they will often abduct hip to compensate for loss when tested both actively and passively
- compare passive end feels, should be firm
Reset
- pain free psoas inhibition (QL if needed, but not in this case)
Stabilize
- Isometric single leg bridge
- may do double leg bridge if this is difficult
- may also do bridge like hip extension against wall in standing - goal is to fire hip extensors to promote active hip extension pattern and inhibit hypertonic hip flexors