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EVIDENCE INFORMED PRACTICE

Figure 13: Mini-dip on block.

13a: Mini dip - start

13b: Mini dip - mid point with correct pelvic & knee alignment

greater work on the hip extensors compared to the knee extensors (25).

In conclusion, effective management of lateral hip pain depends on accurate assessment and identification of movement dysfunction prior to the use of exercise therapy to re-establish muscle balance around the hip.

References

1. Palastanga N, Field D, Soames R. Anatomy of human movement. Elsevier 2006. ISBN 0750688149 (£59.99). Buy from Amazon http://spxj.nl/OgGrfD

2. Brinckman p, Hoefert H, Jongen HT. Sex differences in the skeletal geometry of the human pelvis and hip joint. Journal of Biomechanics 1981;14:427–43

3. Williams BS, Cohen SP. Greater trochanteric pain syndrome: A review of anatomy, diagnosis and treatment. Anesthesia and Analgesia 2009;108(5):1662–1670

4. Norris, CM. Spinal stabilisation 4. Muscle imbalance and the lumbar spine. Physiotherapy Journal 1995;81:13–22

5. Ward WT, Fleisch I, Ganz R. Anatomy of the iliocapsularis muscle. Clinical Orthopaedics and Related Research 2000;374:278– 285

6. Babst D, Steppacher S D, et al. The iliocapsularis muscle: an important stabilizer in the dysplastic hip. Clinical Orthopaedics and Related Research 2011;469(6):1728–1734

7. Jaegers S, Dantuma R, deJongh H. Three dimensional reconstruction of the hip on the basis of magnetic resonance images. Surgical Radiologic Anatomy 1992;14:241–249 8. Kummer B. Is the Pauwels theory of hip biomechanics still valid? A critical analysis based on modern methods. Annals of Anatomy 1993;175(3):203–210

9. Birnbaum K, Siebert CH, et al. Anatomical and biomechanical investigations of the iliotibial tract. Surgical and Radiological Anatomy 2004;26:433–446

10. Miokovic T, Armbrecht G, et al. Differential atrophy of the postero- lateral hip musculature during prolonged bend rest and the influence of exercise coutermeasures. Journal of Applied Physiology 2011;110(4):926–34

11. Terry GC, Hughston JC, Norwood LA. The anatomy of the www.sportEX.net

13c: Mini dip - incorrect. Knee has drifted inwards, pelvis dipped and body side flexed to compensate

THAT MAY BE CONSIDERED AS A MAJOR FACTOR IN THE DEVELOPMENT OF LATERAL HIP PAIN

iliopatellar band and the iliotibial tract. American Journal of Sports Medicine 1986;14(1):39–45

12. Fredericson M, Guiller M, DeBenedictis L. Quick solutions for Iliotibial band syndrome. Physician and Sportsmedicine 2000;28(2):1–11 13. Fredericson M, Dowdell BC, Oestreicher N. Correlation between decreased strength in hip abductors and iliotibial band syndrome in runners. Archives of Physical Medicine and Rehabilitation. 1997;78(9):1031

14. Norris CM. Managing Sports injuries: a guide for students and clinicians (4th edition) Elsevier 2011. ISBN 0702034738. (£47.48) Buy from Amazon http://spxj.nl/TR3leS 15. Sahrmann SA. Diagnosis and treatment of movement impairment sydromes. Mosby 2001. ISBN 0801672058 (£47.00) Buy from Amazon http://spxj.nl/O6IzuG

16. Grimaldi A. Assessing lateral stability of the hip and pelvis. Manual Therapy 2011;16:26–3 17. Norris CM. Iliotibial band friction syndrome. sportEX medicine 2004;April:6–11 18. Mercer SR, Rivett DA, Nelson RA. Stretching the iliotibial band: An anatomical perspective. New Zealand Journal of Physiotherapy 1998;26(2):5–7 19. Ober FR. The role of the iliotibial band and fascia lata as a factor in the causation of low back disabilities and sciatica. Journal of Bone and Joint Surgery 1936;18:105–110

20. Norris CM. Complete Guide to Clinical Massage. A & C Black 2013. ISBN 1408154579. (£13.99) Buy from Amazon http://spxj.nl/Un0Oeq 21. Norris CM. Parallel use of acupuncture and physiotherapy in the treatment of Iliotibial band friction syndrome. Journal of the Acupuncture Association of Chartered Physiotherapists

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REHABILITATION AIMS TO CORRECT THE MOVEMENT DYSFUNCTION

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