Exercises for hip dysplasia
The main aim is to strengthen the hip joint stabilizing musculature by means of physiotherapeutic exercises. These are the abductors and extensors.
- Bridging: Here the patient lies on the pad, arms slightly spread out beside the body, legs turned up, toes pulled towards the body.
Now the buttocks are stretched upwards so that they form a straight line with the thighs and trunk. The position can either be held, or slightly released and then resumed. There are many variations of the exercise that emphasize certain muscle groups.
For example, one leg can be released from the floor while the pelvis remains stable. The joint-stabilizing muscles must now work more on the side that is still on the floor.
- Squat: Very good are also exercises in the closed chain. This is when the patient performs the exercises with ground contact.
For the spreading and stretching musculature, the wide squat with feet pointing outwards is ideal. The toes therefore point outwards away from the body. The knees also align themselves with the toes.
We tend to let our knees bend forward/backward, so it can be advantageous to consciously push the knees outwards/backwards. During the exercise the buttocks are now lowered in a straight line, the upper body remains upright. The effort should be felt in the outer thigh muscles and the buttocks.
This exercise can be supplemented later very well with aids such as the Theraband. Since the changed joint position results in a change in muscle work, tense muscle groups should also be stretched. This includes stretching exercises for the adductors, i.e. the inner thigh muscles and the hip flexor muscles (groin and front thigh).
The adductors can be stretched by standing or sitting down in a wide-straddled position and either trying to reach for the floor (perhaps even putting your forearms on the floor) or reaching for the feet.
- Hip flexor stretching exercise: The hip flexor muscles can be stretched from a standing position by taking a long lunge forward. The back leg remains stretched, the pelvis is lowered and pushed forward. The pull should be felt in the groin and the front thigh.
- It can be additionally trained with a fascial roll to detonate tensions or to stretch contractions.
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