A study by the American Journal of Sports Medicine found that having an anterior pelvic tilt contributed to the presence of hip impingement. This is not too surprising given that being tilted in that position will decrease the amount of flexion and internal rotation available at the joint. It does, however, help clinicians with evaluating and determining treatment protocols to decrease hip pain.
When evaluating clients it is helpful to assess the amount of pelvic tilt that they are experiencing. This observation, coupled with their mobility and individual activities can help improve the understanding of how they use their hips and how they have adapted over time. Treatments can then be developed to address the pelvic tilt, muscular tightness and weakness and functional activities that they need to perform.
We know that athletes that play soccer and hockey have impingement due to their sport and the movement patterns inherent to their sports. Now we know that the orientation of the pelvis can contribute to impingement. Knowing these items helps us to improve out outcomes by developing preventative programs and effective treatments.
In order to help decrease the possibilities of hip impingement we can work with clients to move their body in multiple planes to recruit different muscles. We can also have them perform soft tissue work on their hip flexors and lumbar muscles and corrective exercises to train a neutral spine like planks, bridges and bird dogs. This approach can help our clients to decrease their chances of getting hip pain and improve their performance by becoming more agile.
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