how you can enhance your hip pain patient outcomes using visual feedback :
Hip stability can be monitored using the Motion Guidance tool in various ways, though a simple way to visualize hip drop is to utilize visual motion monitoring of the contralateral hip in single leg stance. Once patients can visualize their motion in an objective sense, they are empowered with a visual component to their dynamic muscular control. This use is one example, though with a little creativity on the therapist's side, such visual feedback may be tailored to suit your patient
Here are a few ways we enhance hip stability with visual feedback:
Hip Abduction Motor Control: in Side-Lying
- Are your patients performing side-lying abduction with ease? Add a new component of motor skill while sustaining various degrees of hip abduction and visualize both position and fatigue! The visual feedback can also be a great cue for your patient's hip position even during a simple side leg raise, to alert if they are moving into compensatory hip flexion during ROM.
Hip Abduction Compensation
The patient is wearing the large strap with the parallel mount, adjusted so that the laser is atop the lateral hip and aimed at the wall or the tracking grid. The patient can instantly visualize if the hip is stationary during the exercise, or if they are compensating and using more anterior muscles, rotating backward. Your cue can simply be "I want you to keep the laser dot still while elevating your leg to the side".
Closed Chain Hip Concentric and Eccentric Loading:
The patient is wearing the large strap with the parallel mount, adjusted so that the laser is atop the lateral hip and pelvic area. The patient can start with standing on one leg, and the practitioner can then center the adjustable laser on target. Next the patient can practice moving the laser outward (dropping into eccentric hip drop) then drawing it inward toward their foot (working on concentric glut medius) and instantly visualizing the motion. This exercise is more fatiguing than it looks!
Hip Extension Isolation:
This video adds a cue to pelvic position during active hip extension: if your patient struggles dissociation hip extension with back extension, this visual cue can add awareness to the back extension taking place: if the patient is able to practice a psoas stretch position ie hip extension while keeping the pelvis in neutral or even in posterior pelvic tilt, they will get an improved hip stretch as well as avoid increased compression at the lumbar spine. This application can be a valuable teaching tool to add body awareness for more specific hip opening motions.
Hip Stability: Balance Progression
The patient is wearing the large strap with the perpendicular mount, adjusted so that the laser trajectory is around the center of the body. The patient can go through a series of progressions as shown in the video for unilateral stance, to challenge the core, hip and dynamic control.
Hip Proprioception Drills:
The patient is wearing the small strap and parallel mount, 2" above the patella. The patient can practice open chain hip circles with or without band resistance: this can act as motor control for the involved hip, and hip stability for the closed chain non-involved hip.
Lateral Hip Stability:
The patient is wearing the large strap and parallel mount, with the strap around the ASIS level, and the laser positioned at the lateral hip (over the glut min) aiming parallel to the thigh. The patient can practice standing on one leg, while keeping the laser from deviating from a line or target, lateral deviation notes the patient of the extent of hip drop.
Lateral Hip Dynamic Stability:
The patient is wearing the large strap and parallel mount, with the strap around the ASIS level, and the laser positioned at the lateral hip (over the glut min) aiming parallel to the thigh. The patient can practice both single leg stance, and step through motions, while keeping the laser from deviating from a line, lateral deviation notes the patient of the extent of hip drop.