Movement patterning and muscle function around the hip and pelvis are key considerations for any lumbopelvic or lower limb problem and may even impact on upper limb function. Assessment and retraining in this region require a specific and targeted approach that should consider the multifaceted requirements for optimal function and the limitations of an individual’s musculoskeletal system. With respect to current practices around muscle testing and exercise prescription, often strength is the only consideration. While this is an important factor, normal results on strength testing may be returned from a muscle synergy within which significant dysfunction exists. If weakness is not the primary deficit, generic strengthening may worsen rather than improve the situation by reinforcing poor recruitment strategies or imbalance in the contribution of muscles within a movement synergy e.g. TFL within the abductor synergy.

In exercise literature, often maximal EMG is the sole indicator used for exercise selection. EMG levels are not reflective of force generation and high levels of EMG may simply reflect active insufficiency where the muscle is not at an optimal range to generate force efficiently. This premise also assumes that maximal recruitment is optimal for muscle retraining and musculoskeletal health. This is not supported but the current literature.

MYTH BUSTING HIP EXERCISE PRESCRIPTION

We'll also be doing some myth busting in the practical workshop. Here are 7 of my favourites:

1. You can’t go wrong in getting strong
2. The hip flexors just need a good stretch
3. More is better when it comes to glute activation
4. The exercise with highest EMG is the best exercise
5. Clams and leg lifts should be your go-to for gluteus medius training
6. You ONLY need to focus on the impairment, and
7. Pelvic position is irrelevant!

Join me for a journey through methods and myths, and come away with some great evidence-informed strategies to apply immediately in the clinic, the gym or the Pilates Studio.