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Rehabilitation Samples Programs



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Training stabilization of the hip for ambulation Teaching coordination, for training walking, starts here by developing the deep hip stabilizers to control acceleration and deceleration.  These exercises are designed to target deep hip stabilization muscles for the task of controlling acceleration and deceleration.  Muscles become stronger with use. They become functional with proper education of use through experience.


The seated exercises target the obtorators, periformis, psoas major, illiacus, pectineus, and other abductors. It is best to have the patient leaning forward, if possible, when doing these exercises to load the periformis on the sacrum. This in turn will have an impact on the psoas minor as an antagonist to the low back muscles.


Standing exercises, where pressing down with the foot, target the Gluteus maximus and minimus as well as the tensor fasciae along with the deep stabilizers.  The adduction exercises where the active foot crosses the standing foot target the hip rotators particularly the gluteus minimus.  Here the VMO us also very active stabilizing the patella on the planted leg.  The rocking back and forth exercises target the periformis and psoas minor.  With angles, while rocking, you bring hip rotators into play.


Perform these exercises starting with 40 or so pounds on the sled.   The lighter the sled weight the greater the demand on coordination.  The target weight should be 7.5 pounds. Therefore reduce weight as soon as possible to the lightest weight the patient can perform the exercises with.  The patient’s level of accommodation will set the reps per second.  Three sets of 30 reps with each exercise with a couple of minutes rest between sets.   Use walkers, canes or what ever support is necessary to insure the patients balance security while exercising.  At the same time challenge the patient to be as independent of support devices as possible.