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    Re: Hip pain in dancer

    Sounds very specific the the amount or extension in relation to the external rotation. As dancers walk in more external rotation in normal gait I suspect she does the same. The frgo post would have her in more relative extension with the external rotation than the FABER test.

    Initially reading I was thinking about the other leg during gait so it is great you mention it. e.g. A lack or ability to internally rotate from mid to late stance will mean that the contralateral hemipelvis will remain slightly posterior (in reference to the horizontal plane) during that sides swing phase. This will cause a heal strike in a postion of excessive external rotation (not really in the hip but due to the direction the pelvis is facing) and therefore excessive pronation through stance (an unstable stance therefore) which will lead to a less that ideal heal strike again...etc...etc. I suppose what I am saying as this can get rather confusing, is that a problem with the rotation of the leg on one side during stance phase can cause problems on the other. As your observation suggests this then I would begin by treating the restriction and normalising the movement on that leg and see what affect that has.

    Good luck and keep us in the picture

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    Smile Re: Hip pain in dancer

    hi
    i agree with physiobob
    there is a need to consider the biomechanical inter-relationships in such cases.
    that is application of movement impairment approach of shirley shehrman.her theory of relative flexibility -should be kept in mind while evaluating movement alterations
    the relative flexibility is simply stated as "the body segments follows the path of least resistance
    so reduced flexibility/mobility of one segment is compensated by excessive flexibility/mobility in another segment



 

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