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Supine Bridge Exercise in Degenerative and Functional Hip Disorders: A Biomechanical and Therapeutic Approach (Part
Saverio Colonna1,2, Riccardo Tarozzi1, Antonio D'Alessandro2
1Rehabilitation Medicine, Spine Center, Bologna, ITA.
The supine bridge exercise (SBE) can improve hip joint stability and strength, particularly for conditions like femoroacetabular impingement. Tailored SBE variations are key for rehabilitation and preventing hip dysfunction in athletes.
Area of Science:
- Rehabilitation Medicine
- Sports Science
- Biomechanics
Background:
- The supine bridge exercise (SBE) is established for core stability and hip extensor strength.
- Its efficacy in hip joint dysfunctions like femoroacetabular impingement (FAI) is less understood.
- Degenerative and functional hip disorders require targeted therapeutic interventions.
Purpose of the Study:
- To review the application of SBE in degenerative and functional hip disorders.
- To explore the biomechanical rationale for gluteus maximus activation and hamstring inhibition during SBE.
- To assess SBE's potential in conservative management and functional retraining of hip dysfunctions.
Main Methods:
- Narrative review of existing literature on SBE and hip disorders.
- Analysis of biomechanical principles related to SBE execution.
- Examination of SBE's role in specific athletic populations and conditions like FAI.
Main Results:
- Specific SBE variations can enhance posterior femoral head translation and hip joint stability.
- SBE can be optimized for gluteus maximus activation, particularly the lower portion (LGM), and reduce hamstring dominance.
- Tailored SBE programs may help preserve hip joint health and mitigate degeneration in athletes.
Conclusions:
- The supine bridge exercise, when appropriately modified, is a valuable tool for hip dysfunction management.
- SBE can be integrated into conservative treatment and functional retraining protocols for hip disorders.
- Preventive SBE training may be beneficial for athletes prone to hip issues, such as those with FAI.
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