Fitness Trainer Magazine

Fitness Trainer March/April 2017

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he hip joint is a complex joint in- volved with everyday activities such as walking, negotiating stairs, and transitional movements. Evidenced based research and my clinic experience as a physical therapist, supports that hip bursitis is a common movement dysfunction seen in women. Bursitis, literally means "inflammation of the bursa." There are two types of bursitis that can affect the hip. Iliopectineal bursitis (IB): Inflammation of the iliopectinal bursa. This is caused by excessive friction (most common) and port-traumatic injury (Tibor and Sekiya 2008). It is also associated with sports requir- ing extensive use of the hip flexors as seen in soccer, ballet, hurdling, and jumping. Greater trochanteric bursitis (TB): Affects lateral hip. Repetitive friction between the greater trochanter and ITB, seen in run- ning, or work related movements, can over time cause inflammation, causing hip and associated low back pain. Per the research affects women between 40-60 years of age (Buono, A., et al 2011). T "I just started training a client who has been diagnosed with hip bursitis. She's finishing up physical therapy and is really pushing to jump back into her workouts. What should I keep in mind when developing her program?" Hip Bursitis: AppropriAte And SAfe progrAm deSign Physical Ask the Therapist Fitness Trainer's Chris Gellert (PT, MMusc & Sportsphysio, MPT, CSCS, AMS) has the answers that'll get you another step closer to under- standing and improving functional movement patterns in your client.

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