Dear Reader,

We continue our series of Physiotherapy Related Articles with a very important concept that has been gaining recognition and clinical evidence.  A few years ago, some of our staff was lucky enough to attend a course by Dr. Powers from the University of Southern California.  The course content presented was on Functional Biomechanics of the Lower Quarter (i.e. leg) and some of this research was utilized to help his patient population which included some world class athletes.  Since that time we have seen this work noted and referenced by multiple other lecturers both in the USA and Europe.

The theories and treatment presented at that time were connected with hip muscle weakness and the overall effect it has biomechanically on the leg.  Hip weakness was shown to possibly lead to multiple injuries of the lower extremity including Anterior Cruciate Ligament Injuries (non-contact), Patello-Femoral Dysfunctions, Hamstring Injuries (chronic), Trochanteric Bursitis, Pes Anserina Bursitis, Snapping Hip Syndrome, and calf injuries, etc.

One example given at the time was a world class sprinter presenting with chronic hamstring strains.  After having his hamstrings treated time and again over the years, upon examination at USC, he actually presented with weak and tight hip extensors, not weak hamstrings.  Biomechanically a weak buttock (gluteals), would lead to the hamstring dominance with hip extension (gluteals).  The hamstring alone was not designed for this job specifically and would become overloaded with running.  In the end the hamstring would break down and tear.  Treatment was changed to include a lot of gluteal strength activity, and the patient made good progress on this program.

I know that was a lot to take in, but your local Chartered Physiotherapists understands and knows the biomechanics involved in movement and has a good understanding of the relationship between structures involved in the movement.  They are movement experts.  If you are concerned that weakness and tightness of your hip complex is leading to lower quarter injuries and you would like further assessment please see your doctor or” chartered physiotherapist.” If you decide to consult a physiotherapist always ensure that he/she is chartered.  References for this article are available at our Clinic.  Therese Ryan our “Chartered Physiotherapist” with Premier County Physiotherapy operating out of our Thurles and Templemore Clinics.

For appointments in either clinics please contact 0504-26090