IJABAHTHERAPEUTIC COURSE
ZONE 3 · REGION 03

Hip &
Hip Flexor

Hip ialah ball-and-socket joint yang perlu mobility dan capacity untuk walking, sitting, squatting, stepping dan lifting. Anterior hip tightness tidak semestinya bermaksud hip flexor perlu diregang atau ditekan.

REGIONAL OUTCOMESUnderstand hip joint & key musclesAssess multi-directional movementRelate findings to real tasksProgress mobility & strength safely
HIP JOINTFLEX · EXTEND · ROTATE · LOAD
A · ANATOMY

A mobile joint built to accept substantial load.

HIP JOINT

Femoral head articulates with the acetabulum to form a multi-directional ball-and-socket joint.

HIP FLEXORS

Muscles including iliopsoas and rectus femoris contribute to hip flexion, but anterior symptoms do not automatically identify them as the cause.

EXTENSORS / ABDUCTORS

Gluteal and related muscles contribute to propulsion, standing, stairs and single-leg control.

ADDUCTORS / ROTATORS

Contribute to multi-planar control and force production across many tasks.

B–D · FUNCTION, MOVEMENT & COMPLAINT

The hip moves in multiple planes.

FLEX / EXTEND

Sitting, rising, walking, running and stepping.

ABDUCT / ADDUCT

Side movement and control of limb position.

ROTATE

Internal/external rotation contributes to turning and positioning.

LOAD

Squat, step, carry, lift and single-leg tasks challenge hip capacity.

“TIGHT HIP FLEXOR” IS A FINDING TO EXPLORE

Rasa ketat di depan hip boleh dipengaruhi oleh position, load, sensitivity atau task demand. Assess movement and function before automatically prescribing stretching.

E · ASSESSMENT

Start with the function that is limited.

INTERVIEWonset · trauma · groin/leg symptoms · load · function
→
ACTIVE ROMflex · extend · rotate · abduct
→
TASKsit-stand · squat · step · walk
→
COMPARErange · control · symptom
→
SCREENsafe to progress?
OBJECTIVE LANGUAGE

“Hip flexor pendek dan tarik pelvis.”

Better: “Right hip extension during walking/step task is less comfortable and tolerated than left; screening is clear.”

F–J · OBJECTIVE & TREATMENT

Example objective: improve comfortable hip movement for stepping.

PREPARE

Comfortable hip/trunk movement and supported position.

MOBILITY

Explore relevant hip range without forcing end-range discomfort.

SOFT TISSUE / STRETCH

Use only when findings and objective support it; anterior hip contact requires professional boundaries and appropriate consent.

STRENGTH / FUNCTION

Progress hip force and control toward squat, step, carry, walk or sport demand.

MOBILITY→CONTROL→STRENGTH→STEP / SQUAT→FUNCTION
K–L · REASSESS & HOME

Repeat the original hip-related task.

BASELINEStep / squat / walk

Range, quality, confidence, load tolerance and symptom response.

→
RETESTSame task & dose

Better, same or worse? Choose the next progression from function.

MOBILITY

Only the movement that addresses the finding.

STRENGTH

Clear load/reps appropriate to current capacity.

FUNCTION

Link exercise to walking, stairs, squat or relevant goal.

MONITOR

Change the plan if symptoms become significant or unusual.

M · HIP / ANTERIOR HIP SAFETY

Seek appropriate assessment for significant trauma, suspected fracture/dislocation, inability to bear weight, severe or rapidly worsening unexplained hip/groin pain, marked swelling, fever/systemic illness, concerning abdominal/pelvic symptoms, progressive weakness/sensory change, vascular changes or other emergency-pattern presentation. Do not use aggressive deep anterior-hip pressure as a default technique.

APPLYREGIONAL CASE

Client reports gradual anterior hip tightness during long strides and stairs. No trauma or concerning features. Step-up is comfortable at low height but becomes limited at greater hip demand.

ZONE 3 COMPLETE

Pelvis & Hip is now integrated.

Pelvis/SI load transfer → Gluteal capacity → Hip mobility and strength. Student can now connect spine, pelvis and lower-limb function without relying on alignment-based diagnoses.

Continue to Zone 4 — Lower Body →
← Gluteal RegionZone 4 →