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Functional and Kinetic Chain Evaluation of the Hip and Pelvis

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The Hip and Pelvis in Sports Medicine and Primary Care

Abstract

A kinetic chain can be described as the sequencing of individual body segments and joints to accomplish a task. It generally functions from a base of support proximally and then proceeds distally, but this is entirely dependent on the task at hand. Because of the unique nature of sports and the tremendous demands that most sporting activities place on the spine, pelvis, and hip, the ability to recognize kinetic chain disorders related to these specific structures and their interactions with related components of the musculoskeletal system is important for sports medical practitioners. Because of the complexity of the anatomic and biomechanical interactions as well as neuromuscular control issues, evaluation and accurate diagnosis are problematic. This chapter will review an approach to the functional and kinetic chain evaluation of the hip and pelvis including some common signs practitioners should look for suggesting kinetic chain dysfunction, discussion of common etiologies, and some general treatment plans including rehabilitation and osteopathic manipulative treatments.

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Author information

Authors and Affiliations

  1. Sports Medicine; Primary Care Sports Medicine Fellowship; Virginia Tech and US Ski Team, The Edward Via College of Osteopathic Medicine, Blacksburg, VA, 24060, USA

    Per Gunnar Brolinson DO, FAOASM, FAAFP, FACOFP

  2. Primary Care Sports Medicine Fellowship; Department of Family Medicine; Virginia Tech and Pulaski Yankees (Minor League Affiliate of NY Yankees), Blacksburg, VA, 24060, USA

    Mark Rogers DO, CAQSM, FAAFP

  3. Primary Care Sports Medicine Fellow, Blacksburg, VA, USA

    Joseph Edison DO

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  1. Per Gunnar Brolinson DO, FAOASM, FAAFP, FACOFP
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  2. Mark Rogers DO, CAQSM, FAAFP
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Correspondence to Per Gunnar Brolinson DO, FAOASM, FAAFP, FACOFP .

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Editors and Affiliations

  1. Penn State University, State College, Pennsylvania, USA

    Peter H. Seidenberg MD, FAAFP, FACSM, RMSK

  2. Southeast Missouri State University, Cape Girardeau, Missouri, USA

    Jimmy D. Bowen MD, FAAPMR, CAQSM, RMSK, CSCS

  3. Team Orthopedic Surgeon for the St. Louis Cardinals in affiliation with Mercy, St. Louis, Missouri, USA

    David J. King MD

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Dedicated to the memory of Kevin Granata, PhD,

Virginia Tech, 4–16–07, husband, father,

and pre-eminent biomechanical researcher.

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Brolinson, P.G., Rogers, M., Edison, J. (2017). Functional and Kinetic Chain Evaluation of the Hip and Pelvis. In: Seidenberg MD, FAAFP, FACSM, RMSK, P., Bowen MD, FAAPMR, CAQSM, RMSK, CSCS, J., King MD, D. (eds) The Hip and Pelvis in Sports Medicine and Primary Care. Springer, Cham. https://doi.org/10.1007/978-3-319-42788-1_3

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