Treatment Direction

Each active midstance test failure point narrows the likely treatment target. For a 4+ score, treatment should focus on pure adduction, often with the leg completely straight. For a 4- score, treatment should emphasize anterior glute medius work, especially activities incorporating internal rotation. Score 0 treatment should emphasize sagittal-plane activities, abdominal activation, hamstring activation, and possibly hip flexor inhibition. Score 1 treatment depends on whether the bottom heel or top arch fails to contact the ground. If the top-side arch cannot come down, treatment should focus on anterior hip structures or the adductor region.