Hands and Knees Diagonals

To eccentrically work the right gluteus medius:

• From the hands and knees position the patient is instructed to sit back diagonally toward their right hip as far as they can without holding on with the hands.
• Make sure the patient elongates/lengthens the right side of the spine as they sit back.
• Instruct the patient to hold for 10 seconds and repeat 3-5 times or they can alternate from one side to the other.
• The patient should report that they feel their gluteal/buttocks muscles contract with this movement.
• To increase ROM and gluteal recruitment instruct the patient to do the hands and knees quadratus lumborum/lat dorsi self stretch before this exercise.