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Table 3 Exercise Dosage and Progressions

From: Exercise and load modification versus corticosteroid injection versus ‘wait and see’ for persistent gluteus medius/minimus tendinopathy (the LEAP trial): a protocol for a randomised clinical trial

Stage Exercise Effort Speed Reps Sets Freq
Week 1- Familiarisation Low load activations Light Slow onset 10 1–2 BD
Static Abduction:   Hold 5–10 s    
In supine lying Light Slow onset 3–5 1 BD
In standing   Hold 5–15 s    
  Pelvic Control during Functional Loading:      daily
Bridging Light Moderate 10 1 daily
Double Leg Bridging      
Functional Strengthening: Light- SWH Slow 10 1  
Double leg squats      
  Abductor Loading via Frontal Plane Movement: Light Moderate 10 each 1 daily
Sidestepping      
Week 2 – Early Loading & Movement Optimisation Low load activations Maintain as per week 1
Static Abduction:
  Pelvic Control during Functional Loading:      
Bridging:      
Double leg bridging Light Slow 10 1 daily
Single leg biased ex: SWH Slow 5 1  
Offset bridging      
Functional Strengthening:      
Double leg squats Light Slow 10 1 daily
Single leg biased ex: SWH Slow 5 1  
Offset squat      
  Abductor Loading via Frontal Plane Movement: Light Moderate 15 each 1 daily
Sidestepping      
Week 3–8 – Graduated Loading Low load activations Maintain as per week 1
Static Abduction:
  Pelvic Control during Functional Loading:      
Bridging: Light Slow 5 1 daily
Double leg bridging
Single leg biased ex SWH – Hard   5–10 2 daily
Functional Strengthening:      
Double leg squats Light Slow 5 1  
Single leg biased ex SWH - Hard   5–10 2  
  Abductor Loading via Frontal Plane Movement:      daily
Sidestepping Light Moderate 10 each 1  
Band Sideslides SWH- Hard   5–10 each 1–2  
Week 3–8 – Graduated Loading; Sliding platform with spring resistance All supervised by Physiotherapist in Clinic
Warm up Abductor Loading via Frontal Plane Movement:      
Bilateral Abduction:      Twice weekly
In upright Light Moderate 5 each way 1
In minisquat Light Moderate 5 each way 1
Higher level loading Abductor Loading via Frontal Plane Movement:      Twice weekly
Bilateral Abduction:
In upright SWH-VH Slow 5–10 each way 1  
In minisquat SWH-VH Slow 5–10 each way 1  
  Pelvic Control during Functional Loading: Light - SWH Moderate 5–10 1–2 Twice weekly
Scooter
  1. Repetitions (Reps); Frequency (Freq); Effort based on Borg Scale (Borg, [30]); Somewhat Hard (SWH); Very Hard (VH); Speed: Slow = 3 s each movement phase – up/down/in/out; Moderate = 2 s each movement phase; Bi-daily (BD)