Discover Your Hip Strength with the Single Leg Balance Test

Updated On:

October

15

Joe Armeli | DPT

Someone performing the single leg balance test with text overlay discover hip strength with single leg balance test.

Key Points: 

  • Discover the critical role hip strength plays in your overall musculoskeletal health and how it's intertwined with balance and alignment.

  • Learn how to perform the Single Leg Balance Test, a simple yet revealing self-assessment tool to evaluate your hip strength right at home.

  • Understand common signs of hip weakness observed during the test and how to differentiate between general balance issues and hip weakness.

  • Explore recommended next steps, including hip-strengthening exercises and the importance of professional consultation, especially if pain is experienced during the test.

  • Realize the potential for improving not only hip strength but overall musculoskeletal health through a proactive and informed approach.

Having strong hips is really important for moving around every day. Our hips help us do basic things like walking, bending over, and sitting. They also help with bigger movements like running and jumping.

A good way to see if your hips are strong is to check how well you can balance on one foot. This is called the Single Leg Balance Test. It's a simple test you can do at home to see if your hips might be weak.

A little side note, if you're doing this test because you think weak hips are causing you pain, it's always a good idea to talk to a doctor or another medical expert. They can give you more information and help.

The Importance of Strong Hips

Weak hips can happen to anyone, no matter how old they are or how fit they seem. There are a few reasons why someone might have weak hips. It could be because of sitting too much, not exercising enough, or having a health problem. To take care of weak hips, it's important first to understand what's causing them and how they affect our bodies.

Relationship Between Hip Strength and Function

Showing a runner with strong hips having good posture and alignment because of strong hips.

The functionality and strength of the hip are intertwined with our body's balance and overall posture. The hip, provides stability and alignment, crucial for warding off overuse injuries that may arise from improper loading or repetitive movements, ie. runners and walkers.

  • Balance: A strong hip contributes to better balance. It stabilizes the pelvis during walking or running, ensuring a more coordinated movement.

  • Alignment: Proper hip strength ensures correct alignment of the lower extremity, which is essential in preventing overuse injuries. The alignment provided by strong hips helps in distributing the forces of movement evenly across the musculoskeletal system, mitigating the risk of undue stress on any particular joint or muscle group. [1]

Causes of Hip Weakness

Weak hips happen when the muscles around the hip, like the gluteal muscles, aren't strong enough. These muscles are super important because they help us stand up straight, distribute pressure evenly, and move smoothly. Here are some common reasons why hips might get weak:

  • Sedentary Lifestyle: Spending long hours sitting can lead to muscle atrophy and hip tightness.

  • Inadequate Exercise: Lack of targeted exercise to strengthen hip muscles can contribute to hip weakness.

  • Medical Conditions: Conditions such as arthritis or previous injuries can lead to hip weakness.

  • Aging: Natural muscle loss occurs with aging [2], which can result in weakened hip muscles.

Health Problems Linked to Weak Hips

Hip weakness can lead to hip arthritis, knee pain, plantar fasciitis, and low back pain

Weak hips can be a sign of certain health problems, or they can even cause them. Here are some common health issues that might be linked to weak hips:

  • Hip Osteoarthritis: This is when the joints in the hip wear out over time. Having strong hips can help support these joints, which can slow down the damage. [3]

  • Knee Pain (Patellofemoral Pain Syndrome): If our hips are weak, our knees might move in a way they shouldn't. This can cause knee pain.  [4]

  • Lower Back Pain: If our hip muscles are weak, it can make our spine not line up right. This can lead to pain in our lower back.[5]

  • Foot Pain (Plantar Fasciitis): Weak hips can affect the way our feet hit the ground. This can lead to foot pain. [6]

Hip weakness is not just a lack of strength; it's a functional deficit that can have far-reaching implications for your quality of life. Whether you're an athlete or a sedentary individual, hip weakness can limit your mobility and contribute to a range of health issues, such as lower back pain and knee injuries.

So, how can you effectively identify if you have weak hips without consulting a healthcare professional? One useful diagnostic tool that you can employ at home is the Single Leg Balance Test.

This test serves as a quick but effective gauge of your hip stability and strength. It doesn't replace professional medical advice, but it does give you an initial measure to act upon.

The Single Leg Balance Test for Weak Hips

The One-Leg Balance Test is like a detective for our hips. It helps figure out how strong and steady the muscles around our hip are. When you try to stand on one foot, the muscles in the other hip work hard to keep you from falling over. They act like a team to keep your body straight and your hip level.

How to Do the Single Balance Test

The One-Leg Balance Test is a simple way to check your hip strength right at home. You don't need any special tools, just yourself and a way to see how you stand on one leg. 

Here's how to do it

Steps for the Single Leg Balance Test:

A picture of someone performing the single leg balance test in their house.

Before You Start:

  • Make sure you're in a safe place, the area should be clutter free.
  • Stand close to something sturdy, like a table, in case you need to catch yourself.
  • Set up a big mirror or use your phone's camera to see how you're standing.
  • Put on comfy clothes and shoes that support your feet.

How to Perform the Single Leg Balance Test

  • Stand on a flat spot.
  • Lift one foot off the ground and bend your knee so it makes a 90-degree angle.
  • Try to stay like this for about 30 seconds if you can.
  • Then, do the same thing with your other foot.

Signs That Might Mean Your Hips are Weak

  • Hip Drop: If one side of your hip goes down when you lift your leg, this might mean the hip of the leg you're standing on is weak.
  • Wobbles or Shakes: If you wobble or shake a lot when trying to balance, this could be because of weak hips.
  • Making Extra Movements: If you find yourself moving your arms a lot or bending your back to keep balanced, it might be a sign of weak hips.

Telling the Difference Between Poor Balance and Having Weak Hips

  • Watching Yourself: Use a mirror or record a video to see if the wobbling is mostly from your hips or somewhere else.
  • Try It a Few Times: Do the test more than once. If you always see your hip dropping, it's probably a sign of weak hips. But if it's different every time, it might just be a balance thing.
  • Ask an Expert: If you're not sure, it's a good idea to talk to a doctor or a health expert. They can help figure it out.

What to Do After Your One-Leg Balance Test

So, you've tried the One-Leg Balance Test and have some ideas about your hip strength. Whether you found out your hips might be a bit weak or they're strong, knowing what to do next is super important to keep your body feeling great. Let's check out some steps you can take after your test:

Tips to Make Your Hips Stronger If They're a Bit Weak

  • Hip Workouts: There are some cool exercises you can try, like leg lifts, bridge poses, and even squats, to make your hips stronger.
  • Talk to an Expert: A physical therapist knows a lot about hips and can give you special exercises just for you.

Remember, taking care of your hips is a big deal. When your hips are strong, you can move around better, feel less achy, and do more fun activities. So, let's make sure we give our hips all the love and care they deserve!

Conclusion

The journey through understanding and assessing hip strength via the Single Leg Balance Test is a proactive step towards better musculoskeletal health. This simple self-assessment tool can serve as a catalyst for positive change, whether it's embarking on a new exercise regimen, seeking professional advice, or merely gaining a better understanding of your body's strengths and weaknesses.

The ripple effect of strong hips transcends beyond just improved balance. It's about fostering a foundation for a robust musculoskeletal system, which is instrumental in leading an active, pain-free life. While the Single Leg Balance Test is a helpful starting point, the emphasis on professional consultation ensures a balanced and responsible approach towards addressing any identified issues.

References

  1. Volpi E, Nazemi R, Fujita S. Muscle tissue changes with aging. Curr Opin Clin Nutr Metab Care. 2004 Jul;7(4):405-10. doi: 10.1097/01.mco.0000134362.76653.b2. PMID: 15192443; PMCID: PMC2804956.

  2. Nguyen AD, Shultz SJ, Schmitz RJ, Luecht RM, Perrin DH. A preliminary multifactorial approach describing the relationships among lower extremity alignment, hip muscle activation, and lower extremity joint excursion. J Athl Train. 2011 May-Jun;46(3):246-56. doi: 10.4085/1062-6050-46.3.246. PMID: 21669093; PMCID: PMC3419552.

  3. Loureiro A, Constantinou M, Diamond LE, Beck B, Barrett R. Individuals with mild-to-moderate hip osteoarthritis have lower limb muscle strength and volume deficits. BMC Musculoskelet Disord. 2018 Aug 21;19(1):303. doi: 10.1186/s12891-018-2230-4. PMID: 30131064; PMCID: PMC6103991.

  4. Thijs Y, Pattyn E, Van Tiggelen D, Rombaut L, Witvrouw E. Is hip muscle weakness a predisposing factor for patellofemoral pain in female novice runners? A prospective study. Am J Sports Med. 2011 Sep;39(9):1877-82. doi: 10.1177/0363546511407617. Epub 2011 Jun 1. PMID: 21632979.

  5. Pizol GZ, Ferro Moura Franco K, Cristiane Miyamoto G, Maria Nunes Cabral C. Is there hip muscle weakness in adults with chronic non-specific low back pain? A cross-sectional study. BMC Musculoskelet Disord. 2023 Oct 7;24(1):798. doi: 10.1186/s12891-023-06920-x. PMID: 37805476; PMCID: PMC10559475.

  6. Lee JH, Park JH, Jang WY. The effects of hip strengthening exercises in a patient with plantar fasciitis: A case report. Medicine (Baltimore). 2019 Jun;98(26):e16258. doi: 10.1097/MD.0000000000016258. PMID: 31261593; PMCID: PMC6617481.

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About the author, Joe Armeli DPT

I'm Joe Armeli, a Doctor of Physical Therapy, Certified Athletic Trainer and Certified Strength and Conditioning Specialist, a movement enthusiast, and a fellow runner. I'm here to help you achieve your physical health and performance goals, whether you're just starting to run or are a seasoned vet. For questions or concerns, email me at [email protected]. Look forward to hearing from you!

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