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Fire Hydrant Hold (quadruped)

Many patients with a low back problem also have hip and pelvic weakness. The quadruped fire hydrant is an excellent exercise to address the weakness of the gluteal musculature, specifically the gluteus maximus. The gluteus maximus is an important muscle as it moves the hip in three different planes of motion available to the hip joint including hip extension, hip abduction, and hip external rotation. A strong gluteus maximus also assist in pelvic stability, which is essential for lumbar spine stability. We prescribe this exercise for patients with pain and instability in the lumbar spine, hip, knee, and foot. If there was a Mount Rushmore of exercises, the fire hydrant exercise would be on it.