For athletes, controlling tendon load will be a central tenet of management of gluteal tendinopathy. While complete rest is catabolic for tendons, avoiding rapid changes in loading/training and reducing activities involving provocative combinations of compression and high tensile load are recommended [67]. This may involve restriction of longer-distance and higher-speed running and other activities involving high eccentric abductor loads, such as hopping and bounding. Modifications of running technique might also be required. Reductions in peak hip adduction in running can be successfully altered with visual biofeedback [69] and increases in cadence [70]. Increasing cadence by 10 % has also been shown to result in increased activity of GMed during the late swing phase but not during the stance phase [71].
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