
0% read · 4 min left
Stand single-leg on a step edge and let the opposite hip drop below level under control, then hike it back up — the classic gluteus-medius rehab drill that trains the exact frontal-plane hip control a Trendelenburg gait lacks. Also called the "pelvic drop" or "hip hike" in the rehab literature — not to be confused with "hip dips," the common slang term for the soft-tissue indentation below the hip, which is a body-shape feature, not an exercise.
Stand on one foot on a raised edge — a step, aerobic platform, or box edge — with the other leg hanging unsupported off the side. Keep the torso upright and the stance-leg knee soft (not locked). Slowly allow the pelvis on the unsupported side to sink below level, letting the hip "drop," then actively pull it back up to level (the "hike") using the stance-leg hip.
The stance-leg gluteus medius and gluteus minimus are the muscles doing the work throughout: as the unloaded side's pelvis drops, the working hip is effectively drawn toward adduction relative to the pelvis, and the abductors on the stance side lengthen eccentrically to control how far and how fast it drops — this eccentric control phase is the part most directly tied to gluteus-medius weakness in the rehab literature. The concentric "hike" back to level is straightforward hip abduction of the stance leg, driven by the same muscles. Tensor fascia lata assists as a synergist, and the upper fibers of gluteus maximus contribute at low emphasis, matching how this graph already categorizes glute-medius-emphasis hip-abduction work (see hip-abduction).
This is mechanically the same test position as the classic Trendelenburg sign: a weak or poorly-controlling gluteus medius on the stance side lets the contralateral pelvis drop excessively or lets the trunk lean/compensate over the stance leg — the hip drop exercise deliberately trains the control that prevents that.
Coaching:
Progressions: increase step height (bigger drop range) → slow the eccentric lowering phase / add a brief pause at the bottom → hold a light dumbbell on the stance side → close the eyes briefly at the top to add a balance challenge. Regression: use a lower step or curb, hold a rail/wall for light balance support, or reduce the range of the drop.
Educational content only — not medical advice. Always consult a qualified professional for individualized guidance, especially around injury, pregnancy, or medical conditions.