During the gait cycle, what is the primary action at the hip during initial contact?

Prepare for the NPTE Musculoskeletal Exam with comprehensive questions and detailed explanations to boost your confidence and knowledge. Sharpen your skills and ace the exam!

During initial contact of the gait cycle, the primary action at the hip involves eccentric flexion. At this phase, when the foot first strikes the ground, the hip is in a somewhat flexed position. The muscles responsible for stabilizing the hip, primarily the hip extensors, are actively engaged to control the amount of hip flexion and to prevent excessive forward motion of the trunk.

Eccentric activities are characterized by the muscle lengthening under tension, which helps to decelerate the limb and maintain stability. This is crucial in initial contact to absorb the forces generated upon landing and to prepare the body for the transition into the stance phase. The hip extensors, therefore, work eccentrically to manage this flexion, stabilizing the position and controlling the alignment of the pelvis as weight is transferred onto the leg.

Concentric extension, isometric stabilization, and eccentric extension do not accurately describe the action occurring during this point in the gait cycle, as they do not involve the proper functional mechanics of the hip during initial contact.

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