Supine Bridge Exercise in Degenerative and Functional Hip Disorders: A Biomechanical and Therapeutic Approach (Part III).

The supine bridge exercise (SBE) is widely recognized in rehabilitation for improving core stability and hip extensor strength. While its benefits in low back pain have been documented, its role in hip joint dysfunctions remains underexplored. This narrative review investigates the application of the SBE in degenerative and functional hip disorders, including femoroacetabular impingement (FAI), microinstability, and femoral anterior glide syndrome (FAGS). Particular attention is given to the biomechanical rationale behind gluteus maximus activation (especially the lower portion, or LGM) and the inhibition of synergistic dominance by the hamstrings Based on current evidence, specific SBE variations, including hip and ankle positioning, spinal alignment, and neuromuscular control strategies, may promote posterior femoral head translation and joint stability. Furthermore, the review highlights how in specific athletic populations, such as soccer players and dancers (where cam-type FAI alterations and restricted hip internal rotation are particularly prevalent), the inclusion of SBE sessions into preventive training programs could contribute to preserving hip joint health and mitigating degenerative processes. We argue that SBE when appropriately tailored, can become a fundamental therapeutic tool in both conservative management and functional retraining of hip dysfunctions.