Hip Rotations’ Influence of Electromyographic Activity of Gluteus Medius Muscle During Pelvic-Drop Exercise

2017 ◽  
Vol 26 (1) ◽  
pp. 65-71 ◽  
Author(s):  
Renan Lima Monteiro ◽  
Joana Hoverter Facchini ◽  
Diego Galace de Freitas ◽  
Bianca Callegari ◽  
Sílvia Maria Amado João
Keyword(s):  
Outcome Measures ◽  
Random Order ◽  
Gluteus Medius ◽  
Emg Activity ◽  
Neutral Position ◽  
Electromyographic Activity ◽  
Medial Rotation ◽  
Lateral Rotation ◽  
Tensor Fasciae Latae ◽  
Hip Rotation

Context:Pelvic-drop exercises are often used to strengthen the gluteus medius (GM) muscle with the aim of increasing or prioritizing its recruitment. However, the effect of hip rotation on the performance of the action of the GM is unknown.Objective:To evaluate the effect of hip rotation on the recruitment of the GM, tensor fasciae latae (TFL), and quadratus lumborum (QL).Method:Seventeen healthy subjects performed 2 sets of 4 repetitions of pelvic-drop exercise in random order with pelvic-drop lateral, medial, and neutral rotation of the hip.Main Outcome Measures:The electromyographic (EMG) activity of the GM, TFL, and QL was evaluated using surface electromyography.Results:There were significant increases in the activation of the GM with medial and neutral rotation compared with lateral rotation (P = .03, P = .01, respectively), and there was no difference between medial and neutral rotation (P = 1.00). There was no difference in EMG activity of the TFL and QL in any of the positions. The GM:TFL ratio was the same in all analyzed positions. Regarding the GM:QL ratio, there was a significant increase with medial rotation compared with lateral rotation (P = .02).Conclusions:Pelvic-drop exercises are more efficient for activating the GM when the hip is in medial rotation and neutral position.

Effect of side-sling plank exercise on trunk and hip muscle activation in subjects with gluteus medius weakness

2021 ◽  
pp. 1-9
Author(s):  
Seung-Min Baik ◽  
Heon-Seock Cynn ◽  
Chung-Hwi Yi ◽  
Ji-Hyun Lee ◽  
Jung-Hoon Choi ◽  
...  
Keyword(s):  
Muscle Activation ◽  
Gluteus Maximus ◽  
Gluteus Medius ◽  
Erector Spinae ◽  
Lumbar Multifidus ◽  
Hip Muscle ◽  
Hip Abduction ◽  
Medial Rotation ◽  
Hip Muscles ◽  
Tensor Fasciae Latae

BACKGROUND: The effectiveness of side-sling plank (SSP) exercises on trunk and hip muscle activation in subjects with gluteus medius (Gmed) weakness is unclear. OBJECTIVE: To quantify muscle activation of the rectus abdominis (RA), external oblique (EO), erector spinae (ES), lumbar multifidus (LM), Gmed, gluteus maximus (Gmax), and tensor fasciae latae (TFL) during SSP with three different hip rotations compared to side-lying hip abduction (SHA) exercise in subjects with Gmed weakness. METHODS: Twenty-two subjects with Gmed weakness were recruited. SHA and three types of SSP exercises were performed: SSP with neutral hip (SSP-N), hip lateral rotation (SSP-L), and hip medial rotation (SSP-M). Surface electromyography was used to measure the activation of the trunk and hip muscles. RESULTS: The trunk and hip muscles activations were generally significantly higher level during three SSP than SHA. SSP-M showed significantly lower EO activation while significantly higher ES and LM activation than SSP-L. Gmed activation was significantly higher during SSP-M than during SSP-L. TFL activation was significantly lower during SSP-M than during SSP-N and SSP-L. CONCLUSIONS: SSP could be prescribed for patients who have reduced Gmed strength after injuries. Especially, SSP-M could be applied for patients who have Gmed weakness with dominant TFL.

scholarly journals Medial rotation deformity of the hip in cerebral palsy: Surgical treatment by transposition of gluteal muscles

2005 ◽  
Vol 133 (1-2) ◽  
pp. 36-40 ◽  
Author(s):  
Goran Cobeljic ◽  
Zoran Bajin ◽  
Zoran Vukasinovic ◽  
Aleksandar Lesic ◽  
Momirka Vukicevic
Keyword(s):  
Cerebral Palsy ◽  
Femoral Neck ◽  
External Rotation ◽  
Gluteus Medius ◽  
Flexion Contracture ◽  
Femoral Neck Anteversion ◽  
Before And After ◽  
Medial Rotation ◽  
Lateral Rotation ◽  
The Difference

INTRODUCTION Medial rotation deformity of the hip is a problem to patients who are handicapped by cerebral palsy but able to walk, because the knees point inward during gait (?kissing patellae") and cause falls and frequent injuries. Knees and ankles are subject to stress and, therefore, they assume compensating positions. Lower legs assume position of valgus and external rotation, whereas feet rotate either inwards or outwards. Secondary deformities make gait more difficult and cause rapid tear of footwear. AIM The purpose of the paper was to retrospectively analyze the effects of transposition of the gluteus medius and minimus muscles, a procedure introduced for the first time in our country in order to correct the deformity. A new method of binding the muscles by wire was described. There had been no previous experience with this method. METHOD This operation was indicated in patients with spastic form of cerebral palsy, who were able to walk, who had difficulties in gait and whose lateral rotation was less than 10? along with the medial rotation of over 70? of the hip on the side of the deformity. Additional prerequisite for the operation was the absence of flexion contracture of more than 15? of either the hip or the knee on the side of deformity, as there is possibility of aggravation of the flexion hip deformity due to transposed gluteal muscles (now in front of the hip joint). Fifteen hips of 10 patients were operated on. Five patients were operated on bilaterally at one time. The average age was 8 (6-12) years. The majority of patients, 8 (80%) were aged between 6 and 8. The average follow-up was 5 years (3-8). The assessment of the results was based on the comparison of rotational abilities of both hips before and after the operation (in unilateral and bilateral deformities), as well as on individual complaints before and after the operation. In patients with unilateral deformity, their ?healthy" hips were the control hips. The analysis of the femoral neck anteversion before and after operation was performed. RESULTS Average values of medial and lateral rotation of the deformed hips before operation exhibited significant statistical difference when compared to control hips. The difference of average values of rotatory movements of control and operated hips was not statistically significant after operation. The difference of average preoperative values of the femoral neck anteversion in hips with deformity was statistically significant (49.40?4.63? compared to 32.8?3.1G). Postoperative average values of anteversion in operated and control hips were not statistically significant. The difference between average preoperative (49.40?4.63?) and postoperative (35.80?7.66?) values of the femoral neck anteversion was statistically significant. Excellent results were achieved in 5 (50%) patients, i.e. 8 (53.3%) hips; good results were achieved in 3 (30%) patients, i.e. 5 (33.3%) hips; poor result in 2 (20%) patients, i.e. 2 (13.3%) hips. All 5 patients who had undergone surgery of both hips had symmetric outcome. Three patients had excellent results, while two had good results. Patients with excellent and good results (80% of patients, 86.6% of hips) showed neither weakening of the operated hip abduction nor pelvic instability (positive Trendelenburgh hip test). No complications were recorded postoperatively. CONCLUSION Transposition of gluteal muscles can be recommended in patients under 10 years of age as there is still a chance for their femoral neck to change orientation, to decrease the anteversion and thus to achieve long-lasting effect. Fixation of transposed muscles by wire proved to be effective.

Effect of Humeral-Elevation Angle on Electromyographic Activity in the Serratus Anterior During the Push-Up-Plus Exercise

2017 ◽  
Vol 26 (1) ◽  
pp. 57-64 ◽  
Author(s):  
Ui-jae Hwang ◽  
Oh-yun Kwon ◽  
In-cheol Jeon ◽  
Si-hyun Kim ◽  
Jong-hyuck Weon
Keyword(s):  
Outcome Measures ◽  
Muscle Activity ◽  
Repeated Measures ◽  
Elevation Angle ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Serratus Anterior ◽  
Repeated Measures Design ◽  
Activity Ratios ◽  
Push Up

Context:The push-up-plus (PP) exercise has been recommended for strengthening of the serratus anterior (SA). Previous studies have investigated the effect of different stability properties of the base of support to adjust the difficulty level of SA muscle-strengthening exercises in the PP position. However, the optimal humeral-elevation angle (HEA) for selective activation and maximum contraction of the SA during PP has not been investigated.Objectives:To assess the effects of HEA during PP on electromyographic (EMG) activity in the SA, upper trapezius (UT), and pectoralis major (PM) and on the UT:SA and PM:SA activity ratios.Design:Comparative, repeated-measures design.Setting:University research laboratory.Participants:29 healthy men.Main Outcome Measures:The subjects performed PP at 3 different HEAs (60°, 90°, and 120°); EMG activity in the SA, UT, and PM was measured, and the UT:SA and PM:SA activity ratios were calculated. Differences in muscle activity and ratios between the 60°, 90°, and 120° HEAs were assessed using 1-way repeated-measures analysis of variance; the Bonferroni correction was applied.Results:SA muscle activity was significantly increased, in order of magnitude, at the 120°, 90°, and 60° HEAs. UT:SA and PM:SA activity ratios were significantly greater during performance of the PP at an HEA of 60° than at HEAs of 120° and 90°.Conclusion:The results suggest that an HEA of 120° should be used during performance of the PP because it produces greater SA activation than HEAs of 60° and 90°.

Effects of hip rotation on the electromyographic activity of the medial and lateral hamstrings and muscle force

2021 ◽  
pp. 1-7
Author(s):  
Wootaek Lim
Keyword(s):  
Prone Position ◽  
Supine Position ◽  
Knee Flexion ◽  
External Rotation ◽  
Emg Activity ◽  
Electromyographic Activity ◽  
Hamstring Muscles ◽  
Extension Force ◽  
Hip Rotation ◽  
Hip Extension

BACKGROUND: In clinical practice, knee flexion at the prone position for manual muscle testing of hamstrings and hip extension at the supine position for stretching of hamstring muscles are typically proposed. OBJECTIVE: Although different positions have been proposed for different purposes in hamstrings, the understanding of the changing the functional role of hamstrings with position changes is poorly understood. METHODS: The electromyographic (EMG) activity and hip extension force were compared among different postures; hip neutral, internal, and external rotation. EMG and force were measured in prone position during knee flexion and those were additionally measured in supine position during hip extension. In supine position, additional measurements were made in hip neutral, internal and external rotation. RESULTS: Hamstrings showed high EMG activity during knee flexion. Knee flexion force in prone position was significantly decreased at hip extension force in supine position. In supine position, EMG activity was significantly higher in semitendinosus (ST) than biceps femoris (BF) during internal rotation. CONCLUSIONS: It should be noted that bi-articular muscles may have different functional dependencies on the corresponding muscles for each joint. In addition, because the altered alignment of the hamstring muscles that was affected by hip rotation had a significant effect on muscle activity, and hip rotation may be helpful for selective training of medial or lateral hamstrings.

Effects of Different Hip Rotations on Gluteus Medius and Tensor Fasciae Latae Muscle Activity During Isometric Side-Lying Hip Abduction

2013 ◽  
Vol 22 (4) ◽  
pp. 301-307 ◽  
Author(s):  
Ji-hyun Lee ◽  
Heon-seock Cynn ◽  
Sil-ah Choi ◽  
Tae-lim Yoon ◽  
Hyo-jung Jeong
Keyword(s):  
Outcome Measures ◽  
Analysis Of Variance ◽  
Muscle Activity ◽  
Repeated Measures ◽  
Muscle Activation ◽  
Activity Ratio ◽  
Gluteus Medius ◽  
Repeated Measures Analysis ◽  
Hip Abduction ◽  
Tensor Fasciae Latae

Context:Gluteus medius (Gmed) weakness is associated with some lower-extremity injuries. People with Gmed weakness might compensate by activating the tensor fasciae latae (TFL). Different hip rotations in the transverse plane may affect Gmed and TFL muscle activity during isometric side-lying hip abduction (SHA).Objectives:To compare Gmed and TFL muscle activity and the Gmed:TFL muscle-activity ratio during SHA exercise with 3 different hip rotations.Design:The effects of different hip rotations on Gmed, TFL, and the Gmed:TFL muscle-activity ratio during isometric SHA were analyzed with 1-way, repeated-measures analysis of variance.Setting:University research laboratory.Participants:20 healthy university students were recruited in this study.Interventions:Participants performed isometric SHA: frontal SHA with neutral hip (frontal SHAN), frontal SHA with hip medial rotation (frontal SHA-MR), and frontal SHA with hip lateral rotation (frontal SHA-LR).Main Outcome Measures:Surface electromyography measured the activity of the Gmed and the TFL. A 1-way repeated-measures analysis of variance assessed the statistical significance of Gmed and TFL muscle activity. When there was a significant difference, a Bonferroni adjustment was performed.Results:Frontal SHA-MR showed significantly greater Gmed muscle activation than frontal SHA-N (P = .000) or frontal SHA-LR (P = .015). Frontal SHA-LR showed significantly greater TFL muscle activation than frontal SHA-N (P = .002). Frontal SHA-MR also resulted in a significantly greater Gmed:TFL muscle-activity ratio than frontal SHA-N (P = .004) or frontal SHA-LR (P = .000), and frontal SHA-N was significantly greater than frontal SHA-LR (P = .000).Conclusions:Frontal SHA-MR results in greater Gmed muscle activation and a higher Gmed:TFL muscle ratio.

Electromyographic Analysis of Hip and Trunk Muscle Activity During Side Bridge Exercises in Subjects With Gluteus Medius Weakness

2020 ◽  
pp. 1-6
Author(s):  
Kyung-eun Lee ◽  
Seung-min Baik ◽  
Chung-hwi Yi ◽  
Oh-yun Kwon ◽  
Heon-seock Cynn
Keyword(s):  
Muscle Activity ◽  
Repeated Measures ◽  
Knee Flexion ◽  
Gluteus Maximus ◽  
Random Order ◽  
Gluteus Medius ◽  
Surface Emg ◽  
Trunk Muscles ◽  
Emg Activity ◽  
Abdominal Muscles

Context: Side bridge exercises strengthen the hip, trunk, and abdominal muscles and challenge the trunk muscles without the high lumbar compression associated with trunk extension or curls. Previous research using electromyography (EMG) reports that performance of the side bridge exercise highly activates the gluteus medius (Gmed). However, to the best of our knowledge, no previous research has investigated EMG amplitude in the hip and trunk muscles during side bridge exercise in subjects with Gmed weakness. Objective: The purpose of this study was to examine the EMG activity of the hip and trunk muscles during 3 variations of the side bridge exercise (side bridge, side bridge with knee flexion, and side bridge with knee flexion and hip abduction of the top leg) in subjects with Gmed weakness. Design: Repeated-measures experimental design. Setting: Research laboratory. Patients: Thirty subjects (15 females and 15 males) with Gmed weakness participated in this study. Intervention: Each subject performed 3 variations of the side bridge exercise in random order. Main Outcome Measures: Surface EMG was used to measure the muscle activities of the rectus abdominis, external oblique, longissimus thoracis, multifidus, Gmed, gluteus maximus, and tensor fasciae latae (TFL), and Gmed/TFL muscle activity ratio during 3 variations of the side bridge exercise. Results: There were significant differences in Gmed (F2,56 = 110.054, P < .001), gluteus maximus (F2,56 = 36.416, P < .001), and TFL (F2,56 = 108.342, P < .001) muscles among the 3 side bridge exercises. There were significant differences in the Gmed/TFL muscle ratio (F2,56 = 20.738, P < .001). Conclusion: Among 3 side bridge exercises, the side bridge with knee flexion may be effective for the individuals with Gmed weakness among 3 side bridge exercises to strengthen the gluteal muscles, considering the difficulty of the exercise and relative contribution of Gmed and TFL.

scholarly journals Effects of Log Rolling Position on Hip Abductor Muscles Activity During Side-Lying Hip Abduction Exercise in Participants with Gluteus Medius Weakness

2020 ◽  
Author(s):  
Seung-min Baik ◽  
Heon-seock Cynn ◽  
Jae-hun Shim ◽  
Ji-hyun Lee ◽  
A-reum Shin ◽  
...  
Keyword(s):  
Analysis Of Variance ◽  
Repeated Measures ◽  
Statistical Significance ◽  
Frontal Plane ◽  
Gluteus Maximus ◽  
Gluteus Medius ◽  
Neutral Position ◽  
Hip Abduction ◽  
Hip Abductor ◽  
Tensor Fasciae Latae

Abstract Context: Weakness of the gluteus medius and the gluteus maximus is associated with a variety of musculoskeletal disorders. However, activation of synergist muscles that are not targeted should be considered when prescribing side-lying hip abduction (SHA) exercises. Log-rolling positions may affect hip abductors activity during SHA. Objectives: To determine the effects of log-rolling positions on the gluteus medius, the gluteus maximus, and the tensor fasciae latae activity during SHA in participants with gluteus medius weakness. Design: The effects of different log-rolling positions on hip abductor activity during SHA were analyzed by one-way repeated-measures analysis of variance. Setting: University research laboratory. Participants: Twenty-one participants with gluteus medius weakness were recruited. Interventions: Three types of SHA were performed: SHA in the frontal plane with a neutral position (SHA-neutral), SHA in the frontal plane with an anterior log-rolling position (SHA-anterior rolling), and SHA in the frontal plane with a posterior log-rolling position (SHA-posterior rolling). Main Outcome Measures: Surface electromyography was used to measure the hip abductor activity. One-way repeated-measure analysis of variance was used to assess the statistical significance of the muscle activity. Results: SHA-anterior rolling showed significantly greater gluteus medius and gluteus maximus activation than SHA-neutral (P = .003 and P &lt; .001, respectively) and SHA-posterior rolling (P &lt; .001 and P &lt; .001, respectively). SHA-neutral showed significantly greater gluteus medius and gluteus maximus activation than SHA-posterior rolling (P &lt; .001 and P = .001, respectively). SHA-anterior rolling showed significantly less tensor fasciae latae activation than SHA-neutral (P &lt; .001) and SHA-posterior rolling (P &lt; .001). SHA-neutral showed significantly less tensor fasciae latae activation than SHA-posterior rolling (P &lt; .001). Conclusion: SHA-anterior rolling may be an effective exercise to increase activation of the gluteus medius and the gluteus maximus while decreasing the tensor fasciae latae in participants with gluteus medius weakness.

Gluteus Medius Activity during Isometric Closed-Chain Hip Rotation

2002 ◽  
Vol 11 (3) ◽  
pp. 179-188 ◽  
Author(s):  
Randy J. Schmitz ◽  
Bryan L. Riemann ◽  
Timothy Thompson
Keyword(s):  
Knee Flexion ◽  
Gluteus Medius ◽  
Surface Emg ◽  
Upper Body ◽  
Emg Activity ◽  
Forward Movement ◽  
Closed Chain ◽  
Hip Flexion ◽  
Base Of Support ◽  
Hip Rotation

Objective:To determine whether gluteus medius (GM) activity increases in response to isometric closed-chain external hip rotation.Design:Subjects performed single-leg stances in 3 different conditions: 0° knee flexion, 0° hip flexion (C1); 0° knee flexion, 20° hip flexion (C2); and knee flexed 20–30°, 20° hip flexion (C3). Posteriorly directed forces of 8.9 N (F1), 17.8 N (F2), and 26.7 N (F3) were applied at the lateral pelvis of the nonstance side during each condition.Subjects:20 college students.Measurements:Surface EMG RMS amplitude from the GM and kinematic data from the trunk, hip, and knee.Results:Statistical analyses revealed a significant Condition 3 Force interaction and significant increases of EMG activity from C1F1 and C1F2 to C1F3 and from C3F1 to C3F2 and C3F3. F2 and F3 of C2 were significantly less than F2 and F3 of both C1 and C3.Conclusions:GM activity increases in response to isometric, closed-chain, external hip-rotation forces, and forward movement of the upper body with respect to the base of support decreases GM activity.

scholarly journals Defining Minimal Clinically Important Difference After Open Hip Abductor Repair

2021 ◽  
Vol 9 (4) ◽  
pp. 232596712110077
Author(s):  
Tyler J. Uppstrom ◽  
Spencer W. Sullivan ◽  
Joost A. Burger ◽  
Anil S. Ranawat ◽  
Bryan T. Kelly ◽  
...  
Keyword(s):  
Surgical Treatment ◽  
Outcome Measures ◽  
Minimal Clinically Important Difference ◽  
Open Repair ◽  
Gluteus Medius ◽  
Patient Characteristics ◽  
Harris Hip Score ◽  
Younger Patients ◽  
Clinically Important Difference ◽  
Hip Abductor

Background: Open repair for gluteus medius and minimus tears is a common surgical treatment for patients with lateral hip pain associated with abductor tears; however, clinically meaningful outcomes have not been described after open surgical treatment. Purpose: To define the minimal clinically important difference (MCID) in patient-reported outcome measures (PROMs) in patients undergoing open gluteus medius or minimus repair, and to identify preoperative patient characteristics predictive of achieving MCID postoperatively. Study Design: Case series; Level of evidence, 4. Methods: A retrospective review of prospectively collected data from a consecutive series of patients undergoing open abductor repair between July 2010 and April 2019 was conducted. Perioperative patient data collected included patient characteristics and preoperative and postoperative modified Harris Hip Score (mHHS) and International Hip Outcome Tool (iHOT-33) score. Paired t tests were utilized to compare preoperative and postoperative PROMs and MCID was calculated for both PROMs. Multivariate logistical regression analysis was used to assess the association between preoperative variables and the likelihood for achieving MCID. Results: A total of 47 patients were included in the study. The majority of patients were female (78.7%), with an average age of 63 ± 10.7 years. The average follow-up for both the mHHS and the iHOT-33 surveys was 37.8 ± 27.9 months (range, 10-102 months). Patients demonstrated statistically significant improvements on the mHHS and iHOT-33 postoperatively ( P < .001 for both). The MCIDs of mHHS and iHOT-33 were calculated to be 9.9 and 14.3, respectively. Overall, 82.9% of patients achieved MCID for mHHS and 84.1% of patients achieved MCID for iHOT-33 postoperatively. Multivariate logistical analysis demonstrated younger patients were less likely to achieve MCID for both outcome measures. Four patients (8.5%) suffered postoperative complications after open repair. Conclusion: This study defined MCID for mHHS and iHOT-33 for patients undergoing open repair of hip abductor tears, with a large percentage of patients (>80%) achieving meaningful outcomes for both outcome measures. There was a low complication rate. Younger patients were less likely to achieve MCID compared with older patients.

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